Evidence map›Paper›PMID 30411283›Full record

ReviewDrugs & aging2019

Influenza Vaccination in Older Adults: Recent Innovations and Practical Applications.

Melissa K Andrew, Susan K Bowles, Graham Pawelec, Laura Haynes, George A Kuchel, Shelly A McNeil, Janet E McElhaney

Abstract readReview
PubMed Publisher
In one paragraph

Review in Drugs & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 3% 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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Controlled Human Infection Challenge Studies with RSV.Current topics in microbiology and immunology · 2024
    Review
  13. Vaccination and Therapeutics.Advances in experimental medicine and biology · 2024
    Review
  14. Review
  15. Immunology of Aging: the Birth of Inflammaging.Clinical reviews in allergy & immunology · 2023
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Moving beyond Titers.Vaccines · 2022
    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

7 authors at 4 institutions in 3 countries.

Melissa K AndrewDivision of Geriatric Medicine, Department of Medicine (Geriatrics), Dalhousie University, 5955 Veterans' Memorial Lane, Halifax, NS, Canada. mandrew@dal.ca.
Susan K BowlesDivision of Geriatric Medicine, Department of Medicine (Geriatrics), Dalhousie University, 5955 Veterans' Memorial Lane, Halifax, NS, Canada.
Graham PawelecSecond Department of Internal Medicine, University of Tübingen, Tübingen, Germany.
Laura HaynesCenter on Aging, University of Connecticut School of Medicine, Farmington, CT, USA.
George A KuchelCenter on Aging, University of Connecticut School of Medicine, Farmington, CT, USA.
Shelly A McNeilCanadian Center for Vaccinology, Halifax, NS, Canada.
Janet E McElhaneyHealth Sciences North Research Institute, Northern Ontario School of Medicine, Sudbury, ON, Canada.
Dalhousie University · CAHealth Sciences North · CAUniversity of Connecticut · USNova Scotia Health Authority · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Influenza can lead to serious illness, particularly for older adults. In addition to short-term morbidity and mortality during the acute infection, recovery can be prolonged and often incomplete. This may lead to persistent declines in health and function, including catastrophic disability, which has dramatic implications for the well-being and support needs of older adults and their caregivers. All of this means that prevention of infection and effective treatment when illness has occurred are of paramount importance. In this narrative review, we discuss the effectiveness of influenza vaccines for the prevention of influenza illness and serious outcomes in older adults. We review evidence of vaccine effectiveness for older adults in comparison with younger age groups, and also highlight the importance of frailty as a determinant of vaccine effectiveness. We then turn our attention to the question of why older and frailer individuals have poorer vaccine responses, and consider changes in immune function and inflammatory responses. This sets the stage for a discussion of newer influenza vaccine products that have been developed with the aim of enhancing vaccine effectiveness in older adults. We review the available evidence on vaccine efficacy, effectiveness and cost benefits, consider the potential place of these innovations in clinical geriatric practice, and discuss international advisory committee recommendations on influenza vaccination in older adults. Finally, we highlight the importance of influenza prevention to support healthy aging, along with the need to improve vaccine coverage rates using available vaccine products, and to spur development of better influenza vaccines for older adults in the near future.

Indexed as

VaccinationAgedCost-Benefit AnalysisHumansInfluenza, HumanInfluenza VaccinesTreatment OutcomeInfluenza Vaccines

Identifiers

PMID30411283
OpenAlexW2899816568

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.