Evidence map›Paper›PMID 28960732›Full record

ArticleInfluenza and other respiratory viruses2018

Estimated rates of influenza-associated outpatient visits during 2001-2010 in 6 US integrated healthcare delivery organizations.

Hong Zhou, William W Thompson, Edward A Belongia, Ashley Fowlkes, Roger Baxter, Steven J Jacobsen, Michael L Jackson, Jason M Glanz, Allison L Naleway, Derek C Ford and 2 more

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Estimating Influenza-associated Mortality in Korea: The 2009-2016 Seasons.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2019
    Article
  4. Article
  5. Advances in measuring influenza burden of disease.Influenza and other respiratory viruses · 2018
    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

12 authors at 5 institutions in 4 countries.

Hong ZhouCenters for Disease Control & Prevention, Atlanta, GA, USA.
William W ThompsonCenters for Disease Control & Prevention, Atlanta, GA, USA.
Edward A BelongiaMarshfield Clinic Research Foundation, Marshfield, WI, USA.
Ashley FowlkesCenters for Disease Control & Prevention, Atlanta, GA, USA.
Roger BaxterKaiser Permanente Vaccine Study Center, Oakland, CA, USA.
Steven J JacobsenDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Michael L JacksonGroup Health Research Institute, Seattle, WA, USA.
Jason M GlanzInstitute for Health Research, Kaiser Permanente, Denver, CO, USA.
Allison L NalewayCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Derek C FordCenters for Disease Control & Prevention, Atlanta, GA, USA.
Eric WeintraubCenters for Disease Control & Prevention, Atlanta, GA, USA.
David K ShayCenters for Disease Control & Prevention, Atlanta, GA, USA.ORCID 0000-0001-9619-4820
Centers for Disease Control and Prevention · USKaiser Permanente · USKaiser Permanente Center for Health Research · USKaiser Permanente Washington Health Research Institute · USMarshfield Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPopulation-based estimates of influenza-associated outpatient visits including both pandemic and interpandemic seasons are uncommon. Comparisons of such estimates with laboratory-confirmed rates of outpatient influenza are rare.

objectiveTo estimate influenza-associated outpatient visits in 6 US integrated healthcare delivery organizations enrolling ~7.7 million persons.

methodsUsing negative binomial regression methods, we modeled rates of influenza-associated visits with ICD-9-CM-coded pneumonia or acute respiratory outpatient visits during 2001-10. These estimated counts were added to visits coded specifically for influenza to derive estimated rates. We compared these rates with those observed in 2 contemporaneous studies recording RT-PCR-confirmed influenza outpatient visits.

resultsOutpatient rates estimated with pneumonia visits were 39 (95% confidence interval [CI], 30-70) and 203 (95% CI, 180-240) per 10 000 person-years, respectively, for interpandemic and pandemic seasons. Corresponding rates estimated with respiratory visits were 185 (95% CI, 161-255) and 542 (95% CI, 441-823) per 10 000 person-years. During the pandemic, children aged 2-17 years had the largest increase in rates (when estimated with pneumonia visits, from 64 [95% CI, 50-121] to 381 [95% CI, 366-481]). Rates estimated with pneumonia visits were consistent with rates of RT-PCR-confirmed influenza visits during 4 of 5 seasons in 1 comparison study. In another, rates estimated with pneumonia visits during the pandemic for children and adults were consistent in timing, peak, and magnitude.

conclusionsEstimated rates of influenza-associated outpatient visits were higher in children than adults during pre-pandemic and pandemic seasons. Rates estimated with pneumonia visits plus influenza-coded visits were similar to rates from studies using RT-PCR-confirmed influenza.

Indexed as

AdolescentAdultAmbulatory CareChildChild, PreschoolDelivery of Health Care, IntegratedHumansInfantInfant, NewbornInfluenza, HumanOutpatientsPandemicsRetrospective StudiesUnited StatesYoung Adultelectronic health recordshumaninfluenzaoffice visitsstatistical models

Identifiers

PMID28960732
PMCPMC5818343
OpenAlexW2759357528

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LicenceCC BY
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Registered trials

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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.