Evidence map›Paper›PMID 32253664›Full record

ArticleInternational journal of hematology2020

Immune thrombocytopenic purpura risk by live, inactivated and simultaneous vaccinations among Japanese adults, children and infants: a matched case-control study.

Hiroshi Yokomichi, Keiko Tanaka-Taya, Rie Koshida, Takashi Nakano, Yoshinori Yasui, Masaaki Mori, Yuka Ando, Saeko Morino, Hideo Okuno, Hiroshi Satoh and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in International journal of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

13 authors at 7 institutions in 1 country.

Hiroshi YokomichiDepartment of Health Sciences, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan. hyokomichi@yamanashi.ac.jp.ORCID http://orcid.org/0000-0001-7369-155X
Keiko Tanaka-TayaNational Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku Ward, Tokyo, 162-8840, Japan.
Rie KoshidaCity of Kanazawa, 1-1-1 Hirosaka, Kanazawa, Ishikawa, 920-0962, Japan.
Takashi NakanoKawasaki Medical School General Medical Center, 2-6-1 Nakasange, Okayama, Okayama, 700-8505, Japan.
Yoshinori YasuiOsaka Saiseikai Nakatsu Hospital, 2-10-39 Shibata, Kita Ward, Osaka, Osaka, 530-0012, Japan.
Masaaki MoriTokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo Ward, Tokyo, 113-8510, Japan.
Yuka AndoNational Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago, Iwakuni, Yamaguchi, 740-8510, Japan.
Saeko MorinoNational Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku Ward, Tokyo, 162-8840, Japan.
Hideo OkunoNational Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku Ward, Tokyo, 162-8840, Japan.
Hiroshi SatohNational Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku Ward, Tokyo, 162-8840, Japan.
Satoru AraiNational Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku Ward, Tokyo, 162-8840, Japan.
Mie MochizukiDepartment of Pediatrics, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
Zentaro YamagataDepartment of Health Sciences, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
National Institute of Infectious Diseases · JPUniversity of Yamanashi Hospital · JPIwakuni Medical Center · JPKanazawa Municipal Hospital · JPKawasaki Medical School · JPSaiseikai Nakatsu Hospital · JPTokyo Medical and Dental University · JP

Funding

Japan Agency for Medical Research and Development 15mk0101005h0102Japan Agency for Medical Research and Development 16mk0101012j0003Ministry of Education, Culture, Sports, Science and Technology JP18K17376
6 · The paper itself

Abstract

This case-control study investigated immune thrombocytopenic purpura (ITP) risk following live, inactivated, and simultaneous vaccination, with a focus on infants aged < 2 years. We matched case patients with ITP to one or two control patients with other diseases by institution, hospital visit timing, sex, and age. We calculated McNemar's pairwise odds ratios (ORs [95% confidence interval]) with 114 case-control pairs. The case group had 27 (44%) males and 22 (35%) infants, and the control group included 49 (43%) males and 42 (37%) infants. For all age groups, the McNemar's OR for ITP occurrence was 1.80 (0.54-6.84, p = 0.64) for all vaccines. Among infants, these were 1.50 (0.17-18.0, p = 0.50) for all vaccines, 2.00 (0.29-22.1, p = 0.67) for live vaccines, and 1.00 (0.01-78.5, p = 0.50) for inactivated vaccines. Sex-adjusted common ORs for simultaneous vaccination were 1.52 (0.45-5.21, p = 0.71) for all vaccines, 1.83 (0.44-7.59, p = 0.40) for inactivated vaccines only, and 1.36 (0.29-6.30, p = 0.69) for mixed live and inactivated vaccines. In infants, these were 1.95 (0.44-8.72, p = 0.38), 1.41 (0.29-6.94, p = 0.67) and 2.85 (0.43-18.9, p = 0.28), respectively. These limited data suggest no significant ITP risk following vaccinations or simultaneous vaccination in any age group, including infants.

Indexed as

AdolescentAdultCase-Control StudiesChildChild, PreschoolFemaleHumansMalePurpura, Thrombocytopenic, IdiopathicRiskVaccinationVaccines, AttenuatedVaccines, InactivatedVaccines, Live, UnattenuatedYoung AdultVaccines, AttenuatedVaccines, InactivatedVaccines, Live, UnattenuatedAdverse reactionImmune thrombocytopenic purpuraInactivated vaccinesInfantSimultaneous administration

Identifiers

PMID32253664
PMCPMC7223876
OpenAlexW3014170574

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.