Evidence map›Paper›PMID 39252660›Full record

ArticlePediatrics2024

Rotavirus Vaccine Effectiveness Against Severe Acute Gastroenteritis: 2009-2022.

Alpha Oumar Diallo, Mary E Wikswo, Iddrisu Sulemana, Leila C Sahni, Julie A Boom, Sasirekha Ramani, Rangaraj Selvarangan, Mary E Moffatt, Christopher J Harrison, Natasha Halasa and 24 more

Abstract read
In one paragraph

Article in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Observational
  2. Article
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  7. 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

34 authors.

Alpha Oumar DialloDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Mary E WikswoDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Iddrisu SulemanaDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Leila C SahniTexas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Julie A BoomTexas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Sasirekha RamaniTexas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Rangaraj SelvaranganDivision of Infectious Diseases, Children's Mercy, Kansas City, Missouri.
Mary E MoffattDivision of Infectious Diseases, Children's Mercy, Kansas City, Missouri.
Christopher J HarrisonDivision of Infectious Diseases, Children's Mercy, Kansas City, Missouri.
Natasha HalasaDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
James ChappellDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
Laura StewartDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
Mary Allen StaatDivision of Infectious Diseases, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Elizabeth SchlaudeckerDivision of Infectious Diseases, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Christina QuigleyDivision of Infectious Diseases, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Eileen J KleinSeattle Children's Research Institute, Seattle Children's Hospital, Seattle, Washington.
Janet A EnglundSeattle Children's Research Institute, Seattle Children's Hospital, Seattle, Washington.
Danielle M ZerrSeattle Children's Research Institute, Seattle Children's Hospital, Seattle, Washington.
Geoffrey A WeinbergUniversity of Rochester School of Medicine and Dentistry and UR-Golisano Children's Hospital, Rochester.
Peter G SzilagyiUniversity of Rochester School of Medicine and Dentistry and UR-Golisano Children's Hospital, Rochester.
Christina AlbertinUniversity of Rochester School of Medicine and Dentistry and UR-Golisano Children's Hospital, Rochester.
Samantha H JohnstonDepartment of Pediatrics, University of California at San Francisco, Benioff Children's Hospital Oakland, Oakland, California.
John V WilliamsChildren's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Marian G MichaelsChildren's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Robert W HickeyChildren's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Aaron T CurnsDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Michelle HoneywoodDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Slavica Mijatovic-RustempasicDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Mathew D EsonaDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Michael D BowenDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Umesh D ParasharDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Rashi GautamDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sara A MirzaDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Jacqueline E TateDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.

Funding

Intramural CDC HHS CC999999NCIRD CDC HHS U01 IP000147NCIRD CDC HHS U01 IP000458NCIRD CDC HHS U01 IP001049NCIRD CDC HHS U01 IP001059NCIRD CDC HHS U01 IP001150NCIRD CDC HHS U01 IP001152NCIRD CDC HHS U01 IP001157NCIRD CDC HHS U01 IP001158
6 · The paper itself

Abstract

backgroundRotavirus was the leading cause of acute gastroenteritis among US children until vaccine introduction in 2006, after which, substantial declines in severe rotavirus disease occurred. We evaluated rotavirus vaccine effectiveness (VE) over 13 years (2009-2022).

methodsWe analyzed data from the New Vaccine Surveillance Network using a test-negative case-control design to estimate rotavirus VE against laboratory-confirmed rotavirus infections among children seeking care for acute gastroenteritis (≥3 diarrhea or ≥1 vomiting episodes within 24 hours) in the emergency department (ED) or hospital. Case-patients and control-patients were children whose stool specimens tested rotavirus positive or negative, respectively, by enzyme immunoassay or polymerase chain reaction assays. VE was calculated as (1-adjusted odds ratio)×100%. Adjusted odds ratios were calculated by multivariable unconditional logistic regression.

resultsAmong 16 188 enrolled children age 8 to 59 months, 1720 (11%) tested positive for rotavirus. Case-patients were less often vaccinated against rotavirus than control-patients (62% versus 88%). VE for receiving ≥1 dose against rotavirus-associated ED visits or hospitalization was 78% (95% confidence interval [CI] 75%-80%). Stratifying by a modified Vesikari Severity Score, VE was 59% (95% CI 49%-67%), 80% (95% CI 77%-83%), and 94% (95% CI 90%-97%) against mild, moderately severe, and very severe disease, respectively. Rotavirus vaccines conferred protection against common circulating genotypes (G1P[8], G2P[4], G3P[8], G9P[8], and G12[P8]). VE was higher in children <3 years (73% to 88%); protection decreased as age increased.

conclusionsRotavirus vaccines remain highly effective in preventing ED visits and hospitalizations in US children.

Indexed as

GastroenteritisRotavirus InfectionsRotavirus VaccinesVaccine EfficacyAcute DiseaseCase-Control StudiesChild, PreschoolFemaleHospitalizationHumansInfantMaleRotavirusSeverity of Illness IndexUnited StatesRotavirus Vaccines

Identifiers

PMID39252660
PMCPMC11866101

What OpenQuestion holds

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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.