Evidence map›Paper›PMID 26430697›Full record

ArticleOpen forum infectious diseases2015

Improving Influenza and Pneumococcal Vaccination Rates in Ambulatory Specialty Practices.

Keyana N Pennant, John J Costa, Anne L Fuhlbrigge, Paul E Sax, Lara E Szent-Gyorgyi, Jonathan Coblyn, Sonali P Desai

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Vaccination of Adults With Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
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  4. Interventions to Improve COVID-19 Vaccine Hesitancy.Rheumatic diseases clinics of North America · 2025
    Review
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  11. Article
  12. [Digital vaccination management systems may improve immunization rates in primary healthcare].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2019
    Review
  13. Review
  14. Article
  15. Article
  16. Article
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

7 authors at 4 institutions in 1 country.

Keyana N PennantDepartment of Medicine Quality Program.
John J CostaDivisions of Rheumatology, Immunology and Allergy.
Anne L FuhlbriggePulmonary.
Paul E SaxInfectious Diseases , Brigham and Women's Hospital , Boston.
Lara E Szent-GyorgyiChildren's Hospital, Standardized Clinical Assessment and Management Plans (SCAMPs) Program , Boston, Massachusetts.
Jonathan CoblynDepartment of Medicine Quality Program ; Divisions of Rheumatology, Immunology and Allergy.
Sonali P DesaiDepartment of Medicine Quality Program ; Divisions of Rheumatology, Immunology and Allergy.
ENT and Allergy · USBoston Children's Hospital · USBrigham and Women's Hospital · USPulmonary Associates · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background.  Influenza and pneumococcal vaccinations are recommended for elderly and high-risk patients; however, rates of adherence are low. We sought to implement influenza and pneumococcal vaccine initiatives in 4 different ambulatory specialty practices, using 3 unique approaches. Methods.  Four specialties with high-risk patient populations were selected for intervention: allergy (asthma), infectious disease (ID) (human immunodeficiency virus), pulmonary (chronic lung disease), and rheumatology (immunocompromised). Allergy and ID focused on influenza vaccination, and pulmonary and rheumatology focused on pneumococcal vaccination. We used 3 strategies for quality improvement: physician reminders, patient letters, and a nurse-driven model. Physicians were provided their performance data on a monthly basis and presented trended data on a quarterly basis at staff meetings. Results.  All 4 specialties developed processes for improving vaccination rates with all showing some increase. Higher rates were achieved with pneumococcal vaccine than influenza. Pneumococcal vaccine rates showed steady improvement from year to year while influenza vaccine rates remained relatively constant. Allergy's influenza rate was 59% in 2011 and 64% in the 2014 flu season. Infectious disease influenza rates moved from 74% in the 2011 flu season to 86% for the 2014 season. Pneumococcal vaccine in pulmonary patients' rate was 52% at the start of intervention in February 2009 and 79% as of January 2015. Rheumatology rates rose from 50% in February 2009 to 87% in January 2015. Conclusions.  Integrated routine workflow and performance data sharing can effectively engage specialists and staff in vaccine adherence improvement. Influenza vaccination may require other approaches to achieve the rates seen with pneumococcal vaccine.

Indexed as

improvementinfluenzapneumococcalqualityvaccines

Identifiers

PMID26430697
PMCPMC4589825
OpenAlexW1585344215

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.