Evidence map›Paper›PMID 27058873›Full record

ArticlePloS one2016

Effectiveness of the 10-Valent Pneumococcal Conjugate Vaccine (PCV-10) in Children in Chile: A Nested Case-Control Study Using Nationwide Pneumonia Morbidity and Mortality Surveillance Data.

Janepsy Diaz, Solana Terrazas, Ana L Bierrenbach, Cristiana M Toscano, Gizelton P Alencar, Andrés Alvarez, Maria T Valenzuela, Jon Andrus, Roberto del Aguila, Juan C Hormazábal and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  10. Declines in Pneumonia Mortality Following the Introduction of Pneumococcal Conjugate Vaccines in Latin American and Caribbean Countries.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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  19. Estimating the population-level impact of vaccines using synthetic controls.Proceedings of the National Academy of Sciences of the United States of America · 2017
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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

14 authors at 6 institutions in 3 countries.

Janepsy DiazNational Institute of Health, Santiago, Chile.
Solana TerrazasNational Institute of Health, Santiago, Chile.
Ana L BierrenbachSanas - epidemiologia e pesquisa, São Paulo, Brazil.
Cristiana M ToscanoDepartment of Community Health, Institute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia, Brazil.
Gizelton P AlencarSchool of Public Health, University of São Paulo, São Paulo, Brazil.
Andrés AlvarezDepartment of Statistics and Health Information, Ministry of Health, Santiago, Chile.
Maria T ValenzuelaMedical School, University de los Andes, Santiago, Chile.
Jon AndrusSabin Vaccine Institute, Washington, DC, United States of America.
Roberto del AguilaPan American Health Organization, PWR-Chile, Santiago, Chile.
Juan C HormazábalNational Institute of Health, Santiago, Chile.
Pamela ArayaNational Institute of Health, Santiago, Chile.
Paola PidalNational Institute of Health, Santiago, Chile.
Cuauhtemoc R MatusComprehensive Family Immunization Project, Pan American Health Organization, Washington, DC, United States of America.
Lucia H de OliveiraComprehensive Family Immunization Project, Pan American Health Organization, Washington, DC, United States of America.
World Health Organization Regional Office for the Americas · USMinistry of Health · CLSabin Vaccine Institute · USUniversidad de Los Andes, Chile · CLUniversidade de São Paulo · BRUniversidade Federal de Goiás · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ten-valent pneumococcal conjugate vaccine (PCV10) was introduced into the Chilean National Immunization Program (NIP) in January 2011 with a 3+1 schedule (2, 4, 6 and 12 months) without catch-up vaccination. We evaluated the effectiveness of PCV10 on pneumonia morbidity and mortality among infants during the first two years after vaccine introduction.

methodsThis is a population-based nested case-control study using four merged nationwide case-based electronic health data registries: live birth, vaccination, hospitalization and mortality. Children born in 2010 and 2011 were followed from two moths of age for a period of two years. Using four different case definitions of pneumonia hospitalization and/or mortality (all-cause and pneumonia related deaths), all cases and four randomly selected matched controls per case were selected. Controls were matched to cases on analysis time. Vaccination status was then assessed. Vaccine effectiveness (VE) was estimated using conditional logistic regression.

resultsThere were a total of 497,996 children in the 2010 and 2011 Chilean live-birth cohorts. PCV10 VE was 11.2% (95%CI 8.5-13.6) when all pneumonia hospitalizations and deaths were used to define cases. VE increased to 20.7 (95%CI 17.3-23.8) when ICD10 codes used to denote viral pneumonia were excluded from the case definition. VE estimates on pneumonia deaths and all-cause deaths were 71.5 (95%CI 9.0-91.8) and 34.8 (95% CI 23.7-44.4), respectively.

conclusionPCV10 vaccination substantially reduced the number of hospitalizations due to pneumonia and deaths due to pneumonia and to all-causes over this study period. Our findings also reinforce the importance of having quality health information systems for measuring VE.

Indexed as

Case-Control StudiesChild, PreschoolChileCohort StudiesFemaleHumansImmunization ProgramsImmunization ScheduleInfantInfant, NewbornLogistic ModelsMaleMorbidityNational Health ProgramsPneumococcal VaccinesPneumonia, Pneumococcal10-valent pneumococcal conjugate vaccinePneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID27058873
PMCPMC4825990
OpenAlexW2323424410

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.