Evidence map›Paper›PMID 41235775›Full record

ReviewRevista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia2025

Causes and consequences of undervaccination in adults.

Ángel Gil-de-Miguel, José Antonio Navarro-Alonso, María Pilar Arrazola-Martínez, David Cantarero, Manuel Arellano, Alejandro Cremades-Bernabéu, María Fernández-Prada, Ruth Gil-Prieto, Diego Gracia, Elena Martínez-Palancar and 5 more

Abstract readReview
In one paragraph

Review in Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

15 authors.

Ángel Gil-de-Miguel *Medicina Preventiva y Salud Pública, Universidad Rey Juan Carlos, Madrid, España.ORCID 0000-0003-1295-7101
José Antonio Navarro-Alonso *Área de Inmunización, Ministerio de Sanidad, Madrid, España.
María Pilar Arrazola-MartínezServicio de Medicina Preventiva, Hospital Universitario 12 de Octubre, Madrid, España.
David CantareroGrupo de I+D+I en Economía Pública y de la Salud, Facultad de Ciencias Económicas y Empresariales, Universidad de Cantabria, Cantabria, España.
Manuel ArellanoPlataforma de Organizaciones de Pacientes (POP), España.
Alejandro Cremades-BernabéuCoordinación y Promoción de la Salud, Dirección General de Salud Pública de la Comunidad Valenciana, Valencia, España.
María Fernández-PradaServicio de Medicina Preventiva y Salud Pública, Hospital Vital Álvarez Buylla, Asturias, España.ORCID 0000-0003-2298-2853
Ruth Gil-PrietoMedicina Preventiva y Salud Pública, Universidad Rey Juan Carlos, Madrid, España.ORCID 0000-0002-5229-3832
Diego GraciaFundación de Ciencias de la Salud, Madrid, España.
Elena Martínez-PalancarFundación de Ciencias de la Salud, Madrid, España.
Jaime Jesús Pérez-MartínAsociación Española de Vacunología, España.
Esther Redondo-MargüelloServicio de Medicina Familiar y Comunitaria, Unidad Técnica del Centro de Salud y Vacunación Internacional, Madrid Salud, Ayuntamiento de Madrid, Madrid, España.
Nieves SebastiánSección en iSanidad, España.
Natividad Tolosa-MartínezServicio Medicina Preventiva, Hospital Universitario y Politécnico La Fe, Valencia, España.
Emilio BouzaFacultad de Medicina, Universidad Complutense de Madrid, Madrid, España.ORCID 0000-0001-6967-9267

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite progress in adult vaccination schedules, coverage rates remain suboptimal in Spain. This opinion paper, authored by a multidisciplinary group of experts, analyzes the causes and consequences of adult undervaccination, covering clinical, social, economic, and ethical aspects. Over 10 million individuals aged 65+ are targeted for vaccination, along with adults with chronic illnesses. However, coverage remains low, with significant disparities across vaccines, regions, and risk groups. The causes of the "vaccination gap" include lack of training among healthcare professionals, organizational barriers, misinformation, low-risk perception among the public, and weak institutional engagement. This situation leads to increased morbidity, mortality, and avoidable costs for the healthcare system. Universal adult vaccination could significantly reduce these burdens. The document outlines structured solutions: targeted professional training, multicomponent strategies, centralized vaccination registries, effective public awareness campaigns, improved access, and integration of vaccination across all healthcare levels. The key role of healthcare workers, patient organizations, and the media is emphasized in improving vaccination coverage.

Indexed as

VaccinationVaccination CoverageAdultAgedHealth PersonnelHumansSpainAdult vaccinationCost-effectivenessPreventable morbidityPublic healthRecommended vaccinesRisk groupsUndervaccinationVaccination coverageVaccination strategiesVaccine hesitancy

Identifiers

PMID41235775
PMCPMC12935086

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.