Evidence map›Paper›PMID 36702797›Full record

ArticleInfluenza and other respiratory viruses2023

Influenza vaccine effectiveness against influenza A subtypes in Europe: Results from the 2021-2022 I-MOVE primary care multicentre study.

Esther Kissling, Francisco Pozo, Iván Martínez-Baz, Silke Buda, Ana-Maria Vilcu, Lisa Domegan, Clara Mazagatos, Frederika Dijkstra, Neus Latorre-Margalef, Sanja Kurečić Filipović and 26 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Influenza and other respiratory viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Modest protection from vaccination against influenza A(H3N2) subclade K, Beijing, China, 2025/26 season.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
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  5. Article
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  7. Review
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  10. Influenza vaccine effectiveness in Europe and the birth cohort effect against influenza A(H1N1)pdm09: VEBIS primary care multicentre study, 2023/24.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  11. Article
  12. Interim 2024/25 influenza vaccine effectiveness: eight European studies, September 2024 to January 2025.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  13. Early vaccine effectiveness estimates against medically attended laboratory-confirmed influenza based on influenza surveillance, Beijing, China, 2024/25 season.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  14. Article
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  18. Review
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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

36 authors at 15 institutions in 8 countries.

Esther KisslingEpiconcept, Paris, France.ORCID 0000-0001-7188-8404
Francisco PozoNational Centre for Microbiology, Institute of Health Carlos III, Madrid, Spain.
Iván Martínez-BazConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Silke BudaRobert Koch Institut, Berlin, Germany.
Ana-Maria VilcuINSERM, Sorbonne Université, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France.
Lisa DomeganHealth Service Executive-Health Protection Surveillance Centre, Dublin, Ireland.ORCID 0000-0002-7483-6703
Clara MazagatosConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.ORCID 0000-0002-6909-6923
Frederika DijkstraNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Neus Latorre-MargalefThe Public Health Agency of Sweden, Stockholm, Sweden.
Sanja Kurečić FilipovićCroatian Institute of Public Health, Zagreb, Croatia.
Ausenda MachadoInstituto Nacional de Saúde Dr. Ricardo Jorge, Lisbon, Portugal.ORCID 0000-0002-1849-1499
Mihaela Lazar"Cantacuzino" National Military Medical Institute for Research and Development, Bucharest, Romania.
Itziar CasadoConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Ralf DürrwaldRobert Koch Institut, Berlin, Germany.ORCID 0000-0002-3432-0438
Sylvie van der WerfUnité de Génétique Moléculaire des Virus à ARN, Institut Pasteur, Université Paris Cité, UMR 3569 CNRS, Paris, France.
Joan O'DonnellHealth Service Executive-Health Protection Surveillance Centre, Dublin, Ireland.
Juan Antonio Linares DopidoSubdirección de Epidemiología, Dirección General de Salud Pública, Servicio Extremeño de Salud, Extremadura, Spain.
Adam MeijerNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Maximilian RiessThe Public Health Agency of Sweden, Stockholm, Sweden.
Vesna Višekruna VučinaCroatian Institute of Public Health, Zagreb, Croatia.
Ana Paula RodriguesInstituto Nacional de Saúde Dr. Ricardo Jorge, Lisbon, Portugal.
Maria Elena Mihai"Cantacuzino" National Military Medical Institute for Research and Development, Bucharest, Romania.
Jesús CastillaConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.ORCID 0000-0002-6396-7265
Luise GoerlitzRobert Koch Institut, Berlin, Germany.
Alessandra FalchiLaboratoire de Virologie, Université de Corse-Inserm, Corte, France.
Jeff ConnellNational Virus Reference Laboratory, University College Dublin, Dublin, Ireland.
Daniel CastrillejoServicio de Epidemiología, DGSP, Consejería de Políticas Sociales, Salud Pública y Bienestar Animal, Ciudad Autónoma de Melilla, Melilla, Spain.
Mariette HooiveldNivel, Utrecht, The Netherlands.
Annasara CarnahanThe Public Health Agency of Sweden, Stockholm, Sweden.
Maja IlićCroatian Institute of Public Health, Zagreb, Croatia.
Raquel GuiomarInstituto Nacional de Saúde Dr. Ricardo Jorge, Lisbon, Portugal.
Alina Ivanciuc"Cantacuzino" National Military Medical Institute for Research and Development, Bucharest, Romania.
Marine MaurelEpiconcept, Paris, France.
Ajibola OmokanyeEuropean Centre for Disease Prevention and Control, Stockholm, Sweden.
Marta ValencianoEpiconcept, Paris, France.ORCID 0000-0002-2056-1062
I-MOVE study team
Hrvatski zavod za javno zdravstvo · HRInstituto de Salud Pública de Navarra · ESNational Institute of Health Dr. Ricardo Jorge · PTPublic Health Agency of Sweden · SERobert Koch Institute · DEHealth Service Executive · IEInstituto de Salud Carlos III · ESNational Institute for Public Health and the Environment · NLCentre National de la Recherche Scientifique · FRConsejería de Salud y Consumo · ESEuropean Centre for Disease Prevention and Control · SEInserm · FRNetherlands Institute for Health Services Research · NLUniversité de Corse Pascal Paoli · FRUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2021-2022, influenza A viruses dominated in Europe. The I-MOVE primary care network conducted a multicentre test-negative study to measure influenza vaccine effectiveness (VE).

methodsPrimary care practitioners collected information on patients presenting with acute respiratory infection. Cases were influenza A(H3N2) or A(H1N1)pdm09 RT-PCR positive, and controls were influenza virus negative. We calculated VE using logistic regression, adjusting for study site, age, sex, onset date, and presence of chronic conditions.

resultsBetween week 40 2021 and week 20 2022, we included over 11 000 patients of whom 253 and 1595 were positive for influenza A(H1N1)pdm09 and A(H3N2), respectively. Overall VE against influenza A(H1N1)pdm09 was 75% (95% CI: 43-89) and 81% (95% CI: 45-93) among those aged 15-64 years. Overall VE against influenza A(H3N2) was 29% (95% CI: 12-42) and 25% (95% CI: -41 to 61), 33% (95% CI: 14-49), and 26% (95% CI: -22 to 55) among those aged 0-14, 15-64, and over 65 years, respectively. The A(H3N2) VE among the influenza vaccination target group was 20% (95% CI: -6 to 39). All 53 sequenced A(H1N1)pdm09 viruses belonged to clade 6B.1A.5a.1. Among 410 sequenced influenza A(H3N2) viruses, all but eight belonged to clade 3C.2a1b.2a.2. DISCUSSION: Despite antigenic mismatch between vaccine and circulating strains for influenza A(H3N2) and A(H1N1)pdm09, 2021-2022 VE estimates against circulating influenza A(H1N1)pdm09 were the highest within the I-MOVE network since the 2009 influenza pandemic. VE against A(H3N2) was lower than A(H1N1)pdm09, but at least one in five individuals vaccinated against influenza were protected against presentation to primary care with laboratory-confirmed influenza.

Indexed as

Influenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesAdolescentAdultAgedCase-Control StudiesChildChild, PreschoolEuropeFemaleHumansInfantInfant, NewbornInfluenza A Virus, H3N2 SubtypeMaleInfluenza VaccinesEuropeinfluenzainfluenza vaccinemulticentre studyvaccine effectiveness

Identifiers

PMID36702797
PMCPMC9835407
OpenAlexW4309726642

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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.