Evidence map›Paper›PMID 36797259›Full record

ArticleNature communications2023

Optimal age targeting for pneumococcal vaccination in older adults; a modelling study.

Deus Thindwa, Samuel Clifford, Jackie Kleynhans, Anne von Gottberg, Sibongile Walaza, Susan Meiring, Todd D Swarthout, Elizabeth Miller, Peter McIntyre, Nick Andrews and 10 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.8field-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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. IAPSM's Position Paper on Pneumococcal Vaccine (PCV) for Adult Immunization in India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2024
    Article
  5. 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

20 authors at 6 institutions in 5 countries.

Deus ThindwaCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK. deus.thindwa@gmail.com.ORCID 0000-0003-4845-7862
Samuel CliffordCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK.
Jackie KleynhansCentre for Respiratory Diseases and Meningitis, National Institute for Communicable Diseases of the National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0001-7081-6273
Anne von GottbergCentre for Respiratory Diseases and Meningitis, National Institute for Communicable Diseases of the National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0002-0243-7455
Sibongile WalazaCentre for Respiratory Diseases and Meningitis, National Institute for Communicable Diseases of the National Health Laboratory Service, Johannesburg, South Africa.
Susan MeiringCentre for Respiratory Diseases and Meningitis, National Institute for Communicable Diseases of the National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0003-4508-5469
Todd D SwarthoutMalawi Liverpool Wellcome Research Programme, Blantyre, Malawi.ORCID 0000-0001-5285-7039
Elizabeth MillerDepartment of Infectious Disease Epidemiology London School of Hygiene & Tropical Medicine, London, UK.
Peter McIntyreUniversity of Otago, Dunedin, New Zealand.
Nick AndrewsImmunisation and Countermeasures Division, UK Health Security Agency, London, UK.
Zahin Amin-ChowdhuryImmunisation and Countermeasures Division, UK Health Security Agency, London, UK.
Norman FryImmunisation and Countermeasures Division, UK Health Security Agency, London, UK.ORCID 0000-0003-4862-6507
Kondwani C JamboMalawi Liverpool Wellcome Research Programme, Blantyre, Malawi.ORCID 0000-0002-3195-2210
Neil FrenchMalawi Liverpool Wellcome Research Programme, Blantyre, Malawi.
Samanta Cristine Grassi AlmeidaNational Laboratory for Meningitis and Pneumococcal Infections, Laboratory for Meningitis, Pneumonia and Pneumococcal Infection, Centre of Bacteriology, São Paulo, Brazil.
Shamez N LadhaniImmunisation and Countermeasures Division, UK Health Security Agency, London, UK.
Robert S HeydermanMalawi Liverpool Wellcome Research Programme, Blantyre, Malawi.ORCID 0000-0003-4573-449X
Cheryl CohenCentre for Respiratory Diseases and Meningitis, National Institute for Communicable Diseases of the National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0003-0376-2302
Maria Cristina de Cunto BrandileoneNational Laboratory for Meningitis and Pneumococcal Infections, Laboratory for Meningitis, Pneumonia and Pneumococcal Infection, Centre of Bacteriology, São Paulo, Brazil.
Stefan FlascheCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-5808-2606
National Health Laboratory Service · ZAUK Health Security Agency · GBUniversity of Liverpool · GBLondon School of Hygiene & Tropical Medicine · GBUniversity of London · GBUniversity of Otago · NZ

Funding

Department of HealthWellcome Trust 208812/Z/17/Z
6 · The paper itself

Abstract

Invasive pneumococcal disease (IPD) risk increases with age for older adults whereas the population size benefiting from pneumococcal vaccines and robustness of immunogenic response to vaccination decline. We estimate how demographics, vaccine efficacy/effectiveness (VE), and waning VE impact on optimal age for a single-dose pneumococcal vaccination. Age- and vaccine-serotype-specific IPD cases from routine surveillance of adults ≥ 55 years old (y), ≥ 4-years after infant-pneumococcal vaccine introduction and before 2020, and VE data from prior studies were used to estimate IPD incidence and waning VE which were then combined in a cohort model of vaccine impact. In Brazil, Malawi, South Africa and England 51, 51, 54 and 39% of adults older than 55 y were younger than 65 years old, with a smaller share of annual IPD cases reported among < 65 years old in England (4,657; 20%) than Brazil (186; 45%), Malawi (4; 63%), or South Africa (134, 48%). Vaccination at 55 years in Brazil, Malawi, and South Africa, and at 70 years in England had the greatest potential for IPD prevention. Here, we show that in low/middle-income countries, pneumococcal vaccines may prevent a substantial proportion of residual IPD burden if administered earlier in adulthood than is typical in high-income countries.

Indexed as

Pneumococcal InfectionsAgedHumansIncidenceInfantMiddle AgedPneumococcal VaccinesSerogroupVaccinationPneumococcal Vaccines

Identifiers

PMID36797259
PMCPMC9935637
OpenAlexW4321111871

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.