Evidence map›Paper›PMID 30019990›Full record

ArticleHuman vaccines & immunotherapeutics2018

Non-specific effects of vaccinations in high-income settings: How to address the issue?

Alberto Donzelli, Alessandro Schivalocchi, Giulia Giudicatti

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 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
–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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Influenza Vaccination of Pregnant Women and Serious Adverse Events in the Offspring.International journal of environmental research and public health · 2019
    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

3 authors.

Alberto Donzellia Member of the Board of Foundation , Consiglio direttivo Fondazione Allineare Sanità e Salute , Milano , Italy.ORCID http://orcid.org/0000-0002-4365-6814
Alessandro Schivalocchib Department of Medicine, Resident in Hygiene, Public Health and Preventive Medicine , University of Milan , Bicocca Milano , Italy.ORCID http://orcid.org/0000-0002-5493-7654
Giulia Giudicattib Department of Medicine, Resident in Hygiene, Public Health and Preventive Medicine , University of Milan , Bicocca Milano , Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

"Non-specific effects" of vaccines go beyond the specific protective effects against the targeted diseases. They, if real, could theoretically be beneficial, neutral or negative. This article intends to answer the following questions: Do the non-specific effects of vaccines exist? Almost certainly yes, and they can be important in low-income countries Are non-specific effects also present in high-income countries? At least to some extent, it seems quite logical Can non-specific effects be systematically identified by the current systems of side effects/unintended reactions monitoring? Most likely not Could the Institute of Medicine proposals and some ongoing attempts solve the issue? It seems unlikely Could there be better, feasible and ethically acceptable ways to achieve the aforementioned objective? A proposal is presented about this issue, with the potential both to solve the problem with the most valid methods, and to overcome the ethical problems that have so far precluded the adoption of RCTs to study possible vaccine non-specific effects, monitored by long follow-up.

Indexed as

Adverse Events Following Immunization (AEFI)heterologous vaccine effectsnon-specific vaccine effectsoff-target vaccine effectspharmacovigilancevaccine hesitancy

Identifiers

PMID30019990
PMCPMC6343628

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.