Evidence map›Paper›PMID 36456017›Full record

ArticleBMJ open2022

Impact of the COVID-19 pandemic on timeliness and equity of measles, mumps and rubella vaccinations in North East London: a longitudinal study using electronic health records.

Nicola Firman, Milena Marszalek, Ana Gutierrez, Kate Homer, Crystal Williams, Gill Harper, Isabel Dostal, Zaheer Ahmed, John Robson, Carol Dezateux

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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 at 1 institution in 1 country.

Nicola Firman *Wolfson Institute of Population Health, Queen Mary University of London, London, UK nicola.firman@qmul.ac.uk m.marszalek@qmul.ac.uk.ORCID 0000-0001-5213-5044
Milena Marszalek *Wolfson Institute of Population Health, Queen Mary University of London, London, UK nicola.firman@qmul.ac.uk m.marszalek@qmul.ac.uk.ORCID 0000-0001-5825-0609
Ana GutierrezWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Kate HomerWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Crystal WilliamsWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Gill HarperWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Isabel DostalWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Zaheer AhmedWolfson Institute of Population Health, Queen Mary University of London, London, UK.
John RobsonWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Carol DezateuxWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Queen Mary University of London · GB

Funding

British Heart FoundationMedical Research Council MR/S037527/1
6 · The paper itself

Abstract

objectivesTo quantify the effect of the COVID-19 pandemic on the timeliness of, and geographical and sociodemographic inequalities in, receipt of first measles, mumps and rubella (MMR) vaccination.

designLongitudinal study using primary care electronic health records.

setting285 general practices in North East London.

participantsChildren born between 23 August 2017 and 22 September 2018 (pre-pandemic cohort) or between 23 March 2019 and 1 May 2020 (pandemic cohort).

main outcome measureReceipt of timely MMR vaccination between 12 and 18 months of age.

methodsWe used logistic regression to estimate the ORs (95% CIs) of receipt of a timely vaccination adjusting for sex, deprivation, ethnic background and Clinical Commissioning Group. We plotted choropleth maps of the proportion receiving timely vaccinations.

resultsTimely MMR receipt fell by 4.0% (95% CI: 3.4% to 4.6%) from 79.2% (78.8% to 79.6%) to 75.2% (74.7% to 75.7%) in the pre-pandemic (

conclusionsThe COVID-19 pandemic was associated with a significant fall in timely MMR receipt and increased geographical clustering of measles susceptibility in an area of historically low and inequitable MMR coverage. Immediate action is needed to avert measles outbreaks and support primary care to deliver timely and equitable vaccinations.

Indexed as

COVID-19MeaslesMumpsRubellaChildElectronic Health RecordsFemaleHumansLondonLongitudinal StudiesMalePandemicsVaccinationCOVID-19paediatric infectious disease & immunisationprimary carepublic health

Identifiers

PMID36456017
PMCPMC9723415
OpenAlexW4310951860

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.