Evidence map›Paper›PMID 40890701›Full record

ArticleBMC public health2025

Assessing the impact of childhood pneumococcal vaccination on pneumonia mortality in Colombia: a 14-year analysis.

C I Parellada, L F Reyes, J Urrego-Reyes, J L Webster, P C Pungartnik, A C Dos Santos, M Rojas, F de la Hoz

Abstract read
In one paragraph

Article in BMC public health, 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

8 authors.

C I ParelladaOutcomes Research Regional Latin America, MSD Brazil, São Paulo, SP, Brazil. cintia.parellada@msd.com.ORCID http://orcid.org/0000-0002-8536-9274
L F ReyesUnisabana Center for Translational Science, School of Medicine, Universidad de la Sabana, Chía, Colombia.
J Urrego-ReyesOutcomes Research Regional Latin America, MSD Colombia, Bogotá, Colombia.
J L WebsterOutcomes Research Regional Latin America, Merck & Co., Inc, Rahway, NJ, USA.
P C PungartnikOutcomes Research Regional Latin America, MSD Brazil, São Paulo, SP, Brazil.
A C Dos SantosReal-World Insights, IQVIA, São Paulo, SP, Brazil.
M RojasOutcomes Research Regional Latin America, MSD Colombia, Bogotá, Colombia.
F de la HozUniversidad Nacional de Colombia, Bogotá, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 10-valent pneumococcal conjugate vaccine (PCV10) has been offered to all infants through Colombia’s National Immunization Program (NIP) since 2012, with catch-up vaccination until age 5. However, pneumococcal vaccination is not currently included in the NIP for other age groups, such as those ≥ 5 years with medical conditions or older adults. This study assessed the pediatric PCV10 effect on pneumonia mortality rate (MR) trends across different age groups from 2006 to 2019.

methodsThis retrospective time-series study utilized the national death registration data. Deaths caused by pneumonia as the underlying cause of death were identified via ICD-10 codes and stratified by age groups (< 1, 1–4, 5–17, 18–49, 50–59, and ≥ 60 years). Crude MR, age-adjusted MR, and age-specific MRs per 100,000 population were calculated. Trends were assessed using joinpoint regression and expressed as annual percentage change (APC) and average APC in the pre-PCV10 (2006–2011), post-PCV10 (2013–2019), early post-PCV10 (2013–2016), and late post-PCV10 (2017–2019) periods.

resultsFrom 2006 to 2019, there were 102,082 pneumonia-related deaths. The age-specific MR for infants < 1 year significantly decreased from 83.8 to 28.6 per 100,000 between 2006 and 2019 (APC:-6.9), while for children aged 1–4 years, it decreased from 9.3 to 3.8 (APC:-5.1). Other older age groups exhibited stable trends in the post-PCV10 period, except for adults aged ≥ 60 years, who had the highest age-specific MR (~ 112 per 100,000) over the study period, with an AAPC of 6.5% in the early post-PCV10 period, followed by stable trends in the late post-PCV10 period. The age-adjusted MR showed an increasing trend with an APC of 1.9% from 2008 to 2019.

conclusionsOur study found decreasing age-specific MR trends in children under 5 in the post-PCV10 period; however, no evidence of indirect benefits was seen in unvaccinated age groups older than 5 years. The findings underscore the need to expand pneumococcal vaccination programs to other age groups, mainly adults ≥ 60 years.

Indexed as

Pneumococcal VaccinesPneumoniaPneumonia, PneumococcalAdolescentAdultAgedChildChild, PreschoolColombiaFemaleHumansImmunization ProgramsInfantMaleMiddle AgedRetrospective Studies10-valent pneumococcal conjugate vaccinePneumococcal VaccinesMortalityPneumococcal conjugate vaccinesPneumoniaStreptococcus pneumoniae

Identifiers

PMID40890701
PMCPMC12400714

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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.