Evidence map›Paper›PMID 32274750›Full record

ArticleAdvances in therapy2020

A Map of Racial and Ethnic Disparities in Influenza Vaccine Uptake in the Medicare Fee-for-Service Program.

Laura L Hall, Liou Xu, Salaheddin M Mahmud, Gary A Puckrein, Ed W Thommes, Ayman Chit

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Advances in therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  13. Identifying Missed Opportunities for Routine Vaccination among People Who Use Drugs.International journal of environmental research and public health · 2021
    Article
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  16. Pharmacy deserts and patients with breast cancer receipt of influenza vaccines.Journal of the American Pharmacists Association : JAPhA
    Article
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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

6 authors at 3 institutions in 2 countries.

Laura L HallNational Minority Quality Forum, Washington, DC, USA. llhall@nmqf.org.
Liou XuNational Minority Quality Forum, Washington, DC, USA.
Salaheddin M MahmudUniversity of Manitoba, Winnipeg, Canada.
Gary A PuckreinNational Minority Quality Forum, Washington, DC, USA.
Ed W ThommesSanofi Pasteur, Swiftwater, PA, USA.
Ayman ChitSanofi Pasteur, Swiftwater, PA, USA.
National Quality Forum · USSanofi (United States) · USUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite improved understanding of the risks of influenza and better vaccines for older patients, influenza vaccination rates remain subpar, including in high-risk groups such as older adults, and demonstrate significant racial and ethnic disparities.

methodsThis study considers demographic, clinical, and geographic correlates of influenza vaccination among Medicare Fee-for-Service (FFS) beneficiaries in 2015-2016 and maps the data on a geographic information system (GIS) at the zip code level.

resultsAnalyses confirm that only half of the senior beneficiaries evidenced a claim for receiving an inactivated influenza vaccine (IIV), with significant disparities observed among black, Hispanic, rural, and poorer beneficiaries. More extensive disparities were observed for the high-dose (HD) vaccine, with its added protection for older populations and confirmed economic benefit. Most white beneficiaries received HD; no non-white subgroup did so. Mapping of the data confirmed subpar vaccination in vulnerable populations with wide variations at the zip code level.

conclusionUrgent and targeted efforts are needed to equitably increase IIV rates, thus protecting the most vulnerable populations from the negative health impact of influenza as well as the tax-paying public from the Medicare costs from failing to do so.

Indexed as

AgedAged, 80 and overAge FactorsBlack or African AmericanEthnicityFee-for-Service PlansFemaleHealthcare DisparitiesHispanic or LatinoHumansInfluenza, HumanInfluenza VaccinesMaleMedicarePatient Acceptance of Health CareUnited StatesInfluenza VaccinesDisparitiesGeomappingInfectious diseasesInfluenza vaccineMedicare

Identifiers

PMID32274750
PMCPMC7467464
OpenAlexW3015761876

What OpenQuestion holds

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LicenceCC BY-NC
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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.