Evidence map›Paper›PMID 39444596›Full record

ReviewVaccine: X2024

A literature review and evidence-based evaluation of the Dutch national immunisation schedule yield possibilities for improvements.

A J M Pluijmaekers, A Steens, H Houweling, N Y Rots, K S M Benschop, R S van Binnendijk, R Bodewes, J G M Brouwer, A Buisman, E Duizer and 21 more

Abstract readReview
In one paragraph

Review in Vaccine: X, 2024. 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
–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

5 citing papers in PubMed.

  1. Article
  2. Persistence of vaccine-induced serotype-related pathology in invasive pneumococcal disease in children. Community of Madrid, 2007-2024.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  3. Product- and schedule-specific vaccine effectiveness against invasiveEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  4. 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

31 authors.

A J M PluijmaekersCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
A SteensCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
H HouwelingCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
N Y RotsCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
K S M BenschopCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
R S van BinnendijkCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
R BodewesCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
J G M BrouwerCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
A BuismanCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
E DuizerCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
C A C M van ElsCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
J M HamentCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
G den HartogCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
P KaaijkCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
K KerkhofCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
A J KingCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
F R M van der KlisCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
H Korthals AltesCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
N A T van der MaasCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
D L van MeijerenCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
M MiddeldorpCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
S D Rijnbende-GeraertsPublic Health, Municipality of Utrecht, The Netherlands.
E A M SandersCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
I K VeldhuijzenCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
E VlaanderenMunicipal Health Service of Hollands Noorden, The Netherlands.
A C G VoordouwCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
E R A VosCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
J de WitCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
T WoudenbergCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
J A van VlietCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.
H E de MelkerCenter for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

National Immunisation Programmes (NIPs) develop historically. Its performance (disease incidences, vaccination coverage) is monitored. Reviewing the schedule as a whole could inform on further optimisation of the programme, i.e., providing maximal protection with the lowest number of doses. We systematically evaluated the performance and strategies of the Dutch pathogen-specific NIP schedules through literature review, assessment of surveillance data and expert opinions. Pathogen-specific vaccinations were categorised according to their strategy of protection: I) elimination or eradication, II) herd immunity or III) 'only' individual protection. The schedule of each vaccine-component was evaluated based on fixed criteria: 1. Is the achieved protection adequate? 2. Is the intended protection achieved? 3. Does the programme include too many or too few doses? 4. Is the timing optimal or acceptable? and 5. Are there drawbacks of the NIP for (part of) the population? Identified issues were explored using surveillance data and literature. Using fixed criteria facilitated comparison between pathogens and revealed opportunities to optimise the Dutch NIP by: i. Reducing the number of polio and tetanus vaccinations; ii. prolonging the interval between diphtheria, pertussis, tetanus, polio, hepatitis B, and Hib vaccine doses for improved effectiveness; iii. Expedite the second measles vaccination from 9 to 2-4 years of age to offer unvaccinated children and primary vaccine failures an earlier chance to be protected; and iv. Delaying the second mumps vaccination to enhance protection in adolescents/young adults. No schedule adaptations were deemed necessary for the vaccines against HPV, rubella, pneumococcal disease, and meningococcal disease. Based on this evaluation the NITAG advised to move the DTaP-IPV-HBV-Hib-booster from age 11 to 12 months, the second MMR-dose from 9 to 2-4 years, replace the Tdap-IPV at 4 years with a Tdap at 5-6 years and move the dt-IPV from 9 to 14 years. Implementation of these changes is planned for 2025.

Identifiers

PMID39444596
PMCPMC11497366

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.