Evidence map›Paper›PMID 40618017›Full record

SynthesisBMC infectious diseases2025

Immunogenicity and safety of the domestic and imported live-attenuated varicella vaccine in healthy Chinese populations: a systematic review and meta-analysis.

Yemin Yuan, Tong Wang, Yiqi Xia, Zhenyu Shi, Ping He

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC infectious diseases, 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
  2. 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

5 authors.

Yemin YuanSchool of Public Health, Peking University, Beijing, 100191, China.
Tong WangQingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, 266000, China.
Yiqi XiaSchool of Public Health, Peking University, Beijing, 100191, China.
Zhenyu ShiSchool of Public Health, Peking University, Beijing, 100191, China.
Ping HeChina Center for Health Development Studies, Peking University, 38 Xue Yuan Road, Haidian District, Beijing, 100191, China. phe@pku.edu.cn.

Funding

National Social Science Fund of China 21&ZD187Postdoctoral Fellowship Program of CPSF GZB20230037
6 · The paper itself

Abstract

objectivesThis study aimed to synthesize existing evidence to compare the immunogenicity and safety of domestic and imported live-attenuated varicella vaccine (VarV) in healthy Chinese populations.

methodsWe searched PubMed, Web of Science, Embase, China National Knowledge Internet (CNKI), Wan Fang Database, and Chinese Biomedical Literature Service System (SinoMed) using predefined search terms to identify relevant studies. Retrieve all language articles up to March 15, 2024. Articles reported varicella vaccination in healthy Chinese populations were included. We calculated the pooled rates of seroconversions and adverse events using the random effects model and assessed the quality of each study using the modified Jadad Scale and Newcastle Ottawa Scale (NOS). Publication bias was evaluated using Egger's regression test.

resultsIn our immunogenicity analysis, which included 16,655 Chinese individuals from 21 studies, the pooled seroconversion rate was 89% (95%CI: 86-91%) for domestic VarV and 93% (95%CI: 88-98%) for imported Varv, with no statistically significant difference. In our safety analysis, which included 29,696 Chinese individuals from 25 studies, the pooled rate of systemic reactions was higher for domestic Varv (11%, 95%CI: 10-13%) than for imported Varv (8%, 95%CI: 6-10%; P < 0.001), while the results for local reactions were the opposite (domestic Varv: 3%, 95%CI: 2-3%; imported Varv: 7%, 95%CI: 3-10%; P = 0.020). The results are based on pooled proportions rather than direct comparison. Egger's test suggested that publication bias was not negligible.

conclusionsBoth domestic and imported varicella vaccines appear to be generally immunogenic and safe in healthy Chinese populations. However, due to limited and heterogeneous data on imported vaccines, further high-quality studies are needed to validate these comparative findings.

Indexed as

ChickenpoxChickenpox VaccineImmunogenicity, VaccineAntibodies, ViralChinaEast Asian PeopleHumansVaccinationVaccines, AttenuatedAntibodies, ViralChickenpox VaccineVaccines, AttenuatedChinaImmunogenicitySafetyVaricella vaccine

Identifiers

PMID40618017
PMCPMC12228345

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.