Evidence map›Paper›PMID 25590676›Full record

ArticleMedical care2015

Quantifying the economic value and quality of life impact of earlier influenza vaccination.

Bruce Y Lee, Sarah M Bartsch, Shawn T Brown, Philip Cooley, William D Wheaton, Richard K Zimmerman

Open access · greenAbstract read
In one paragraph

Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  5. Valuing COVID-19 Morbidity Risk Reductions.Journal of benefit-cost analysis · 2022
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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 4 institutions in 1 country.

Bruce Y Lee*Public Health Computational and Operations Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD †Pittsburgh Supercomputing Center, Carnegie Mellon University ‡RTI International, Research Triangle Park, NC §University of Pittsburgh School of Medicine, Pittsburgh, PA.
Sarah M Bartsch
Shawn T Brown
Philip Cooley
William D Wheaton
Richard K Zimmerman
Johns Hopkins University · USRTI International · USCarnegie Mellon University · USUniversity of Pittsburgh · US

Funding

MULTILEVEL SYSTEMS-ORIENTED CHILDHOOD OBESITY STUDY IN CHINAU54HD070725 · NICHD · JOHNS HOPKINS UNIVERSITY · PI WANG, YOUFA · 2011 to 2016
$15.9M
Core_plus Option_A_C_Influenza Surveillance and Vaccine Effectiveness in a LargeU01IP000467 · IP · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZIMMERMAN, RICHARD K · 2011 to 2015
$5.9M
Regional Healthcare Ecosystem Analyst for Healthcare Associated InfectionsR01HS023317 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI LEE, BRUCE Y · 2014 to 2014
$2.4M
AHRQ HHS 1R01HS02331701AHRQ HHS R01 HS023317NCIRD CDC HHS U01 IP000467NICHD NIH HHS 5U54HD07072503NICHD NIH HHS U54 HD070725
6 · The paper itself

Abstract

backgroundInfluenza vaccination is administered throughout the influenza disease season, even as late as March. Given such timing, what is the value of vaccinating the population earlier than currently being practiced?

methodsWe used real data on when individuals were vaccinated in Allegheny County, Pennsylvania, and the following 2 models to determine the value of vaccinating individuals earlier (by the end of September, October, and November): Framework for Reconstructing Epidemiological Dynamics (FRED), an agent-based model (ABM), and FluEcon, our influenza economic model that translates cases from the ABM to outcomes and costs [health care and lost productivity costs and quality-adjusted life-years (QALYs)]. We varied the reproductive number (R0) from 1.2 to 1.6.

resultsApplying the current timing of vaccinations averted 223,761 influenza cases, $16.3 million in direct health care costs, $50.0 million in productivity losses, and 804 in QALYs, compared with no vaccination (February peak, R0 1.2). When the population does not have preexisting immunity and the influenza season peaks in February (R0 1.2-1.6), moving individuals who currently received the vaccine after September to the end of September could avert an additional 9634-17,794 influenza cases, $0.6-$1.4 million in direct costs, $2.1-$4.0 million in productivity losses, and 35-64 QALYs. Moving the vaccination of just children to September (R0 1.2-1.6) averted 11,366-1660 influenza cases, $0.6-$0.03 million in direct costs, $2.3-$0.2 million in productivity losses, and 42-8 QALYs. Moving the season peak to December increased these benefits, whereas increasing preexisting immunity reduced these benefits.

conclusionEven though many people are vaccinated well after September/October, they likely are still vaccinated early enough to provide substantial cost-savings.

Indexed as

Quality of LifeCost-Benefit AnalysisDisease OutbreaksFemaleHealth Care CostsHealth StatusHumansInfluenza, HumanMaleMass VaccinationPennsylvaniaPrimary Health CareQuality-Adjusted Life YearsSeasonsUnited States

Identifiers

PMID25590676
PMCPMC4690729
OpenAlexW2009901856

What OpenQuestion holds

Textmetadata
LicenceTDM
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.