Evidence map›Paper›PMID 33436946›Full record

ArticleScientific reports2021

The association of Coronavirus Disease-19 mortality and prior bacille Calmette-Guerin vaccination: a robust ecological analysis using unsupervised machine learning.

Nathan A Brooks, Ankur Puri, Sanya Garg, Swapnika Nag, Jacomo Corbo, Anas El Turabi, Noshir Kaka, Rodney W Zemmel, Paul K Hegarty, Ashish M Kamat

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

  1. Pooled it
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  18. COVID-19 Severity and Neonatal BCG Vaccination among Young Population in Taiwan.International journal of environmental research and public health · 2021
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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

10 authors.

Nathan A BrooksDepartment of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ankur PuriMcKinsey & Company, Gurgaon, Haryana, India.
Sanya GargMcKinsey & Company, Gurgaon, Haryana, India.
Swapnika NagMcKinsey & Company, Gurgaon, Haryana, India.
Jacomo CorboQuantumBlack a McKinsey Company, London, UK.
Anas El TurabiMcKinsey & Company, Waltham, MA, USA.
Noshir KakaMcKinsey & Company, Mumbai, Maharashtra, India.
Rodney W ZemmelMcKinsey & Company, New York, NY, USA.
Paul K HegartyDepartment of Urology, Mater Private Hospital, Cork, Ireland.
Ashish M KamatDepartment of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. akamat@mdanderson.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Population-level data have suggested that bacille Calmette-Guerin (BCG) vaccination may lessen the severity of Coronavirus Disease-19 (COVID-19) prompting clinical trials in this area. Some reports have demonstrated conflicting results. We performed a robust, ecologic analysis comparing COVID-19 related mortality (CRM) between strictly selected countries based on BCG vaccination program status utilizing publicly available databases and machine learning methods to define the association between active BCG vaccination programs and CRM. Validation was performed using linear regression and country-specific modeling. CRM was lower for the majority of countries with a BCG vaccination policy for at least the preceding 15 years (BCG15). CRM increased significantly for each increase in the percent population over age 65. A higher total population of a country and BCG15 were significantly associated with improved CRM. There was a consistent association between countries with a BCG vaccination for the preceding 15 years, but not other vaccination programs, and CRM. BCG vaccination programs continued to be associated with decreased CRM even for populations < 40 years old where CRM events are less frequent.

Indexed as

BCG VaccineCOVID-19EuropeHumansRepublic of KoreaUnsupervised Machine LearningVaccinationBCG Vaccine

Identifiers

PMID33436946
PMCPMC7804196

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.