Evidence map›Paper›PMID 37221198›Full record

ArticleNature communications2023

Comparative mRNA booster effectiveness against death or hospitalization with COVID-19 pneumonia across at-risk US Veteran populations.

J Daniel Kelly, Samuel Leonard, W John Boscardin, Katherine J Hoggatt, Emily N Lum, Charles C Austin, Amy Byers, Phyllis C Tien, Peter C Austin, Dawn M Bravata and 1 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. 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

11 authors at 5 institutions in 2 countries.

J Daniel KellySan Francisco VA Medical Center, San Francisco, CA, USA. dan.kelly@ucsf.edu.ORCID 0000-0002-7616-0321
Samuel LeonardSan Francisco VA Medical Center, San Francisco, CA, USA.
W John BoscardinDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, CA, USA.ORCID 0000-0003-3121-9526
Katherine J HoggattSan Francisco VA Medical Center, San Francisco, CA, USA.
Emily N LumSan Francisco VA Medical Center, San Francisco, CA, USA.
Charles C AustinDepartment of Veterans Affairs (VA) Health Services and Development (HSR&D) Center for Health Information and Communication (CHIC) and the Department of Medicine, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
Amy ByersSan Francisco VA Medical Center, San Francisco, CA, USA.
Phyllis C TienSan Francisco VA Medical Center, San Francisco, CA, USA.
Peter C AustinInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Dawn M BravataDepartment of Veterans Affairs (VA) Health Services and Development (HSR&D) Center for Health Information and Communication (CHIC) and the Department of Medicine, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
Salomeh KeyhaniSan Francisco VA Medical Center, San Francisco, CA, USA.
San Francisco VA Medical Center · USInstitute for Clinical Evaluative Sciences · CARegenstrief Institute · USUniversity of California, San Francisco · USVeterans Health Administration · US

Funding

Understanding the epidemiology and natural history of unrecognized Ebola virus infectionK23AI146268 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KELLY, JOHN DANIEL · 2019 to 2022
$748k
CSRD VA I01 CX002417NIAID NIH HHS K23 AI146268NIAID NIH HHS L30 AI126521
6 · The paper itself

Abstract

Studies of comparative mRNA booster effectiveness among high-risk populations can inform mRNA booster-specific guidelines. The study emulated a target trial of COVID-19 vaccinated U.S. Veterans who received three doses of either mRNA-1273 or BNT162b2 vaccines. Participants were followed for up to 32 weeks between July 1, 2021 to May 30, 2022. Non-overlapping populations were average and high risk; high-risk sub-groups were age ≥65 years, high-risk co-morbid conditions, and immunocompromising conditions. Of 1,703,189 participants, 10.9 per 10,000 persons died or were hospitalized with COVID-19 pneumonia over 32 weeks (95% CI: 10.2, 11.8). Although relative risks of death or hospitalization with COVID-19 pneumonia were similar across at-risk groups, absolute risk varied when comparing three doses of BNT162b2 with mRNA-1273 (BNT162b2 minus mRNA-1273) between average-risk and high-risk populations, confirmed by the presence of additive interaction. The risk difference of death or hospitalization with COVID-19 pneumonia for high-risk populations was 2.2 (0.9, 3.6). Effects were not modified by predominant viral variant. In this work, the risk of death or hospitalization with COVID-19 pneumonia over 32 weeks was lower among high-risk populations who received three doses of mRNA-1273 vaccine instead of BNT162b2 vaccine; no difference was found among the average-risk population and age >65 sub-group.

Indexed as

COVID-19Veterans2019-nCoV Vaccine mRNA-1273AgedBNT162 VaccineHospitalizationHumansRNA, Messenger2019-nCoV Vaccine mRNA-1273BNT162 VaccineRNA, Messenger

Identifiers

PMID37221198
PMCPMC10205032
OpenAlexW4377861275

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.