Abstract

We found an average difference between observed and true vaccine effectiveness of -11.9%. Observed vaccine effectiveness underestimated the true effectiveness in 88% of model iterations. Diagnostic test specificity exhibited the strongest association with observed vaccine effectiveness, followed by the likelihood of receiving a diagnostic test based on vaccination status and the likelihood that a child hospitalized with acute respiratory infection had influenza. Our findings suggest that the potential biases in case-control studies that we examined tend to result in underestimates of true influenza vaccine effects.

Keywords

MedicineVaccinationMagnitude (astronomy)VirologyImmunologyStatistics

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Publication Info

Year
2011
Type
article
Volume
54
Issue
1
Pages
25-32
Citations
36
Access
Closed

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Jill M. Ferdinands, David K. Shay (2011). Magnitude of Potential Biases in a Simulated Case-Control Study of the Effectiveness of Influenza Vaccination. Clinical Infectious Diseases , 54 (1) , 25-32. https://doi.org/10.1093/cid/cir750

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DOI
10.1093/cid/cir750