Evidence map›Paper›PMID 21964369›Full record

ArticleJournal of public health management and practice : JPHMP

The impact of missed opportunities on seasonal influenza vaccination coverage for healthy young children.

Norma J Allred, Katherine A Poehling, Peter G Szilagyi, Fan Zhang, Kathryn M Edwards, Mary Allen Staat, Stephanie Donauer, Mila M Prill, Gerry Fairbrother

Abstract read
In one paragraph

Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Norma J AllredNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. nallred@cdc.gov
Katherine A Poehling
Peter G Szilagyi
Fan Zhang
Kathryn M Edwards
Mary Allen Staat
Stephanie Donauer
Mila M Prill
Gerry Fairbrother
Edwards (United Kingdom) · GBNational Széchényi Library · HUNational Center for Immunization and Respiratory Diseases · US

Funding

YOHIMBINE AS A MODEL OF ORTHOSTATIC INTOLERANCEM01RR000095 · NCRR · VANDERBILT UNIVERSITY · PI HAAS, DAVID W · 1985 to 2008
$38.3M
Impact of Vaccine on Influenza Disease in Young ChildrenK23AI065805 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI POEHLING, KATHERINE A · 2005 to 2009
$653k
NCRR NIH HHS M01 RR000095NIAID NIH HHS K23 AI065805
6 · The paper itself

Abstract

objectiveTo estimate the impact of missed opportunities on influenza vaccination coverage among 6- through 23-month-old children who sought medical care during the 2004-2005 influenza season.

designRetrospective cohort study.

settingFifty-two primary care practice sites located in Rochester, New York, Nashville, Tennessee, and Cincinnati, Ohio.

participantsChildren 6 through 23 months of age. METHODS/OUTCOME MEASURE: Charts were reviewed and data collected on influenza vaccinations, type of health care visit (well child or other), and presence of illness symptoms. Missed opportunity was defined as a practice visit by an eligible child during influenza season, when vaccine was available, but during which the child did not receive an influenza vaccination. Vaccine was assumed to be available between the first and last dates influenza vaccination was recorded at that practice. Each child was classified as fully vaccinated, partially vaccinated, or unvaccinated.

resultsData were analyzed for 1724 children, 6 through 23 months of age. Most children (62.0%) had at least 1 missed opportunity during this period. Among children with any missed opportunities, 12.8% were fully and 29.8% were partially vaccinated. Overall, 33.6% of the missed opportunities occurred during well child visits and 66.4% during other types of visits; 75% occurred when no other vaccines were given. Eliminating all missed opportunities would have increased full vaccination coverage from 30.3% to 49.9%.

conclusionsMissed opportunities for influenza vaccination are frequent. Reducing missed opportunities could significantly increase influenza vaccination rates and should be a goal in each practice.

Indexed as

Cohort StudiesHumansImmunization ProgramsInfantInfluenza A virusInfluenza, HumanInfluenza VaccinesMedical AuditRetrospective StudiesSeasonsUnited StatesInfluenza Vaccines

Identifiers

PMID21964369
PMCPMC3713481
OpenAlexW1981281948

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.