Evidence map›Paper›PMID 40576640›Full record

ArticleJournal of the American Geriatrics Society2025

Disparities in Respiratory Syncytial Virus Vaccine Uptake in the Medicare Fee-for-Service Population During 2023-2024 Season.

Austin Murphy, Zihao Liu, Heidi G De Souza, Erica Leigh Chilson, Robyn Moucka, Pete Kardel, Caitlin Sheetz, Reiko Sato

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2025. 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
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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

8 authors.

Austin MurphyUS Medical Affairs, Pfizer Inc, Collegeville, Pennsylvania, USA.
Zihao LiuStrategic Analytics and Value Economics, ADVI Health LLC, Washington, District of Columbia, USA.
Heidi G De SouzaStrategic Analytics and Value Economics, ADVI Health LLC, Washington, District of Columbia, USA.ORCID https://orcid.org/0000-0002-7015-174X
Erica Leigh ChilsonUS Medical Affairs, Pfizer Inc, Collegeville, Pennsylvania, USA.
Robyn MouckaUS Medical Affairs, Pfizer Inc, Collegeville, Pennsylvania, USA.
Pete KardelStrategic Analytics and Value Economics, ADVI Health LLC, Washington, District of Columbia, USA.
Caitlin SheetzStrategic Analytics and Value Economics, ADVI Health LLC, Washington, District of Columbia, USA.
Reiko SatoHTA Value & Evidence, Pfizer Inc., Collegeville, Pennsylvania, USA.

Funding

Pfizer Inc
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) is a common cause of acute respiratory illness and can lead to serious morbidity and mortality in older adults. With the Food and Drug Administration approval and the Centers for Disease Control and Prevention (CDC) recommendation of RSV vaccines in 2023, this study describes first season vaccine uptake in adults ≥ 65 years.

methodsIn a retrospective cohort of 100% Medicare Fee-for-Service (FFS) beneficiaries with Part D coverage, we examined RSV vaccination claims data from July 2023 to June 2024. Cumulative RSV vaccine uptake rates were evaluated by demographic, socioeconomic, and health characteristics, along with evaluation of vaccine coadministration. We reported descriptive statistics.

resultsAmong 15,841,938 Medicare FFS beneficiaries meeting inclusion criteria, 3,330,740 (21.0%) received the RSV vaccine in the first season. Uptake was highest among the 75-84 age group (23.6%) and those with at least one comorbidity (21.8%). Additionally, those with immunocompromising conditions (23.6%) and lung disease (21.3%) had the highest uptake. The lowest uptake was observed among beneficiaries ≥ 85 years (17.1%), beneficiaries with three or more comorbidities, (19.4%) and those in the southern census region (19.3%). The lowest uptake according to comorbidity status were those with liver disorders (17.1%) and neurologic or neuromuscular conditions (17.8%). Disparities were observed with only 6.8% of Hispanic, 12.6% of Black, 9.3% of those with a low-income subsidy (LIS), and 9.0% of dual Medicare-Medicaid eligible beneficiaries receiving the vaccine. Coadministration occurred in 38.4% of RSV vaccinations.

conclusionsVaccination to prevent RSV disease began during the 2023-2024 season where less than a quarter of the Medicare FFS population was vaccinated. Disparities in uptake were observed by race and ethnicity, socioeconomic status, geography, comorbidity status, and by age group. These results highlight the need for more targeted public health efforts to improve vaccination among those at high risk for severe RSV disease.

Indexed as

Fee-for-Service PlansHealthcare DisparitiesMedicareRespiratory Syncytial Virus InfectionsRespiratory Syncytial Virus VaccinesVaccinationVaccination CoverageAgedAged, 80 and overFemaleHumansMaleRetrospective StudiesUnited StatesRespiratory Syncytial Virus VaccinesdisparitiesMedicareRSVvaccine

Identifiers

PMID40576640
PMCPMC12554831

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Registered trials

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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.