Evidence map›Paper›PMID 30239624›Full record

Observational studyClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Clinical Effectiveness of Influenza Vaccination After Allogeneic Hematopoietic Stem Cell Transplantation: A Cross-sectional, Prospective, Observational Study.

José Luis Piñana, Ariadna Pérez, Juan Montoro, Estela Giménez, María Dolores Gómez, Ignacio Lorenzo, Silvia Madrid, Eva María González, Víctor Vinuesa, Juan Carlos Hernández-Boluda and 5 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Vaccination of Adults With Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
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  12. Acute graft-versus-host disease.Nature reviews. Disease primers · 2023
    Review
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  16. Article
  17. Observational
  18. Infectious complications and vaccines.Hematology. American Society of Hematology. Education Program · 2021
    Review
  19. Article
  20. Preparing for the 2020-2021 influenza season.Pediatric transplantation · 2021
    Review
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

15 authors at 4 institutions in 1 country.

José Luis PiñanaHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Ariadna PérezHematology Department, Institute for Research INCLIVA, Spain.
Juan MontoroHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Estela GiménezMicrobiology Department, Hospital Clínico Universitario, Institute for Research INCLIVA, Spain.
María Dolores GómezMicrobiology Department, Hospital Universitari i Politècnic La Fe, Spain.
Ignacio LorenzoHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Silvia MadridMicrobiology Department, Hospital Clínico Universitario, Institute for Research INCLIVA, Spain.
Eva María GonzálezMicrobiology Department, Hospital Universitari i Politècnic La Fe, Spain.
Víctor VinuesaMicrobiology Department, Hospital Clínico Universitario, Institute for Research INCLIVA, Spain.
Juan Carlos Hernández-BoludaMicrobiology Department, Hospital Universitari i Politècnic La Fe, Spain.
Miguel SalavertDepartment of Infectious Diseases, Hospital Universitari i Politècnic La Fe, Spain.
Guillermo SanzHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Carlos SolanoMicrobiology Department, Hospital Universitari i Politècnic La Fe, Spain.
Jaime SanzHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
David NavarroMicrobiology Department, Hospital Clínico Universitario, Institute for Research INCLIVA, Spain.
Hospital Universitari i Politècnic La Fe · ESINCLIVA Health Research Institute · ESInstituto de Salud Carlos III · ESCentro de Investigación Biomédica en Red de Cáncer · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVaccination is the primary method for preventing influenza respiratory virus infection (RVI). Although the influenza vaccine is able to achieve serological responses in some allogeneic hematopoietic stem cell transplantation (allo-HSCT) recipients, its clinical benefits are still uncertain.

methodsIn this prospective, cross-sectional study, we retrospectively analyzed the effect of inactivated trivalent influenza vaccination on the prevalence of influenza RVI in a consecutive cohort of 136 allo-HSCT adult recipients who developed 161 RVI over 5 flu seasons (from 2013 to 2018). Respiratory viruses in upper- and/or lower-respiratory tract specimens were tested using multiplex polymerase chain reaction panel assays.

resultsOverall, we diagnosed 74 episodes (46%) of influenza RVI in 70 allo-HSCT recipients. Influenza RVI occurred in 51% of the non-vaccinated compared to 36% of the vaccinated recipients (P = .036). A multivariate analysis showed that influenza vaccination was associated with a lower prevalence of influenza RVI (odds ratio [OR] 0.39, P = .01). A multivariate risk factor analysis of lower-respiratory tract disease (LRTD) identified 2 conditions associated with the probability of influenza RVI progression: influenza vaccination (OR 0.12, 95% confidence interval [CI] 0.014-1, P = .05) and a high-risk immunodeficiency score (OR 36, 95% CI 2.26-575, P = .011). Influenza vaccination was also associated with a lower likelihood of an influenza-related hospital admission (14% vs 2%, P = .04).

conclusionsThis study shows that influenza vaccination may have a clinical benefit in allo-HSCT recipients with virologically-confirmed RVI, in terms of a lower influenza RVI prevalence, slower LRTD progression, and lower likelihood of hospital admission.

Indexed as

Hematopoietic Stem Cell TransplantationAdolescentAdultAgedCross-Sectional StudiesFemaleHospitalizationHumansImmunocompromised HostInfluenza, HumanInfluenza VaccinesMaleMiddle AgedOdds RatioProspective StudiesRetrospective StudiesInfluenza Vaccinesallogeneic hematopoietic stem cell transplantationcommunity-acquired respiratory virusimmunodeficiency score indexinfluenza virus

Identifiers

PMID30239624
PMCPMC7108095
OpenAlexW2890465506

What OpenQuestion holds

Textmetadata
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.