Evidence map›Paper›PMID 27912735›Full record

Trial reportBMC pediatrics2016

The effect of early measles vaccination at 4.5 months of age on growth at 9 and 24 months of age in a randomized trial in Guinea-Bissau.

S M Rasmussen, S Biering-Sørensen, S Byberg, A Andersen, M Bjerregaard-Andersen, A Rodrigues, C S Benn, C L Martins, P Aaby

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00168558 (Measles Vaccination in Guinea-Bissau. Strategies to Reduce Disease Burden and Improve Child Survival), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 40% 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.

NCT00168558 phase4completednot on this map

Measles Vaccination in Guinea-Bissau. Strategies to Reduce Disease Burden and Improve Child Survival

TypeinterventionalSponsorBandim Health ProjectRan2003 to 2008Enrolled5,879ConditionsMeaslesArmsMeasles vaccine
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  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

9 authors at 3 institutions in 2 countries.

S M RasmussenBandim Health Project, Indepth Network, Apartado 861, 1004, Bissau Codex, Guinea-Bissau.
S Biering-SørensenBandim Health Project, Indepth Network, Apartado 861, 1004, Bissau Codex, Guinea-Bissau.
S BybergBandim Health Project, Indepth Network, Apartado 861, 1004, Bissau Codex, Guinea-Bissau.
A AndersenBandim Health Project, Indepth Network, Apartado 861, 1004, Bissau Codex, Guinea-Bissau.
M Bjerregaard-AndersenBandim Health Project, Indepth Network, Apartado 861, 1004, Bissau Codex, Guinea-Bissau.
A RodriguesBandim Health Project, Indepth Network, Apartado 861, 1004, Bissau Codex, Guinea-Bissau.
C S BennBandim Health Project, Indepth Network, Apartado 861, 1004, Bissau Codex, Guinea-Bissau. CB@ssi.dk.
C L MartinsBandim Health Project, Indepth Network, Apartado 861, 1004, Bissau Codex, Guinea-Bissau.
P AabyBandim Health Project, Indepth Network, Apartado 861, 1004, Bissau Codex, Guinea-Bissau.
Bandim Health Project · GWStatens Serum Institut · DKOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProviding an early, additional measles vaccine (MV) at 4.5 months of age has been shown to reduce child mortality in low-income countries. We studied the effects on growth at 9 and 24 months of age.

methodsA randomized controlled trial was conducted in Guinea-Bissau from 2003-2007 including 6,648 children. Children were randomized 1:1:1 to receive Edmonston-Zagreb measles vaccine at 4.5 and 9 months of age (group A), no vaccine at 4.5 months and Edmonston-Zagreb measles vaccine at 9 months (group B), or no vaccine at 4.5 months and Schwarz measles vaccine at 9 months (group C) Data on anthropometrics were obtained at enrolment at 4.5 months of age and again at 9 and 24 months of age. Analyses were stratified by sex, season of enrolment, and neonatal vitamin A supplementation (NVAS) status, as all these factors have been shown to modify the effect of early MV on mortality.

resultsOverall there was no effect of early MV on anthropometry at 9 months. At 24 months children who had received early MV had a significantly larger mid-upper-arm-circumference (MUAC/in cm) (Difference = 0.08; 95% CI (0.02;0.14)) compared with children in the control group; this effect was most pronounced among girls (0.12 (0.03;0.20)). The effect of early MV on MUAC remained significant in the dry season and in girls who received placebo rather than NVAS.

conclusionEarly MV was associated with a larger MUAC particularly in girls. These results indicate that a two-dose measles vaccination schedule might not only reduce child mortality but also improve growth.

trial registrationClinicalTrials.gov NCT00168558 . Registered September 9, 2005, retrospectively registered.

Indexed as

Body HeightChild DevelopmentImmunization ScheduleMeasles VaccineWeight GainFemaleFollow-Up StudiesGuinea-BissauHumansInfantMaleMeaslesOutcome Assessment, Health CareSeasonsSex FactorsMeasles VaccineEarly measles vaccinationGrowthNeonatal vitamin A supplementationNon-specific effectsSeasonSex-differential effects

Identifiers

PMID27912735
PMCPMC5135799
OpenAlexW2559447449

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.