Selection bias in evaluating of influenza vaccine effectiveness: a lesson from an observational study of elderly nursing home residents.

Abstract:

:Selection bias is of critical concern in the study of influenza vaccine effectiveness when using an observational study design. This bias is attributable to the inherently different characteristics between vaccinees and non-vaccinees. The differences, which are related both to vaccination and signs of clinical disease as an outcome, may lead to erroneous estimation of the effectiveness. In this report, we describe how selection bias among elderly nursing home residents may lead to a spurious interpretation of the protective effect of influenza vaccine. Our results should be a lesson in the importance of regarding selection bias when assessing influenza vaccine effectiveness.

journal_name

Vaccine

journal_title

Vaccine

authors

Fukushima W,Hayashi Y,Mizuno Y,Suzuki K,Kase T,Ohfuji S,Fujieda M,Maeda A,Hirota Y

doi

10.1016/j.vaccine.2008.06.038

subject

Has Abstract

pub_date

2008-11-25 00:00:00

pages

6466-9

issue

50

eissn

0264-410X

issn

1873-2518

pii

S0264-410X(08)00786-X

journal_volume

26

pub_type

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