Evidence map›Paper›PMID 35303473›Full record

ArticleLancet (London, England)2022

Effectiveness of rAd26-rAd5, ChAdOx1 nCoV-19, and BBIBP-CorV vaccines for risk of infection with SARS-CoV-2 and death due to COVID-19 in people older than 60 years in Argentina: a test-negative, case-control, and retrospective longitudinal study.

Analía Rearte, Juan Manuel Castelli, Ramiro Rearte, Nora Fuentes, Velen Pennini, Martina Pesce, Pilar Barcena Barbeira, Luciana Eva Iummato, Melisa Laurora, María Lucía Bartolomeu and 7 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Lancet (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
6.0field-weighted citation impact, top 3% 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

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 1 country.

Analía RearteMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina. Electronic address: arearte@msal.gov.ar.
Juan Manuel CastelliMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Ramiro RearteFacultad de Ciencias Veterinarias, Universidad Nacional de La Plata, Buenos Aires, Argentina.
Nora FuentesHospital Privado de Comunidad, Escuela Superior de Medicina Universidad Nacional de Mar del Plata, Buenos Aires, Argentina.
Velen PenniniMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Martina PesceMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Pilar Barcena BarbeiraMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Luciana Eva IummatoMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Melisa LauroraMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
María Lucía BartolomeuMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Guido GalliganiMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
María Del Valle JuarezMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Carlos María GiovacchiniMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Adrián SantoroMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Mariano EsperattiHospital Privado de Comunidad, Escuela Superior de Medicina Universidad Nacional de Mar del Plata, Buenos Aires, Argentina.
Sonia TarragonaMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Carla VizzottiMinistrio de Salud de la Nación Argentina, Buenos Aires, Argentina.
Ministerio de Salud · ARHospital Privado de Comunidad · ARNational University of Mar del Plata · ARUniversidad Nacional de La Plata · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn January, 2021, a vaccination campaign against COVID-19 was initiated with the rAd26-rAd5, ChAdOx1 nCoV-19, and BBIBP-CorV vaccines in Argentina. The objective of this study was to estimate vaccine effectiveness at reducing risk of SARS-CoV-2 infection and COVID-19 deaths in people older than 60 years.

methodsIn this test-negative, case-control, and retrospective longitudinal study done in Argentina, we evaluated the effectiveness of three vaccines (rAd26-rAd5, ChAdOx1 nCoV-19, and BBIBP-CorV) on SARS-CoV-2 infection and risk of death in people with RT-PCR confirmed COVID-19, using data from the National Surveillance System (SNVS 2.0). All individuals aged 60 years or older reported to SNVS 2.0 as being suspected to have COVID-19 who had disease status confirmed with RT-PCR were included in the study. Unvaccinated individuals could participate in any of the analyses. People with suspected COVID-19 who developed symptoms before the start of the implementation of the vaccination programme for their age group or district were excluded from the study. The odds ratio of SARS-CoV-2 infection was evaluated by logistic regression and the risk of death in individuals with RT-PCR confirmed COVID-19 was evaluated by proportional hazard regression models, adjusted for possible confounders: age at the time of the symptom onset date, sex, district of residence, epidemiological week corresponding to the symptom onset date, and history of COVID-19. The estimation of vaccine effectiveness to prevent death due to COVID-19 was done indirectly by combining infection and death estimates. In addition, we evaluated the effect of the first dose of viral vector vaccines across time.

findingsFrom Jan 31, to Sept 14, 2021, 1 282 928 individuals were included, of whom 687 167 (53·6%) were in the rAd26-rAd5 analysis, 358 431 (27·6%) in the ChAdOx1 nCoV-19 analysis, and 237 330 (18·5%) in the BBIBP-CorV analysis. Vaccine effectiveness after two doses was high for all three vaccines, adjusted odds ratio 0·36 (95% CI 0·35-0·37) for rAd26-rAd5, 0·32 (0·31-0·33) for ChAdOx1 nCoV-19, and 0·56 (0·55-0·58) for BBIBP-CorV. After two doses, the effect on deaths was higher than that on risk of infection: adjusted hazard ratio 0·19 (95% CI 0·18-0·21) for rAd26-rAd5, 0·20 (0·18-0·22) for ChAdOx1 nCoV-19, and 0·27 (0·25-0·29) for BBIBP-CorV. The indirectly estimated effectiveness on deaths was 93·1% (95% CI 92·6-93·5) for rAd26-rAd5, 93·7% (93·2-94·3) for ChAdOx1 nCoV-19, and 85·0% (84·0-86·0) for BBIBP-CorV following two doses. First dose effect of viral vector vaccines remained stable over time.

interpretationThe vaccines used in Argentina showed effectiveness in reducing infection and death by SARS-CoV-2 and COVID-19.

fundingNone.

Indexed as

ChAdOx1 nCoV-19COVID-19ArgentinaCase-Control StudiesHumansLongitudinal StudiesMiddle AgedRetrospective StudiesSARS-CoV-2ChAdOx1 nCoV-19

Identifiers

PMID35303473
PMCPMC8923678
OpenAlexW4220675712

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.