Clinical and Economic Outcomes Associated with Cell-Based Quadrivalent Influenza Vaccine vs. Standard-Dose Egg-Based Quadrivalent Influenza Vaccines during the 2018–19 Influenza Season in the United States Article Swipe
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· 2021
· Open Access
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· DOI: https://doi.org/10.3390/vaccines9020080
Non-egg-based influenza vaccines eliminate the potential for egg-adapted mutations and potentially increase vaccine effectiveness. This retrospective study compared hospitalizations/emergency room (ER) visits and all-cause annualized healthcare costs among subjects aged 4–64 years who received cell-based quadrivalent (QIVc) or standard-dose egg-based quadrivalent (QIVe-SD) influenza vaccine during the 2018–19 influenza season. Administrative claims data (IQVIA PharMetrics® Plus, IQVIA, USA) were utilized to evaluate clinical and economic outcomes. Adjusted relative vaccine effectiveness (rVE) of QIVc vs. QIVe-SD among overall cohort, as well as for three subgroups (age 4–17 years, age 18–64 years, and high-risk) was evaluated using inverse probability of treatment weighting (IPTW) and Poisson regression models. Generalized estimating equation models among the propensity score matched sample were used to estimate annualized all-cause costs. A total of 669,030 recipients of QIVc and 3,062,797 of QIVe-SD were identified after IPTW adjustments. Among the overall cohort, QIVc had higher adjusted rVEs against hospitalizations/ER visits related to influenza, all-cause hospitalizations, and hospitalizations/ER visits associated with any respiratory event compared to QIVe-SD. The adjusted annualized all-cause total costs were higher for QIVe-SD compared to QIVc ((+$461); p < 0.05).
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/vaccines9020080
- https://www.mdpi.com/2076-393X/9/2/80/pdf?version=1611630017
- OA Status
- gold
- Cited By
- 25
- References
- 25
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3125941622
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3125941622Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/vaccines9020080Digital Object Identifier
- Title
-
Clinical and Economic Outcomes Associated with Cell-Based Quadrivalent Influenza Vaccine vs. Standard-Dose Egg-Based Quadrivalent Influenza Vaccines during the 2018–19 Influenza Season in the United StatesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-01-23Full publication date if available
- Authors
-
Girishanthy Krishnarajah, Victoria Divino, Maarten J. Postma, Stephen I. Pelton, Vamshi Ruthwik Anupindi, Mitch DeKoven, J Mould-QuevedoList of authors in order
- Landing page
-
https://doi.org/10.3390/vaccines9020080Publisher landing page
- PDF URL
-
https://www.mdpi.com/2076-393X/9/2/80/pdf?version=1611630017Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/2076-393X/9/2/80/pdf?version=1611630017Direct OA link when available
- Concepts
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Medicine, Poisson regression, Propensity score matching, Influenza vaccine, Retrospective cohort study, Cohort, Demography, Internal medicine, Environmental health, Vaccination, Immunology, Population, SociologyTop concepts (fields/topics) attached by OpenAlex
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25Total citation count in OpenAlex
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-
2025: 5, 2024: 5, 2023: 5, 2022: 6, 2021: 4Per-year citation counts (last 5 years)
- References (count)
-
25Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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