Evidence map›Paper›PMID 27876198›Full record

ArticleVaccine2017

Rotavirus vaccine effectiveness in low-income settings: An evaluation of the test-negative design.

Lauren M Schwartz, M Elizabeth Halloran, Ali Rowhani-Rahbar, Kathleen M Neuzil, John C Victor

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in Vaccine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.9field-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

36 citing papers in PubMed, 54 citations in OpenAlex.

  1. Trial
  2. Programmatic Effectiveness of a Pediatric Typhoid Conjugate Vaccine Campaign in Navi Mumbai, India.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
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  9. Article
  10. Designs for Vaccine Studies.Annual review of statistics and its application · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Exploring Natural Immune Responses toOpen forum infectious diseases · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  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 at 4 institutions in 1 country.

Lauren M SchwartzDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, United States; Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States. Electronic address: laurenms@uw.edu.
M Elizabeth HalloranDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, United States; Department of Biostatistics, School of Public Health, University of Washington, Seattle, WA, United States; Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States; Center for Inference and Dynamics of Infectious Diseases, Seattle, WA, United States.
Ali Rowhani-RahbarDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, United States.
Kathleen M NeuzilCenter for Vaccine Development, University of Maryland School of Medicine, Baltimore, MD, United States.
John C VictorCenter for Vaccine Innovation and Access, PATH, Seattle, WA, United States.
Fred Hutch Cancer Center · USProgram for Appropriate Technology in Health · USUniversity of Maryland, Baltimore · USUniversity of Washington · US

Funding

Methods for Evaluating Vaccine EfficacyR37AI032042 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HALLORAN, M ELIZABETH · 2010 to 2019
$5.1M
NIAID NIH HHS R37 AI032042
6 · The paper itself

Abstract

backgroundThe test-negative design (TND), an epidemiologic method currently used to measure rotavirus vaccine (RV) effectiveness, compares the vaccination status of rotavirus-positive cases and rotavirus-negative controls meeting a pre-defined case definition for acute gastroenteritis. Despite the use of this study design in low-income settings, the TND has not been evaluated to measure rotavirus vaccine effectiveness.

methodsThis study builds upon prior methods to evaluate the use of the TND for influenza vaccine using a randomized controlled clinical trial database. Test-negative vaccine effectiveness (VE-TND) estimates were derived from three large randomized placebo-controlled trials (RCTs) of monovalent (RV1) and pentavalent (RV5) rotavirus vaccines in sub-Saharan Africa and Asia. Derived VE-TND estimates were compared to the original RCT vaccine efficacy estimates (VE-RCTs). The core assumption of the TND (i.e., rotavirus vaccine has no effect on rotavirus-negative diarrhea) was also assessed.

resultsTND vaccine effectiveness estimates were nearly equivalent to original RCT vaccine efficacy estimates. Neither RV had a substantial effect on rotavirus-negative diarrhea.

conclusionsThis study supports the TND as an appropriate epidemiologic study design to measure rotavirus vaccine effectiveness in low-income settings.

Indexed as

Epidemiologic MethodsAfrica South of the SaharaAsiaFemaleGastroenteritisHumansInfantMaleRandomized Controlled Trials as TopicRotavirus InfectionsRotavirus VaccinesTreatment OutcomeRotavirus VaccinesRotavirusTest-negative designVaccine

Identifiers

PMID27876198
PMCPMC5154240
OpenAlexW2551356525

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.