Evidence map›Paper›PMID 42621685›Full record

ArticlePediatric transplantation2026

Influenza Disease Burden and Vaccine Effectiveness in Children and Adolescents With Solid Organ Transplant: 2018-2024.

Daniela Barisano, Justin K Chen, Hillary Kuzaro, Anastacia Serluco, Mark D Gonzalez, Gwen Nance, Keyner Rojas, Precious Nchekwube, Elizabeth Cohen, Inci Yildirim

Abstract readMulticenter Study
In one paragraph

Article in Pediatric transplantation, 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

10 authors.

Daniela BarisanoCohen Children's Medical Center, Department of Pharmacy, New Hyde Park, New York, USA.
Justin K ChenDepartment of Pharmacy, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0003-1215-7390
Hillary KuzaroDepartment of Transplant, Yale New Haven Hospital, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0002-4274-2075
Anastacia SerlucoDepartment of Pharmacy, Piedmont Atlanta Hospital, Atlanta, Georgia, USA.
Mark D GonzalezDepartment of Pathology, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-0059-0472
Gwen NanceDepartment of Pharmacy, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-6411-6972
Keyner RojasDepartment of Epidemiology of Microbial Diseases, Yale University School of Public Health, New Haven, Connecticut, USA.ORCID https://orcid.org/0009-0001-4484-4569
Precious NchekwubeDepartment of Epidemiology of Microbial Diseases, Yale University School of Public Health, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0001-7681-8085
Elizabeth CohenDepartment of Transplant, Yale New Haven Hospital, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0001-7853-4107
Inci YildirimDepartment of Epidemiology of Microbial Diseases, Yale University School of Public Health, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0002-8631-0020

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSolid organ transplant (SOT) recipients have an increased risk of influenza infection. Annual vaccination is the primary strategy to reduce the burden of influenza disease, but vaccine effectiveness (VE) varies annually for influenza. There is limited data published demonstrating influenza VE in pediatric SOT over time.

methodsWe conducted a retrospective, case-control study using a test-negative design to estimate influenza VE against laboratory-confirmed influenza infections among pediatric SOT recipients aged 6 months to 21 years at two large pediatric transplant centers, spanning the six influenza seasons from fall 2018 through spring 2024. Logistic regression models were used to compare odds ratios (ORs) of vaccination in cases to controls. VE was calculated as [100% × (1 - adjusted OR)], and 95% confidence intervals (CIs) were computed around the estimates.

resultsAcross all 6 seasons, there were 4 585 patient encounters, of which 961 had an influenza test and were included in the study. Overall, 750 (78.0%) patients received the seasonal influenza vaccine, and 94 (9.9%) tested positive for influenza. Among vaccinated patients, the prevalence of influenza diagnosis was lower (6.8%) than among unvaccinated patients (20.4%) (OR 0.28, 95% CI 0.18-0.43). The adjusted VE against laboratory-confirmed influenza infection was 72.0% (95% CI 57.0-82.0) and varied by season. VE was similar between organ groups: Kidney (65.9%, 95% CI 29.7-83.4), heart (86.4%, 95% CI 59.0-95.5), and liver (71.7%, 95% CI 41.6-86.3).

conclusionsInfluenza vaccination decreased the risk of influenza infection among pediatric SOT recipients for the 2018-2024 influenza seasons.

Indexed as

Influenza, HumanInfluenza VaccinesOrgan TransplantationVaccine EfficacyAdolescentCase-Control StudiesChildChild, PreschoolCost of IllnessFemaleHumansInfantMaleRetrospective StudiesSeasonsVaccinationInfluenza Vaccines

Identifiers

PMID42621685
PMCPMC13491261

What Socratic holds

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Registered trials

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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 Socratic graph.