Evidence map›Paper›PMID 22449423›Full record

ArticleVaccine2012

Parental and societal values for the risks and benefits of childhood combination vaccines.

Courtney Gidengil, Tracy A Lieu, Katherine Payne, Donna Rusinak, Mark Messonnier, Lisa A Prosser

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 6 pooled it
4.2field-weighted citation impact, top 5% 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

32 citing papers in PubMed, 6 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  13. Preferences for Sexually Transmitted Infection and Cancer Vaccines in the United States and in China.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023
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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

6 authors at 5 institutions in 2 countries.

Courtney GidengilHarvard Pediatric Health Services Research Fellowship, Boston, MA, United States. gidengil@rand.org
Tracy A Lieu
Katherine Payne
Donna Rusinak
Mark Messonnier
Lisa A Prosser
Harvard Pilgrim Health Care · USBoston Children's Hospital · USCenters for Disease Control and Prevention · USHarvard Affiliated Emergency Medicine Residency · USUniversity of Manchester · GB

Funding

Training in Child Health Services Research and Implementation ScienceT32HS000063 · AHRQ · CHILDREN'S HOSPITAL BOSTON · PI GARABEDIAN, LAURA FADEN, WALSH, KATHLEEN ELIZABETH · 1994 to 2024
$7.6M
Joint Initiative in Vaccine Economics (JIVE) Project, Phase 3U01IP000143 · IP · HARVARD PILGRIM HEALTH CARE, INC. · PI LIEU, TRACY A · 2007 to 2009
$1.4M
AHRQ HHS T32 HS000063AHRQ HHS T32 HS000063-13Intramural CDC HHS CC999999NCIRD CDC HHS U01 IP000143NCIRD CDC HHS U01 IP000143-01
6 · The paper itself

Abstract

backgroundNew combination vaccines reduce the number of injections needed for immunization. However, possible drawbacks include higher prices, extra doses of vaccine antigens and increased minor adverse events. Our objective was to measure parental and societal values for attributes of childhood combination vaccines.

methodsWe conducted a discrete choice experiment using an online survey of adults administered by Knowledge Networks. Values were measured for attributes of combination vaccines for a hypothetical child aged 6 months: (1) number of injections, (2) extra dose of hepatitis B vaccine, (3) 20% higher chance of fever, (4) community-level immunization coverage of 2-year-olds of 90% or 80%, and (5) cost per visit. Logistic regression with generalized estimating equations was used to analyze the value of different attributes and generate a marginal willingness-to-pay for a change in attribute level.

resultsThe response rate was 64% (N=558). Most respondents were parents (63%) and most respondents agreed that combination vaccines were safe (77%). Respondents were willing to pay $7.68 to avoid an injection (compared to $9.94 when looking at parents only). However, respondents were willing to pay $41.57 to avoid higher risk of fever after one set of immunizations (10% versus 30%) and $65.42 for higher immunization coverage rates. These results were very similar for parents only. There was no significant preference to avoid an extra dose of hepatitis B vaccine.

conclusionsRespondents were willing to pay larger amounts to avoid increased risk of minor adverse events and to increase community-level immunization coverage than to avoid injections. These values should be taken into account when determining the risks and benefits of combination vaccines.

Indexed as

Patient Acceptance of Health CareAdolescentAdultAgedAged, 80 and overFemaleHumansInternetMaleMiddle AgedRisk AssessmentSurveys and QuestionnairesVaccinationVaccines, CombinedYoung AdultVaccines, Combined

Identifiers

PMID22449423
PMCPMC8654055
OpenAlexW1989761573

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.