Evidence map›Paper›PMID 29284435›Full record

ArticleBMC infectious diseases2017

Influenza vaccine effectiveness against influenza-related hospitalization during a season with mixed outbreaks of four influenza viruses: a test-negative case-control study in adults in Canada.

Melissa K Andrew, Vivek Shinde, Todd Hatchette, Ardith Ambrose, Guy Boivin, William Bowie, Ayman Chit, Gael Dos Santos, May ElSherif, Karen Green and 23 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01517191 (Sentinel Surveillance for Influenza Requiring Hospital Admission Canadian Adults), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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.

NCT01517191 completednot on this map

Sentinel Surveillance for Influenza Requiring Hospital Admission Canadian Adults

TypeobservationalSponsorDalhousie UniversityRan2011 to 2016Enrolled4,197ConditionsInfluenza
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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

33 authors at 18 institutions in 3 countries.

Melissa K AndrewCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada.
Vivek ShindeGSK, King of Prussia, Current affiliation: Novavax Vaccines, Washington, DC, USA.
Todd HatchetteCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada.
Ardith AmbroseCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada.
Guy BoivinCentre Hospitalier Universitaire de Québec, 2705 Boulevard Laurier, RC-709, Québec, Québec, G1V 4G2, Canada.
William BowieUniversity of British Columbia, 452D, Heather Pavilion East, VGH, 2733 Heather Street, Vancouver, British Columbia, V5Z 3J5, Canada.
Ayman ChitLeslie Dan Faculty of Pharmacy, University of Toronto, Current affiliation: Sanofi Pasteur, Swiftwater, Pennsylvania, USA.
Gael Dos SantosBusiness & Decision Life Sciences, Bruxelles, Belgium, on behalf of GSK (Wavre, Belgium), Current affiliation: GSK, Wavre, Belgium.
May ElSherifCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada.
Karen GreenMount Sinai Hospital, 600 University Ave, Room 210, Toronto, Ontario, M5G 1X5, Canada.
François HaguinetGSK, Wavre, Belgium.
Scott A HalperinCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada.
Barbara IbarguchiGSK, Mississauga, Ontario, Canada, Current affiliation: Bayer Inc, Mississauga, Ontario, Canada.
Jennie JohnstoneMcMaster University, Michael G. DeGroote Centre for Learning, 1200 Main Street West, Room 3208, Hamilton, Ontario, L8S 4K1, Canada.
Kevin KatzNorth York General Hospital, 4001 Leslie St, Toronto, Ontario, M2K 1E1, Canada.
Joanne M LangleyCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada.
Jason LeBlancCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada.
Mark LoebMcMaster University, Michael G. DeGroote Centre for Learning, 1200 Main Street West, Room 3208, Hamilton, Ontario, L8S 4K1, Canada.
Donna MacKinnon-CameronCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada.
Anne McCarthyThe Ottawa Hospital, Ottawa Hospital Civic Campus, 1053 Carling Ave, Ottawa, Ontario, K1Y 4E9, Canada.
Janet McElhaneyHealth Sciences North Research Institute, 41 Ramsey Lake Rd, Sudbury, Ontario, P3E 5J1, Canada.
Allison McGeerMount Sinai Hospital, 600 University Ave, Room 210, Toronto, Ontario, M5G 1X5, Canada.
Michaela K NicholsCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada.
Jeff PowisMichael Garron Hospital, 825 Coxwell Ave, Toronto, Ontario, M4C 3E7, Canada.
David RichardsonWilliam Osler Health System, Department of Infectious Diseases and Medical Microbiology, 2100 Bovaird Dr East, Brampton, Ontario, L6R 3J7, Canada.
Makeda SemretMcGill University, McGill University Health Centre, Glen Site, 1001 Decarie Blvd, Montreal, Quebec, H4A 3J1, Canada.
Grant StiverUniversity of British Columbia, 452D, Heather Pavilion East, VGH, 2733 Heather Street, Vancouver, British Columbia, V5Z 3J5, Canada.
Sylvie TrottierCentre Hospitalier Universitaire de Québec, 2705 Boulevard Laurier, RC-709, Québec, Québec, G1V 4G2, Canada.
Louis ValiquetteUniversité de Sherbrooke, 3001 12th Ave North, Sherbrooke, Quebec, J1H 5N4, Canada.
Duncan WebsterSaint John Regional Hospital, Dalhousie University, 400 University Ave, Saint John, New Brunswick, E2L 4L2, Canada.
Lingyun YeCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada.
Shelly A McNeilCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada. Shelly.McNeil@nshealth.ca.
Public Health Agency of Canada/Canadian Institutes of Health Research Influenza Research Network (PCIRN) Serious Outcomes Surveillance Network and the Toronto Invasive Bacterial Diseases Network (TIBDN)
Dalhousie University · CANova Scotia Health Authority · CAIzaak Walton Killam Health Centre · CACentre hospitalier universitaire de Québec · CAGlaxoSmithKline (Belgium) · BEMcMaster University · CAMount Sinai Hospital · CAUniversity of British Columbia · CABayer (Canada) · CAHealth Sciences North · CAMcGill University Health Centre · CANorth York General Hospital · CANovavax (United States) · USOttawa Hospital · CASanofi (United States) · USToronto East General Hospital · CAUniversité de Sherbrooke · CAWilliam Osler Health System · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Serious Outcomes Surveillance (SOS) Network was established to monitor seasonal influenza complications among hospitalized Canadian adults and to assess the effectiveness of influenza vaccination against severe outcomes. Here we report age- and strain-specific vaccine effectiveness (VE) in preventing severe outcomes during a season characterized by mixed outbreaks of four different influenza strains.

methodsThis prospective, multicentre, test-negative case-control study evaluated the VE of trivalent influenza vaccine (TIV) in the prevention of laboratory-confirmed influenza-hospitalization in adults aged ≥16 years (all adults) and adults aged 16-64 years (younger adults). The SOS Network identified hospitalized patients with diagnoses potentially attributable to influenza during the 2011/12 influenza season. Swabs collected at admission were tested by reverse transcriptase polymerase chain reaction (RT PCR) or viral culture to discriminate influenza cases (positive) from controls (negative). VE was calculated as 1-odds ratio (OR) of vaccination in cases versus controls × 100.

resultsOverall, in all adults, the unadjusted and adjusted VEs of TIV against influenza-hospitalization were 41.8% (95% Confidence Interval [CI]: 26.0, 54.3), and 42.8% (95% CI: 23.8, 57.0), respectively. In younger adults (16-64 years), the unadjusted and adjusted VEs of TIV against influenza-hospitalization were 35.8% (95% CI: 4.5, 56.8) and 33.2% (95% CI: -6.7, 58.2), respectively. In the all adults group, adjusted VE against influenza A/H1N1 was 72.5% (95% CI: 30.5, 89.1), against A/H3N2 was 86.1% (95% CI: 40.1, 96.8), against B/Victoria was 40.5% (95% CI: -28.9, 72.6), and against B/Yamagata was 32.3% (95% CI: -8.3, 57.7). The adjusted estimate of early season VE (from November 1 to March 11) was 54.4% (95% CI: 29.7-70.4), which was higher than late season (from March 11 to May 25) VE estimate (VE: 29.7%, 95% CI: -5.3, 53.1).

conclusionsThese results suggest that TIV was highly effective against A viruses and moderately effective against B viruses during a mild season characterised by co-circulation of four influenza strains in Canada. Findings underscore the need to provide VE assessment by subtype/lineage as well as the timing of vaccination (early season vs late season) to accurately evaluate vaccine performance and thus guide public health decision-making.

trial registrationClinicalTrials.gov Identifier: NCT01517191. Registration was retrospective and the date of registration was January 17, 2012.

Indexed as

Influenza VaccinesAdolescentAdultAgedCanadaCase-Control StudiesDisease OutbreaksFemaleHospitalizationHumansInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza B virusInfluenza, HumanMaleMiddle AgedInfluenza VaccinesAdultsEffectivenessHospitalizationInfluenzaVaccine

Identifiers

PMID29284435
PMCPMC5747268
OpenAlexW2778038941

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.