Evidence map›Paper›PMID 25812842›Full record

ArticleVaccine2015

Deaths averted by influenza vaccination in the U.S. during the seasons 2005/06 through 2013/14.

Ivo M Foppa, Po-Yung Cheng, Sue B Reynolds, David K Shay, Cristina Carias, Joseph S Bresee, Inkyu K Kim, Manoj Gambhir, Alicia M Fry

Abstract read
In one paragraph

Article in Vaccine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  12. Subtypes of Influenza Virus Infection and Outcomes in Individuals Older than 65 Years of Age in Poland in the 2016/2017 to 2019/2020 Epidemic Seasons.Medical science monitor : international medical journal of experimental and clinical research · 2021
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  14. Article
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  19. Impact of influenza vaccination programmes among the elderly population on primary care, Portugal, Spain and the Netherlands: 2015/16 to 2017/18 influenza seasons.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Article
  20. Review
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.

Ivo M FoppaInfluenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS A-20, Atlanta, 30333 GA, USA; Battelle Memorial Institute, Atlanta, GA, USA. Electronic address: vor1@cdc.gov.
Po-Yung ChengInfluenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS A-20, Atlanta, 30333 GA, USA; Battelle Memorial Institute, Atlanta, GA, USA.
Sue B ReynoldsInfluenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS A-20, Atlanta, 30333 GA, USA; Atlanta Research and Education Foundation, GA, USA.
David K ShayInfluenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS A-20, Atlanta, 30333 GA, USA.
Cristina CariasNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA; IHRC.Inc, Atlanta, GA, USA.
Joseph S BreseeInfluenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS A-20, Atlanta, 30333 GA, USA.
Inkyu K KimInfluenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS A-20, Atlanta, 30333 GA, USA; Battelle Memorial Institute, Atlanta, GA, USA.
Manoj GambhirNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Alicia M FryInfluenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS A-20, Atlanta, 30333 GA, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundExcess mortality due to seasonal influenza is substantial, yet quantitative estimates of the benefit of annual vaccination programs on influenza-associated mortality are lacking.

methodsWe estimated the numbers of deaths averted by vaccination in four age groups (0.5 to 4, 5 to 19, 20 to 64 and ≥65 yrs.) for the nine influenza seasons from 2005/6 through 2013/14. These estimates were obtained using a Monte Carlo approach applied to weekly U.S. age group-specific estimates of influenza-associated excess mortality, monthly vaccination coverage estimates and summary seasonal influenza vaccine effectiveness estimates to obtain estimates of the number of deaths averted by vaccination. The estimates are conservative as they do not include indirect vaccination effects.

resultsFrom August, 2005 through June, 2014, we estimated that 40,127 (95% confidence interval [CI] 25,694 to 59,210) deaths were averted by influenza vaccination. We found that of all studied seasons the most deaths were averted by influenza vaccination during the 2012/13 season (9398; 95% CI 2,386 to 19,897) and the fewest during the 2009/10 pandemic (222; 95% CI 79 to 347). Of all influenza-associated deaths averted, 88.9% (95% CI 83 to 92.5%) were in people ≥65 yrs. old.

conclusionsThe estimated number of deaths averted by the US annual influenza vaccination program is considerable, especially among elderly adults and even when vaccine effectiveness is modest, such as in the 2012/13 season. As indirect effects ("herd immunity") of vaccination are ignored, these estimates represent lower bound estimates and are thus conservative given valid excess mortality estimates.

Indexed as

Immunization ProgramsAdolescentAdultAgedAged, 80 and overAge DistributionBayes TheoremChildChild, PreschoolFemaleHumansInfantInfluenza, HumanInfluenza VaccinesMaleMiddle AgedInfluenza VaccinesAverted deathsBayesian analysisInfluenzaInfluenza-associated mortalityInfluenza vaccineMonte Carlo simulation

Identifiers

PMID25812842
PMCPMC4834450

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.