Evidence map›Paper›PMID 28338723›Full record

ArticleInternational journal of epidemiology2016

Non-specific effects of BCG vaccination on morbidity among children in Greenland: a population-based cohort study.

S Haahr, S W Michelsen, M Andersson, K Bjorn-Mortensen, B Soborg, J Wohlfahrt, M Melbye, A Koch

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in International journal of epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04534803 (Bacillus Calmette-Guerin Against Covid-19 for Prevention and Amelioration of Severity Trial), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 21% 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.

NCT04534803 phase3withdrawnnot on this mapstarted 2021, after this paper: background citation

Bacillus Calmette-Guerin Against Covid-19 for Prevention and Amelioration of Severity Trial

TypeinterventionalSponsorHarvard Medical School (HMS and HSDM)Ran2021 to 2022Enrolled0ConditionsCovid19ArmsBCG Vaccine, Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Early BCG-Denmark and Neonatal Mortality Among Infants Weighing <2500 g: A Randomized Controlled Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Can BCG be useful to mitigate the COVID-19 pandemic? A Canadian perspective.Canadian journal of public health = Revue canadienne de sante publique · 2020
    Article
  8. Review
  9. Review
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

S HaahrDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
S W MichelsenDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
M AnderssonDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
K Bjorn-MortensenDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
B SoborgDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
J WohlfahrtDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
M MelbyeDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
A KochDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Statens Serum Institut · DKStanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The potential non-specific effects of BCG (Bacillus Calmette-Guérin) vaccination, with reported reduction of infectious disease morbidity among vaccinated children, in addition to the protective effect against tuberculosis (TB), are highly debated. In Greenland, BCG vaccination was introduced in 1955, but temporarily discontinued from 1991 to 1996 due to nationwide policy changes. Using the transient vaccination stop, we aimed to investigate possible non-specific effects of BCG vaccination by measuring nation-wide hospitalization rates due to infectious diseases other than TB among vaccinated and unvaccinated children. Methods: A retrospective cohort study including all children born in Greenland aged 3 months to 3 years from 1989 to 2004. A personal identification number assigned at birth allowed for follow-up through national registers. Information on hospitalization due to infectious diseases was obtained from the Greenlandic inpatient register using ICD-8 and ICD-10 codes. Participants with notified TB were censored. Incidence rate ratios (IRR) were estimated using Poisson regression. Results: Overall, 19 363 children, hereof 66% BCG-vaccinated, were followed for 44 065 person-years and had 2069 hospitalizations due to infectious diseases. IRRs of hospitalization in BCG-vaccinated as compared with BCG-unvaccinated children were 1.07 [95% confidence interval (CI) 0.96-1.20] for infectious diseases overall, and specifically 1.10 (95% CI 0.98-1.24) for respiratory tract infections. Among BCG-vaccinated children aged 3 to 11 months, the IRR of hospitalization due to infectious diseases was 1.00 (95% CI 0.84-1.19) as compared with BCG-unvaccinated children. Conclusion: Our results do not support the hypothesis that neonatal BCG vaccination reduces morbidity in children caused by infectious diseases other than TB.

Indexed as

BCG VaccineChild, PreschoolFemaleGreenlandHospitalizationHumansInfantInternational Classification of DiseasesMaleRegistriesRegression AnalysisRespiratory Tract InfectionsRetrospective StudiesTuberculosisVaccinationBCG VaccineBCGnon-specific effectsprevention of infection

Identifiers

PMID28338723
OpenAlexW2536524957

What OpenQuestion holds

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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.