Evidence map›Paper›PMID 26808648›Full record

ArticleVaccine2016

Beyond efficacy: The full public health impact of vaccines.

Mitra Saadatian-Elahi, Olaf Horstick, Robert F Breiman, Bradford D Gessner, Duane J Gubler, Jacques Louis, Umesh D Parashar, Roberto Tapia, Valentina Picot, Jean-Antoine Zinsou and 1 more

Abstract read
In one paragraph

Article in Vaccine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Vaccine hesitancy in Malawi: a threat to already-made health gains.Annals of medicine and surgery (2012) · 2023
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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

11 authors.

Mitra Saadatian-ElahiHospices Civils de Lyon, Groupement Hospitalier Edouard Herriot, 5 Place d'Arsonval, 69437 Lyon Cedex 03, France. Electronic address: mitra.elahi@chu-lyon.fr.
Olaf HorstickInstitute of Public Health, University of Heidelberg, Germany.
Robert F BreimanEmory Global Health Institute, Emory University, Atlanta, GA, United States.
Bradford D GessnerAgence de Médecine Préventive, Paris, France.
Duane J GublerDuke-NUS Graduate Medical School, 8 College Road, Singapore 169857, Singapore.
Jacques LouisFondation Mérieux, 17 rue Bourgelat, 69002 Lyon, France.
Umesh D ParasharNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Roberto TapiaFundación Carlos Slim, Mexico.
Valentina PicotFondation Mérieux, 17 rue Bourgelat, 69002 Lyon, France.
Jean-Antoine ZinsouSanofi Pasteur, Vaccination Policy Department, 2 Avenue du Pont Pasteur, 69367 Lyon Cedex 07, France.
Christopher B NelsonSanofi Pasteur, Vaccination Policy Department, 2 Avenue du Pont Pasteur, 69367 Lyon Cedex 07, France.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

There is an active discussion in the public health community on how to assess and incorporate, in addition to safety and measures of protective efficacy, the full public health value of preventive vaccines into the evidence-based decision-making process of vaccine licensure and recommendations for public health use. The conference "Beyond efficacy: the full public health impact of vaccines in addition to efficacy measures in trials" held in Annecy, France (June 22-24, 2015) has addressed this issue and provided recommendations on how to better capture the whole public health impact of vaccines. Using key examples, the expert group stressed that we are in the midst of a new paradigm in vaccine evaluation, where all aspects of public health value of vaccines beyond efficacy should be evaluated. To yield a wider scope of vaccine benefits, additional measures such as vaccine preventable disease incidence, overall efficacy and other outcomes such as under-five mortality or non-etiologically confirmed clinical syndromes should be assessed in addition to traditional efficacy or effectiveness measurements. Dynamic modelling and the use of probe studies should also be considered to provide additional insight to the full public health value of a vaccine. The use of burden reduction and conditional licensure of vaccines based on collection of outcome results should be considered by regulatory agencies.

Indexed as

Public HealthCongresses as TopicFranceHumansLicensureRandomized Controlled Trials as TopicVaccinesVaccinesBeyond vaccine efficacyConference reportVaccine effectivenessVaccine efficacyVaccine preventable disease incidenceVaccine probe analysis

Identifiers

PMID26808648
PMCPMC11345718

What OpenQuestion holds

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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.