Evidence map›Paper›PMID 27079638›Full record

ArticleAmerican journal of preventive medicine2016

Cost Effectiveness of Influenza Vaccine for U.S. Children: Live Attenuated and Inactivated Influenza Vaccine.

Eunha Shim, Shawn T Brown, Jay DePasse, Mary Patricia Nowalk, Jonathan M Raviotta, Kenneth J Smith, Richard K Zimmerman

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

Eunha ShimDepartment of Mathematics, Soongsil University, Seoul, Republic of Korea. Electronic address: alicia@ssu.ac.kr.
Shawn T BrownPittsburgh Supercomputing Center, Carnegie Mellon University, Pittsburgh, Pennsylvania.
Jay DePassePittsburgh Supercomputing Center, Carnegie Mellon University, Pittsburgh, Pennsylvania.
Mary Patricia NowalkUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Jonathan M RaviottaUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Kenneth J SmithUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Richard K ZimmermanUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
University of Pittsburgh · USCarnegie Mellon University · USSoongsil University · KR

Funding

Future of influenza vaccine strategies given interference and choiceR01GM111121 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SMITH, KENNETH J, ZIMMERMAN, RICHARD K · 2014 to 2017
$1.6M
NIGMS NIH HHS R01 GM111121
6 · The paper itself

Abstract

introductionPrior studies showed that live attenuated influenza vaccine (LAIV) is more effective than inactivated influenza vaccine (IIV) in children aged 2-8 years, supporting the Centers for Disease Control and Prevention (CDC) recommendations in 2014 for preferential LAIV use in this age group. However, 2014-2015 U.S. effectiveness data indicated relatively poor effectiveness of both vaccines, leading CDC in 2015 to no longer prefer LAIV.

methodsAn age-structured model of influenza transmission and vaccination was developed, which incorporated both direct and indirect protection induced by vaccination. Based on this model, the cost effectiveness of influenza vaccination strategies in children aged 2-8 years in the U.S. was estimated. The base case assumed a mixed vaccination strategy where 33.3% and 66.7% of vaccinated children aged 2-8 years receive LAIV and IIV, respectively. Analyses were performed in 2014-2015.

resultsUsing published meta-analysis vaccine effectiveness data (83% LAIV and 64% IIV), exclusive LAIV use would be a cost-effective strategy when vaccinating children aged 2-8 years, whereas IIV would not be preferred. However, when 2014-2015 U.S. effectiveness data (0% LAIV and 15% IIV) were used, IIV was likely to be preferred.

conclusionsThe cost effectiveness of influenza vaccination in children aged 2-8 years is highly dependent on vaccine effectiveness; the vaccine type with higher effectiveness is preferred. In general, exclusive IIV use is preferred over LAIV use, as long as vaccine effectiveness is higher for IIV than for LAIV.

Indexed as

Centers for Disease Control and Prevention, U.S.ChildChild, PreschoolCost-Benefit AnalysisHumansInfluenza, HumanInfluenza VaccinesUnited StatesVaccinationVaccines, AttenuatedVaccines, InactivatedInfluenza VaccinesVaccines, AttenuatedVaccines, Inactivated

Identifiers

PMID27079638
PMCPMC5384696
OpenAlexW2327279123

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.