Evidence map›Paper›PMID 41890461›Full record

ArticleCureus2026

Optional Vaccines, Collective Risk.

Esteban Zavaleta-Monestel, Jeaustin Mora-Jiménez, Kevin Cruz Mora, Sebastián Arguedas-Chacón

Abstract readEditorial
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Esteban Zavaleta-MonestelDepartment of Pharmacy, Hospital Clinica Biblica, San José, CRI.
Jeaustin Mora-JiménezDepartment of Research, Hospital Clinica Biblica, San José, CRI.
Kevin Cruz MoraDepartment of Pharmacy, Hospital Clinica Biblica, San José, CRI.
Sebastián Arguedas-ChacónDepartment of Research, Hospital Clinica Biblica, San José, CRI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vaccination effectiveness depends not only on biological efficacy but also on how recommendations are framed and communicated in clinical practice. When vaccines are presented as routine standard of care, uptake remains high and responsibility is shared across clinicians, institutions, and communities. In contrast, framing vaccine recommendations as discretionary through shared clinical decision-making may unintentionally generate uncertainty, increase decisional burden for families, and reduce vaccine uptake. In a globally connected information environment, such ambiguity can extend beyond national borders, influencing vaccine confidence in health systems with limited capacity to manage uncertainty. This editorial argues that the issue lies not in shared decision-making itself, but in how "optional" framing is interpreted by clinicians and the public. Maintaining clear, routine vaccine recommendations is essential to sustaining trust, supporting efficient preventive care, and protecting population health.

Indexed as

preventive medicinepublic health communicationshared clinical decision-makingvaccine recommendationsvaccine uptake

Identifiers

PMID41890461
PMCPMC13016592

What OpenQuestion holds

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LicenceCC BY
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.