Evidence map›Paper›PMID 26564178›Full record

SynthesisDiabetologia2016

Vaccinations and childhood type 1 diabetes mellitus: a meta-analysis of observational studies.

Eileen Morgan, Sophia R Halliday, Gemma R Campbell, Chris R Cardwell, Chris C Patterson

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Diabetologia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

  1. Pooled it
  2. Guideline
  3. Review
  4. Article
  5. Review
  6. Novel artful applications of vaccines at the horizon.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2022
    Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Childhood Vaccinations and Type 1 Diabetes.Frontiers in immunology · 2021
    Review
  12. Review
  13. Type 1 diabetes-early life origins and changing epidemiology.The lancet. Diabetes & endocrinology · 2020
    Review
  14. The Challenges of Identifying Environmental Determinants of Type 1 Diabetes: In Search of the Holy Grail.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
    Review
  15. Vaccine Safety: Myths and Misinformation.Frontiers in microbiology · 2020
    Review
  16. Vaccine Hesitancy and Illness Perceptions: Comparing Parents of Children with Autism Spectrum Disorder to other Parent Groups.Children's health care : journal of the Association for the Care of Children's Health · 2020
    Article
  17. Review
  18. Article
  19. Environmental risk factors for type 1 diabetes.Lancet (London, England) · 2016
    Review
  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

5 authors.

Eileen MorganUKCRC Centre of Excellence for Public Health NI, Queen's University Belfast, Belfast, UK.
Sophia R HallidayUKCRC Centre of Excellence for Public Health NI, Queen's University Belfast, Belfast, UK.
Gemma R CampbellCentre for Public Health, Queen's University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK.
Chris R CardwellCentre for Public Health, Queen's University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK.
Chris C PattersonUKCRC Centre of Excellence for Public Health NI, Queen's University Belfast, Belfast, UK. c.patterson@qub.ac.uk.

Funding

Medical Research Council MR/K023241/1
6 · The paper itself

Abstract

aims/hypothesisThe aim of this study was to investigate the association between routine vaccinations and the risk of childhood type 1 diabetes mellitus by systematically reviewing the published literature and performing meta-analyses where possible.

methodsA comprehensive literature search was performed of MEDLINE and EMBASE to identify all studies that compared vaccination rates in children who subsequently developed type 1 diabetes mellitus and in control children. ORs and 95% CIs were obtained from published reports or derived from individual patient data and then combined using a random effects meta-analysis.

resultsIn total, 23 studies investigating 16 vaccinations met the inclusion criteria. Eleven of these contributed to meta-analyses which included data from between 359 and 11,828 childhood diabetes cases. Overall, there was no evidence to suggest an association between any of the childhood vaccinations investigated and type 1 diabetes mellitus. The pooled ORs ranged from 0.58 (95% CI 0.24, 1.40) for the measles, mumps and rubella (MMR) vaccination in five studies up to 1.04 (95% CI 0.94, 1.14) for the haemophilus influenza B (HiB) vaccination in 11 studies. Significant heterogeneity was present in most of the pooled analyses, but was markedly reduced when analyses were restricted to study reports with high methodology quality scores. Neither this restriction by quality nor the original authors' adjustments for potential confounding made a substantial difference to the pooled ORs. CONCLUSIONS/

interpretationThis study provides no evidence of an association between routine vaccinations and childhood type 1 diabetes.

Indexed as

Chickenpox VaccineChildDiabetes Mellitus, Type 1Encephalitis, Tick-BorneHepatitis B VaccinesHumansInfluenza VaccinesMeasles-Mumps-Rubella VaccineMeningitis, ViralObservational Studies as TopicPertussis VaccineRisk FactorsSmallpox VaccineVaccinationVaccines, CombinedChickenpox VaccineHepatitis B VaccinesInfluenza VaccinesMeasles-Mumps-Rubella Vaccinemeasles, mumps, rubella, varicella vaccinePertussis VaccineSmallpox VaccineVaccines, CombinedEpidemiologyMeta-analysisType 1 diabetesVaccinations

Identifiers

PMID26564178
PMCPMC4705121

What OpenQuestion holds

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Registered trials

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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.