Evidence map›Paper›PMID 33121342›Full record

ArticleHuman vaccines & immunotherapeutics2021

Lowering the recommended age for the free and active offer of influenza vaccination in Italy: clinical and economic impact analysis in the Liguria region.

Cecilia Trucchi, Marco D'Amelio, Daniela Amicizia, Andrea Orsi, Idalba Loiacono, Roberta Tosatto, Maria Francesca Piazza, Chiara Paganino, Andrea Pitrelli, Giancarlo Icardi and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Journal of preventive medicine and hygiene · 2025
    Article
  4. Journal of preventive medicine and hygiene · 2024
    Article
  5. Article
  6. Review
  7. 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

11 authors at 3 institutions in 2 countries.

Cecilia TrucchiPlanning, Epidemiology and Prevention Unit, A.Li.Sa. Liguria Health Authority, Genoa, Italy.ORCID 0000-0003-4633-202X
Marco D'AmelioGSK, Verona, Italy.ORCID 0000-0002-7004-0898
Daniela AmiciziaPlanning, Epidemiology and Prevention Unit, A.Li.Sa. Liguria Health Authority, Genoa, Italy.ORCID 0000-0002-9707-5214
Andrea OrsiIRCCS San Martino Hospital, Genoa, Italy.ORCID 0000-0002-2433-9610
Idalba LoiaconoGSK, Verona, Italy.
Roberta TosattoGSK, Verona, Italy.
Maria Francesca PiazzaPlanning, Epidemiology and Prevention Unit, A.Li.Sa. Liguria Health Authority, Genoa, Italy.ORCID 0000-0002-2404-3609
Chiara PaganinoPlanning, Epidemiology and Prevention Unit, A.Li.Sa. Liguria Health Authority, Genoa, Italy.
Andrea PitrelliGSK, Verona, Italy.
Giancarlo IcardiIRCCS San Martino Hospital, Genoa, Italy.ORCID 0000-0002-8463-8487
Filippo AnsaldiPlanning, Epidemiology and Prevention Unit, A.Li.Sa. Liguria Health Authority, Genoa, Italy.
Gibraltar Health Authority · GIGlaxoSmithKline (Italy) · ITOspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivewe estimated the epidemiological and budget impact of lowering the recommended age for influenza immunization with quadrivalent vaccine actively offered and administered free of charge to persons over 50 years old by public immunization services.

methodsa multi-cohort, deterministic, static Markov model was populated by real-world data on the clinical and economic impact of Influenza-Like Illness and Lower Respiratory Tract Infection over 1 year. Four scenarios featuring different vaccine coverage rates were compared with the base case; coverage rates in subjects with and without risk factors were considered separately.

resultscompared with the base case, adopting scenarios 1-4 would reduce the annual number of influenza cases by 6.5%, 10.8%, 13.8% and 3.4%, Emergency Department accesses by 10.7%, 9.1%, 15.4% and 4.6%, complications by 8.9%, 9.9%, 14.7% and 4.1%, and the hospitalization of complicated cases by 11%, 9.1%, 15.4% and 4.5%, respectively. The four scenarios would require an additional investment (vaccine purchase and administration) of €316,996, €529,174, €677,539, and €168,633, respectively, in comparison with the base case. Scenario 1 proved to be cost-saving in the 60-64-year age-group. The incremental costs of implementing the other hypothetical scenarios ranged from 2.7% (scenario 4) to 13.2% (scenario 3).

conclusionslowering the recommended age for influenza vaccination to 60 years would allow a high proportion of subjects at risk for severe influenza to be reached and would save money.

Indexed as

Influenza, HumanInfluenza VaccinesCost-Benefit AnalysisHumansImmunizationItalyMiddle AgedVaccinationInfluenza VaccinesimmunizationInfluenzainfluenza burdeninfluenza clinical impactinfluenza economic impactinfluenza vaccine strategylowering influenza vaccine recommendationprevention

Identifiers

PMID33121342
PMCPMC8078656
OpenAlexW3095760200

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.