Evidence map›Paper›PMID 37550029›Full record

ArticleBMJ open2023

Postmarketing observational study on the safety of 2021/2022 and 2022/2023 influenza vaccination campaigns in Italy: TheShinISS-Vax|Flu study protocol.

Stefania Spila Alegiani, Cristina Morciano, Francesca Menniti-Ippolito, Roberto Da Cas, Patrizia Felicetti, Pasquale Marchione, Fiorella Petronzelli, Anna Rosa Marra, Marco Massari

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

9 authors.

Stefania Spila Alegiani *National Center for Drug Research and Evaluation, Italian National Institute of Health, Rome, Italy.ORCID 0000-0003-0656-1346
Cristina Morciano *National Center for Drug Research and Evaluation, Italian National Institute of Health, Rome, Italy.ORCID 0000-0001-5300-9605
Francesca Menniti-IppolitoNational Center for Drug Research and Evaluation, Italian National Institute of Health, Rome, Italy.
Roberto Da CasNational Center for Drug Research and Evaluation, Italian National Institute of Health, Rome, Italy.
Patrizia FelicettiDepartment of Post-Marketing Surveillance, Italian Medicines Agency, Roma, Italy.
Pasquale MarchioneDepartment of Post-Marketing Surveillance, Italian Medicines Agency, Roma, Italy.
Fiorella PetronzelliDepartment of Post-Marketing Surveillance, Italian Medicines Agency, Roma, Italy.
Anna Rosa MarraDepartment of Post-Marketing Surveillance, Italian Medicines Agency, Roma, Italy.
Marco MassariNational Center for Drug Research and Evaluation, Italian National Institute of Health, Rome, Italy marco.massari@iss.it.ORCID 0000-0001-8442-4238

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of TheShinISS-Vax|Flu study is to examine the association between influenza vaccines and adverse events requiring hospital admission or emergency care during the influenza vaccination campaigns 2021/2022 and 2022/2023 in Italy. METHODS AND ANALYSIS: This is a Self-Controlled Case Series multiregional study using linked routinely collected data from regional healthcare databases of the participating regions. Study participants will be persons aged ≥6 months, unvaccinated or who have received influenza vaccine during the influenza vaccination campaigns in the seasons 2021/2022 and 2022/2023 in Italy and who have experienced the outcome of interest for the first time during the study period (1 September 2021-30 June 2022 and 1 September 2022-30 June 2023 for the first and second vaccination campaigns, respectively). Risk periods will be specifically defined for each outcome and further subdivided into periods of 7 days. The exposures will be the first or second dose of the influenza vaccines administered during the two vaccination campaigns. Statistical analysis will be conducted separately for the data of the two campaigns. Exposure risk period will be compared with baseline risk period defined as any time of observation out of the risk periods. The modified SCCS method will be applied to handle event-dependent exposure and mortality and fitted using unbiased estimating equations to estimate relative incidences and excess of cases per 100 000 vaccinated by dose, age, sex and type of vaccine. Calendar period will be included as time-varying confounder in the model, where appropriate. ETHICS AND DISSEMINATION: The study received the approval from the National ethics committee for clinical trials of public research bodies and other national public institutions (PRE BIO CE n.0036723, 23/09/2022). Results will be published in peer-reviewed journals and reports in accordance with the publication policies of the Italian National Institute of Health and of the Italian Medicines Agency.

Indexed as

Influenza, HumanInfluenza VaccinesHumansImmunization ProgramsItalyObservational Studies as TopicVaccinationInfluenza Vaccinesepidemiologypublic healthstatistics & research methods

Identifiers

PMID37550029
PMCPMC10407352

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