Evidence map›Paper›PMID 26515134›Full record

ArticleBMC infectious diseases2015

Rates of pneumonia among children and adults with chronic medical conditions in Germany.

Stephen I Pelton, Kimberly M Shea, Raymond A Farkouh, David R Strutton, Sebastian Braun, Christian Jacob, Rogier Klok, Elana S Gruen, Derek Weycker

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

31 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

9 authors at 4 institutions in 2 countries.

Stephen I PeltonBoston University School of Public Health, Boston, MA, USA. spelton@bu.edu.
Kimberly M SheaBoston University School of Public Health, Boston, MA, USA. kimshea@bu.edu.
Raymond A FarkouhPfizer Inc., Collegeville, PA, USA. rfarkouh@pfizer.com.
David R StruttonPfizer Inc., Collegeville, PA, USA. dstrutto@jhsph.edu.
Sebastian BraunXcenda GmbH, Hannover, Germany. sebastian.braun@xcenda.de.
Christian JacobXcenda GmbH, Hannover, Germany. christian.jacob@xcenda.de.
Rogier KlokPfizer bv, Capelle a/d IJssel, Netherlands. rogier.klok@pfizer.com.
Elana S GruenPolicy Analysis Inc. (PAI), Brookline, MA, USA. egruen@pai2.com.
Derek WeyckerPolicy Analysis Inc. (PAI), Brookline, MA, USA. dweycker@pai2.com.
Boston University · USPfizer (United States) · USPolicy Analysis (United States) · USPfizer (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study is to evaluate rates of all-cause pneumonia among "at-risk" and "high-risk" children and adults in Germany-in comparison with age-stratified healthy counterparts-during the period following the 2006 recommendation for universal immunization of infants with pneumococcal conjugate vaccine.

methodsRetrospective cohort design and healthcare claims information for 3.4 M persons in Germany (2009-2012) were employed. Study population was stratified by age and risk profile (healthy, "at-risk" [with chronic medical conditions], and "high-risk" [immunocompromised]). At-risk and high-risk conditions, as well as episodes of all-cause pneumonia, were identified via diagnosis, procedure, and drug codes. RESULTS AND DISCUSSION: Rates of all-cause pneumonia were 1.7 (95 % CI 1.7-1.8) to 2.5 (2.4-2.5) times higher among children and adults with at-risk conditions versus healthy counterparts, and 1.8 (1.8-1.9) to 4.1 (4.0-4.2) times higher among children and adults with high-risk conditions. Rates of all-cause pneumonia among at-risk persons increased in a graded and monotonic fashion with increasing numbers of conditions (i.e., risk stacking).

conclusionsAn increased risk for all-cause pneumonia in German children and adults with a spectrum of medical conditions persists in the era of widespread pneumococcal vaccination, and pneumonia risk in persons with ≥2 at-risk conditions is comparable or higher than those with high-risk conditions.

Indexed as

AdolescentAdultAgedChildChild, PreschoolChronic DiseaseCohort StudiesFemaleGermanyHumansInfantInsurance Claim ReportingMaleMiddle AgedPneumococcal VaccinesPneumoniaPneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID26515134
PMCPMC4627378
OpenAlexW1892361877

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.