Evidence map›Paper›PMID 35409848›Full record

ArticleInternational journal of environmental research and public health2022

The New Quadrivalent Adjuvanted Influenza Vaccine for the Italian Elderly: A Health Technology Assessment.

Giovanna Elisa Calabrò, Sara Boccalini, Donatella Panatto, Caterina Rizzo, Maria Luisa Di Pietro, Fasika Molla Abreha, Marco Ajelli, Daniela Amicizia, Angela Bechini, Irene Giacchetta and 7 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  4. Journal of preventive medicine and hygiene · 2025
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  8. Journal of preventive medicine and hygiene · 2024
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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

17 authors at 7 institutions in 2 countries.

Giovanna Elisa CalabròSection of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0003-0259-3797
Sara BoccaliniDepartment of Health Sciences, University of Florence, 50121 Florence, Italy.ORCID 0000-0002-9695-7549
Donatella PanattoDepartment of Health Sciences, University of Genoa, 16132 Genoa, Italy.ORCID 0000-0002-2677-0551
Caterina RizzoClinical Pathways and Epidemiology Unit-Medical Direction, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.ORCID 0000-0002-5583-7508
Maria Luisa Di PietroSection of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Fasika Molla AbrehaGraduate School of Health Economics and Management, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Marco AjelliLaboratory for Computational Epidemiology and Public Health, Department of Epidemiology and Biostatistics, Indiana University School of Public Health, Bloomington, IN 47405, USA.
Daniela AmiciziaDepartment of Health Sciences, University of Genoa, 16132 Genoa, Italy.ORCID 0000-0002-9707-5214
Angela BechiniDepartment of Health Sciences, University of Florence, 50121 Florence, Italy.ORCID 0000-0002-6013-8779
Irene GiacchettaDepartment of Medicine and Surgery, University of Perugia, 06123 Perugia, Italy.
Piero Luigi LaiDepartment of Health Sciences, University of Genoa, 16132 Genoa, Italy.
Stefano MerlerCenter for Health Emergencies, Bruno Kessler Foundation, 38122 Trento, Italy.
Chiara PrimieriDepartment of Medicine and Surgery, University of Perugia, 06123 Perugia, Italy.
Filippo TrentiniCenter for Health Emergencies, Bruno Kessler Foundation, 38122 Trento, Italy.
Sara VioliDepartment of Medicine and Surgery, University of Perugia, 06123 Perugia, Italy.
Paolo BonanniDepartment of Health Sciences, University of Florence, 50121 Florence, Italy.ORCID 0000-0003-2875-3744
Chiara de WaureDepartment of Medicine and Surgery, University of Perugia, 06123 Perugia, Italy.ORCID 0000-0002-4346-1494
University of Perugia · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Florence · ITUniversity of Genoa · ITFondazione Bruno Kessler · ITBambino Gesù Children's Hospital · ITIndiana University Bloomington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe elderly, commonly defined as subjects aged ≥65 years, are among the at-risk subjects recommended for annual influenza vaccination in European countries. Currently, two new vaccines are available for this population: the MF59-adjuvanted quadrivalent influenza vaccine (aQIV) and the high-dose quadrivalent influenza vaccine (hdQIV). Their multidimensional assessment might maximize the results in terms of achievable health benefits. Therefore, we carried out a Health Technology Assessment (HTA) of the aQIV by adopting a multidisciplinary policy-oriented approach to evaluate clinical, economic, organizational, and ethical implications for the Italian elderly.

methodsA HTA was conducted in 2020 to analyze influenza burden; characteristics, efficacy, and safety of aQIV and other available vaccines for the elderly; cost-effectiveness of aQIV; and related organizational and ethical implications. Comprehensive literature reviews/analyses were performed, and a transmission model was developed in order to address the above issues.

resultsIn Italy, the influenza burden on the elderly is high and from 77.7% to 96.1% of influenza-related deaths occur in the elderly. All available vaccines are effective and safe; however, aQIV, such as the adjuvanted trivalent influenza vaccine (aTIV), has proved more immunogenic and effective in the elderly. From the third payer's perspective, but also from the societal one, the use of aQIV in comparison with egg-based standard QIV (eQIV) in the elderly population is cost-effective. The appropriateness of the use of available vaccines as well as citizens' knowledge and attitudes remain a challenge for a successful vaccination campaign.

conclusionsThe results of this project provide decision-makers with important evidence on the aQIV and support with scientific evidence on the appropriate use of vaccines in the elderly.

Indexed as

Influenza, HumanInfluenza VaccinesAdjuvants, ImmunologicAgedCost-Benefit AnalysisHumansTechnology Assessment, BiomedicalVaccinationAdjuvants, ImmunologicInfluenza VaccineselderlyHealth Technology AssessmentHTAinfluenzaquadrivalent adjuvanted influenza vaccinevaccinationvaccines

Identifiers

PMID35409848
PMCPMC8998177
OpenAlexW4220892143

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.