Evidence map›Paper›PMID 27580838›Full record

ArticleBMJ open2016

Do children who receive an 'early dose' of MMR vaccine during a measles outbreak return for their regularly scheduled dose? A retrospective population-based study.

Xiaoyan Guo, Kimberley A Simmonds, Jill Svenson, Shannon E MacDonald

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 2 institutions in 1 country.

Xiaoyan GuoAnalytics and Performance Reporting Branch, Alberta Ministry of Health, Edmonton, Alberta, Canada.
Kimberley A SimmondsStrategic Planning and Policy Division, Alberta Ministry of Health, Edmonton, Alberta, Canada.
Jill SvensonHealth and Wellness Promotion Branch, Alberta Ministry of Health, Edmonton, Alberta, Canada.
Shannon E MacDonaldFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Ministry of Health · CAUniversity of Alberta · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundChildren under the age of 12 months may receive an early dose of measles-mumps-rubella (MMR) vaccine to provide short-term protection in the case of a disease outbreak. Following a measles outbreak in Alberta, Canada, there was concern that children who received an early dose may not be returning for their routinely scheduled dose at 12 months, leaving them vulnerable to disease in the long term.

methodsThis population-based study of children born between 2006 and 2014 used administrative health data to assess coverage and timeliness of the first routine dose of MMR vaccine administered at age 12-24 months for children who received an early dose of the vaccine due to a disease outbreak. We compared this group to children who received an early dose due to travel to a measles-endemic region and to children who did not receive an early dose.

resultsOnly 5.5% of 366 351 children received an early dose. Coverage for the routine dose at age 24 months was 96.5% for children receiving an outbreak dose, 92.2% for those travelling to measles-endemic regions and 86.6% for those without an early dose (p<0.0001). The multivariable Cox proportional hazard analysis, controlling for neighbourhood income, place of residence and interaction effects, determined that, as compared to the general cohort, the outbreak group was most likely to obtain the first routine dose (adjusted HR (aHR): 1.52, 95% CI 1.44 to 1.60), followed by the travel group (aHR: 1.26, 95% CI 1.18 to 1.34).

conclusionsIt is reassuring that the majority of children who received an early dose returned for their routine dose and did so in a timely manner.

Indexed as

Immunization ScheduleAlbertaChild, PreschoolDatabases, FactualDisease OutbreaksFemaleHumansInfantMaleMeaslesMeasles-Mumps-Rubella VaccineRetrospective StudiesVaccinationMeasles-Mumps-Rubella VaccineEPIDEMIOLOGY

Identifiers

PMID27580838
PMCPMC5013531
OpenAlexW2510588965

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.