Evidence map›Paper›PMID 30715278›Full record

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

Effects of Influenza Vaccination in the United States During the 2017-2018 Influenza Season.

Melissa A Rolfes, Brendan Flannery, Jessie R Chung, Alissa O'Halloran, Shikha Garg, Edward A Belongia, Manjusha Gaglani, Richard K Zimmerman, Michael L Jackson, Arnold S Monto and 19 more

Registry-linked trialAbstract read
In one paragraph

Article 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. It is linked to trial NCT04584645 (Increasing Influenza Vaccination in Individuals With Cardiovascular Conditions), which is not on this map. Cited by 177 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
177citing papers in PubMed, 6 pooled it
–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.

NCT04584645 nacompletednot on this mapstarted 2020, after this paper: background citation

Increasing Influenza Vaccination in Individuals With Cardiovascular Conditions: Assessing the Effectiveness of a Digital Intervention in a Decentralized Randomized Controlled Trial

TypeinterventionalSponsorEvidation HealthRan2020 to 2021Enrolled49,138ConditionsCardiovascular Diseases, Atrial Fibrillation, Abnormal Heart Rhythms, Cardiac ArrestArmsTargeted digital intervention
3 · Its place in the literature

Who cites it

177 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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117 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors.

Melissa A RolfesInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Brendan FlanneryInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Jessie R ChungInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Alissa O'HalloranInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Shikha GargInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Edward A BelongiaMarshfield Clinic Research Institute, Wisconsin.
Manjusha GaglaniBaylor Scott and White Health, Texas A&M University Health Science Center College of Medicine, Temple.
Richard K ZimmermanUniversity of Pittsburgh Schools of Health Sciences, Pennsylvania.
Michael L JacksonKaiser Permanente Washington Health Research Institute, Seattle.
Arnold S MontoUniversity of Michigan School of Public Health, Ann Arbor.
Nisha B AldenColorado Department of Public Health and Environment, Denver.
Evan AndersonGeorgia Emerging Infections Program, Atlanta VA Medical Center, Emory University, New York.
Nancy M BennettUniversity of Rochester School of Medicine and Dentistry, New York.
Laurie BillingOhio Department of Health, Columbus.
Seth EckelMichigan Department of Health and Human Services, Lansing.
Pam Daily KirleyCalifornia Emerging Infections Program, Oakland.
Ruth LynfieldMinnesota Department of Health, St. Paul.
Maya L MonroeMaryland Department of Health, Baltimore.
Melanie SpencerSalt Lake County Health Department, Utah.
Nancy SpinaNew York State Emerging Infections Program, New York State Department of Health, Albany.
H Keipp TalbotVanderbilt University, Nashville, Tennessee.
Ann ThomasOregon Public Health Division, Portland.
Salina M TorresNew Mexico Department of Health, Santa Fe.
Kimberly Yousey-HindesConnecticut Emerging Infections Program, Yale School of Public Health, New Haven.
James A SingletonImmunization Services Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Manish PatelInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Carrie ReedInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Alicia M FryInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
US Influenza Vaccine Effectiveness (Flu VE) Network, the Influenza Hospitalization Surveillance Network, and the Assessment Branch, Immunization Services Division, Centers for Disease Control and Prevention

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
The University of Rochester's Clinical and Translational Science InstituteUL1TR000042 · NCATS · UNIVERSITY OF ROCHESTER · PI BENNETT, NANCY M, KIEBURTZ, KARL D. · 2012 to 2015
$14.4M
Annual Estimates of Influenza Vaccine Effectiveness and Evaluation of Immune Response in a Wisconsin PopulationU01IP001038 · IP · MARSHFIELD CLINIC RESEARCH FOUNDATION · PI BELONGIA, EDWARD · 2016 to 2020
$8.0M
Prospective annual estimates of influenza vaccine effectiveness and burden of diseaseU01IP001037 · IP · KAISER FOUNDATION RESEARCH INSTITUTE · PI JACKSON, MICHAEL L · 2016 to 2020
$7.8M
Mandatory_Estimates of Vaccine Effectiveness Against Medically-Attended, PCR-Confirmed Influenza in West South Central U.S.U01IP001039 · IP · SCOTT AND WHITE MEMORIAL HOSPITAL · PI GAGLANI, MANJUSHA · 2016 to 2020
$6.5M
NCATS NIH HHS UL1 TR001857NCIRD CDC HHS U01 IP000974NCIRD CDC HHS U01 IP001034NCIRD CDC HHS U01 IP001035NCIRD CDC HHS U01 IP001037NCIRD CDC HHS U01 IP001038NCIRD CDC HHS U01 IP001039OSTLTS CDC HHS U38 OT000143
6 · The paper itself

Abstract

backgroundThe severity of the 2017-2018 influenza season in the United States was high, with influenza A(H3N2) viruses predominating. Here, we report influenza vaccine effectiveness (VE) and estimate the number of vaccine-prevented influenza-associated illnesses, medical visits, hospitalizations, and deaths for the 2017-2018 influenza season.

methodsWe used national age-specific estimates of 2017-2018 influenza vaccine coverage and disease burden. We estimated VE against medically attended reverse-transcription polymerase chain reaction-confirmed influenza virus infection in the ambulatory setting using a test-negative design. We used a compartmental model to estimate numbers of influenza-associated outcomes prevented by vaccination.

resultsThe VE against outpatient, medically attended, laboratory-confirmed influenza was 38% (95% confidence interval [CI], 31%-43%), including 22% (95% CI, 12%-31%) against influenza A(H3N2), 62% (95% CI, 50%-71%) against influenza A(H1N1)pdm09, and 50% (95% CI, 41%-57%) against influenza B. We estimated that influenza vaccination prevented 7.1 million (95% CrI, 5.4 million-9.3 million) illnesses, 3.7 million (95% CrI, 2.8 million-4.9 million) medical visits, 109 000 (95% CrI, 39 000-231 000) hospitalizations, and 8000 (95% credible interval [CrI], 1100-21 000) deaths. Vaccination prevented 10% of expected hospitalizations overall and 41% among young children (6 months-4 years).

conclusionsDespite 38% VE, influenza vaccination reduced a substantial burden of influenza-associated illness, medical visits, hospitalizations, and deaths in the United States during the 2017-2018 season. Our results demonstrate the benefit of current influenza vaccination and the need for improved vaccines.

Indexed as

Influenza, HumanInfluenza VaccinesAdolescentAdultAgedChildChild, PreschoolFemaleHospitalizationHumansInfantMaleMiddle AgedUnited StatesVaccinationYoung AdultInfluenza Vaccinesburdeninfluenzaprevented illnessesvaccination

Identifiers

PMID30715278
PMCPMC7188082

What OpenQuestion holds

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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.