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Table 1 Characteristics of included studies

From: Effectiveness, immunogenicity and safety of 23-valent pneumococcal polysaccharide vaccine revaccinations in the elderly: a systematic review

Author, year [Ref]

Country

Study population*1

Participants (n) receiving primary/revaccination dose

Time span between primary and revaccination

Serotypes measured (laboratory methods)

Funding

Prospective cohort studies (n = 10)

 Tobudic, 20122 [31]

Austria

Adult renal transplant recipients, 50.5 (±13) yrs

29 (longitudinal cohort)

1 year

1, 4, 5, 7F, 9V, 14, 18C, 19F, 23F (WHO-ELISA)

Oesterreichische Nationalbank

 Dransfield, 20122 [23]

USA

Patients with COPD, 64 (±10) yrs

42/48

Mean 8.4 (±3.5) years

4, 6B, 9V, 14, 18C, 19F, 23F (WHO-ELISA; OPA)

National Heart, Lung, and Blood Institute

 Hammitt, 2011 [11]

USA

Alaska native population, 55–74 years

123/121 (2nd dose) and 71 (3rd or 4th dose)

6–22 years

1, 4, 6B, 14, 19 F (non- WHO-ELISA; OPA)

US Department of Health and Human Services - National Vaccine Program Office

 Jackson, 1999 [13]

USA

Resident population, 50–74 years

901/513

5–13 (median 6) years

4, 14, 23F (non-WHO-ELISA; OPA)

CDC and Lederle Laboratories

 Jackson, 2013 [22]

USA

Resident population with stable underlying chronic conditions, 60–64 years

157–181 (longitudinal cohort)3

3.5–4 years

1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F (OPA)

Wyeth Vaccine Research/Pfizer

 Manoff, 20104 [25]

USA

Resident population, 65–88 years

60/60

3–5 years

4, 14, 23F (Merck-ELISA; OPA)

Funded in part by Merck & Co and the CDC

 Musher, 2010 [12]

USA

Resident population ≥ 50 year

437/5445

3–5 years

3, 4, 6B, 8, 9V, 12F, 14, 23F (Merck-ELISA)

Merck & Co

 Musher, 20116 [28]

USA

Resident population 60–93 years

67 (2nd dose)/67 (3rd dose)

10 years

3, 4, 6B, 8, 9V, 12F, 14, 23F (Merck-ELISA)

Merck & Co

 Ohshima, 2014 [29]

Japan

Paitents with COPD, 65–80+ yrs

40 (longitudinal cohort)

8–9 years

6B, 14, 19F, 23F (WHO-ELISA; OPA)

Ministry of Health, Labour, and Welfare of Japan

 Törling, 2003 [24]

Sweden

Patients with history of CAP, 50–88 years

61 (longitudinal cohort)

4–7 (mean 5.3) years

1, 4, 7F, 14, 18C, 19F (combined GMCs, non-WHO-ELISA)

not reported

Retrospective database studies (n = 3)

 Jackson, 2006 [27]

USA

Resident population, 50–80+ yrs

279,504/36,888 (2nd dose) and 603 (3rd dose)

1–9+ years (mean after 2nd dose 7 (±3) years)

Safety outcomes only

Not reported

 Shih, 2002 [30]

USA

Resident population, 65–80+ yrs

96,327/23,663

6 months-9 years (43% > 5 years)

Safety outcomes only

Centers for Medicare & Medicaid Services

 Walker, 2005 [32]

USA

Alaska native population, 72% ≥ 60 year

144/35 (2nd dose) and 179 (≥3rd dose)

45% ≥ 6 years, 55% < 6 years

Safety outcomes only

Funded in part by Association of Schools of Public Health

Cross-sectional study (n = 1; telephone interview)

 D’Heilly, 2002 [26]

USA

Elderly resident population, mean 71 year

455/107

not reported

Safety outcomes only

Not reported

  1. COPD chronic obstructive pulmonary disease, ELISA enzyme linked immunosorbent assay, WHO World Health Organization, OPA Functional antibody activity assay, CDC centers for disease control and prevention, CAP community acquired pneumonia
  2. 1In some studies, some analyses (e.g. safety) were conducted in smaller subpopulation; 2Published as randomized controlled trial but treated as cohort study here; 3 Not all patients were considered for all endpoints; 4Substudy of Musher et al. [12]; 5 Number of participants at 5 years: 308/243; 6Extension study of Musher et al. [12]