Evidence map›Paper›PMID 28826422›Full record

SynthesisEpidemiology and infection2017

A systematic review of varicella seroprevalence in European countries before universal childhood immunization: deriving incidence from seroprevalence data.

K Bollaerts, M Riera-Montes, U Heininger, N Hens, A Souverain, T Verstraeten, S Hartwig

Abstract readHistorical ArticleSystematic Review
In one paragraph

Synthesis in Epidemiology and infection, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

52 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Global herpes zoster burden in adults with COPD: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Varicella zoster virus infection.Nature reviews. Disease primers · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Observational
  13. Review
  14. Article
  15. Article
  16. Article
  17. Trends in public interest and vaccination coverage for Herpes Zoster.Public health in practice (Oxford, England) · 2025
    Article
  18. Review
  19. Review
  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

7 authors.

K BollaertsP95 Pharmacovigilance and Epidemiology Services,Koning Leopold III Laan 1,Leuven 3001,Belgium.
M Riera-MontesP95 Pharmacovigilance and Epidemiology Services,Koning Leopold III Laan 1,Leuven 3001,Belgium.
U HeiningerDivision of Paediatric Infectious Diseases and Vaccinology,University of Basel Children's Hospital,Basel CH-4056,Switzerland.
N HensInteruniversity Institute for Biostatistics and statistical Bioinformatics, Hasselt University,Diepenbeek,Belgium.
A SouverainAixial,4 rue Danjou, Boulogne-Billancourt 92513,France.
T VerstraetenP95 Pharmacovigilance and Epidemiology Services,Koning Leopold III Laan 1,Leuven 3001,Belgium.
S HartwigSanofi Pasteur MSD,162 avenue Jean Jaurès, Lyon 69007,France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surveillance systems for varicella in Europe are highly heterogeneous or completely absent. We estimated the varicella incidence based on seroprevalence data, as these data are largely available and not biased by under-reporting or underascertainment. We conducted a systematic literature search for varicella serological data in Europe prior to introduction of universal varicella immunization. Age-specific serological data were pooled by country and serological profiles estimated using the catalytic model with piecewise constant force of infection. From the estimated profiles, we derived the annual incidence of varicella infection (/100·000) for six age groups (<5, 5-9, 10-14, 15-19, 20-39 and 40-65 years). In total, 43 studies from 16 countries were identified. By the age of 15 years, over 90% of the population has been infected by varicella in all countries except for Greece (86·6%) and Italy (85·3%). Substantial variability across countries exists in the age-specific annual incidence of varicella primary infection among the <5 years old (from 7052 to 16 122 per 100 000) and 5-9 years old (from 3292 to 11 798 per 100 000). The apparent validity and robustness of our estimates highlight the importance of serological data for the characterization of varicella epidemiology, even in the absence of sampling or assay standardization.

Indexed as

Age FactorsChickenpoxEuropeHerpesvirus 3, HumanHistory, 20th CenturyHumansImmunizationIncidenceSeroepidemiologic StudiesChickenpoxEuropeimmunizationincidenceseroepidemiologyvaricella zoster virus

Identifiers

PMID28826422
PMCPMC5647669

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.