Evidence map›Paper›PMID 36523241›Full record

ArticleBMJ open2022

Mixing age and risk groups for accessing COVID-19 vaccines: a modelling study.

Hongming Wang, Yoko Ibuka, Ryota Nakamura

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

3 authors at 2 institutions in 1 country.

Hongming WangHitotsubashi Institute for Advanced Study, Hitotsubashi University, Kunitachi, Japan hongming.wang@r.hit-u.ac.jp.ORCID 0000-0002-2350-336X
Yoko IbukaFaculty of Economics, Keio University, Minato-ku, Japan.
Ryota NakamuraHitotsubashi Institute for Advanced Study, Hitotsubashi University, Kunitachi, Japan.
Hitotsubashi University · JPKeio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo characterise the optimal targeting of age and risk groups for COVID-19 vaccines.

designMotivated by policies in Japan and elsewhere, we consider rollouts that target a mix of age and risk groups when distributing the vaccines. We identify the optimal group mix for three policy objectives: reducing deaths, reducing cases and reducing severe cases.

settingJapan, a country where the rollout occurred over multiple stages targeting a mix of age and risk groups in each stage. PRIMARY OUTCOMES: We use official statistics on COVID-19 deaths to quantify the virus transmission patterns in Japan. We then search over all possible group mix across rollout stages to identify the optimal strategies under different policy objectives and virus and vaccination conditions.

resultsLow-risk young adults can be targeted together with the high-risk population and the elderly to optimally reduce deaths, cases and severe cases under high virus transmissibility. Compared with targeting the elderly or the high-risk population only, applying optimal group mix can further reduce deaths and severe cases by over 60%. High-efficacy vaccines can mitigate the health loss under suboptimal targeting in the rollout.

conclusionsMixing age and risk groups outperforms targeting individual groups separately, and optimising the group mix can substantially increase the health benefits of vaccines. Additional policy measures boosting vaccine efficacy are necessary under outbreaks of transmissible variants.

Indexed as

COVID-19VaccinesAgedCOVID-19 VaccinesDisease OutbreaksHumansVaccinationYoung AdultCOVID-19 VaccinesVaccinesCOVID-19Health policyPublic health

Identifiers

PMID36523241
PMCPMC9748520
OpenAlexW4311218653

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.