Evidence map›Paper›PMID 31549165›Full record

ArticleThe Journal of infectious diseases2020

Influenza Vaccine Effectiveness in Preventing Hospitalizations in Older Patients With Chronic Obstructive Pulmonary Disease.

Andrea S Gershon, Hannah Chung, Joan Porter, Michael A Campitelli, Sarah A Buchan, Kevin L Schwartz, Natasha S Crowcroft, Aaron Campigotto, Jonathan B Gubbay, Timothy Karnauchow and 10 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. The role of vaccination in COPD: influenza, SARS-CoV-2, pneumococcus, pertussis, RSV and varicella zoster virus.European respiratory review : an official journal of the European Respiratory Society · 2023
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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

20 authors.

Andrea S GershonDepartment of Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Hannah ChungICES, Toronto, Ontario, Canada.
Joan PorterICES, Toronto, Ontario, Canada.
Michael A CampitelliICES, Toronto, Ontario, Canada.
Sarah A BuchanICES, Toronto, Ontario, Canada.
Kevin L SchwartzICES, Toronto, Ontario, Canada.
Natasha S CrowcroftDalla Lana School of Public Health, University of Toronto, Ontario, Canada.
Aaron CampigottoHospital for Sick Children, Toronto, Ontario, Canada.
Jonathan B GubbayDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Ontario, Canada.
Timothy KarnauchowChildren's Hospital of Eastern Ontario, Ottawa, Canada.
Kevin KatzNorth York General Hospital, Toronto, Ontario, Canada.
Allison J McGeerDalla Lana School of Public Health, University of Toronto, Ontario, Canada.
J Dayre McNallyChildren's Hospital of Eastern Ontario, Ottawa, Canada.
David C RichardsonWilliam Osler Health System, Brampton, Ontario, Canada.
Susan E RichardsonDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Ontario, Canada.
Laura C RosellaICES, Toronto, Ontario, Canada.
Andrew E SimorDepartment of Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Marek SmiejaMcMaster University, Hamilton, Ontario, Canada.
George ZahariadisHospital for Sick Children, Toronto, Ontario, Canada.
Jeffrey C KwongICES, Toronto, Ontario, Canada.

Funding

CIHR MOP 130568
6 · The paper itself

Abstract

backgroundAnnual influenza immunization is recommended for people with chronic obstructive pulmonary disease (COPD) by all major COPD clinical practice guidelines. We sought to determine the seasonal influenza vaccine effectiveness (VE) against laboratory-confirmed influenza-associated hospitalizations among older adults with COPD.

methodsWe conducted a test-negative study of influenza VE in community-dwelling older adults with COPD in Ontario, Canada using health administrative data and respiratory specimens collected from patients tested for influenza during the 2010-11 to 2015-16 influenza seasons. Influenza vaccination was ascertained from physician and pharmacist billing claims. Multivariable logistic regression was used to estimate the adjusted odds ratio of influenza vaccination in people with, compared to those without, laboratory-confirmed influenza.

resultsReceipt of seasonal influenza vaccine was associated with an adjusted 22% (95% confidence interval [CI], 15%-27%) reduction in laboratory-confirmed influenza-associated hospitalization. Adjustment for potential misclassification of vaccination status increased this to 43% (95% CI, 35%-52%). Vaccine effectiveness was not found to vary by patient- or influenza-related variables.

conclusionsDuring the studied influenza seasons, influenza vaccination was at least modestly effective in reducing laboratory-confirmed influenza-associated hospitalizations in people with COPD. The imperfect effectiveness emphasizes the need for better influenza vaccines and other preventive strategies.

Indexed as

Influenza VaccinesAdministrative Claims, HealthcareAgedAged, 80 and overFemaleHospitalizationHumansInfluenza, HumanMalePulmonary Disease, Chronic ObstructiveVaccinationInfluenza Vaccineschronic obstructive pulmonary disease (COPD)influenza vaccinevaccine effectiveness

Identifiers

PMID31549165
PMCPMC6910872

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.