Influenza and Pneumococcal Vaccination Uptake in Patients with Rheumatoid Arthritis Treated with Immunosuppressive Therapy in the UK: A Retrospective Cohort Study Using Data from the Clinical Practice Research Datalink
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{"title"=>"Influenza and pneumococcal vaccination uptake in patients with rheumatoid arthritis treated with immunosuppressive therapy in the UK: A retrospective cohort study using data from the clinical practice research datalink", "type"=>"journal", "authors"=>[{"first_name"=>"Ruth", "last_name"=>"Costello", "scopus_author_id"=>"57189573898"}, {"first_name"=>"Kevin L.", "last_name"=>"Winthrop", "scopus_author_id"=>"6603895097"}, {"first_name"=>"Stephen R.", "last_name"=>"Pye", "scopus_author_id"=>"7006084257"}, {"first_name"=>"Benjamin", "last_name"=>"Brown", "scopus_author_id"=>"24821929100"}, {"first_name"=>"William G.", "last_name"=>"Dixon", "scopus_author_id"=>"8935830000"}], "year"=>2016, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84979021688", "pui"=>"611092873", "doi"=>"10.1371/journal.pone.0153848", "issn"=>"19326203", "scopus"=>"2-s2.0-84979021688", "pmid"=>"27096429"}, "id"=>"ba1a3020-addf-3cdf-9b98-3956e112a892", "abstract"=>"INTRODUCTION Guidelines for the management of rheumatoid arthritis (RA) recommend using influenza and pneumococcal vaccinations to mitigate infection risk. The level of adherence to these guidelines is not well known in the UK. The aims of this study were to describe the uptake of influenza and pneumococcal vaccinations in patients with RA in the UK, to compare the characteristics of those vaccinated to those not vaccinated and to compare vaccination rates across regions of the UK. METHODS A retrospective cohort study of adults diagnosed with incident RA and treated with non-biologic immunosuppressive therapy, using data from a large primary care database. For the influenza vaccination, patients were considered unvaccinated on 1st September each year and upon vaccination their status changed to vaccinated. For pneumococcal vaccination, patients were considered vaccinated after their first vaccination until the end of follow-up. Patients were stratified by age 65 at the start of follow-up, given differences in vaccination guidelines for the general population. RESULTS Overall (N=15,724), 80% patients received at least one influenza vaccination, and 50% patients received a pneumococcal vaccination, during follow-up (mean 5.3 years). Of those aged below 65 years (N=9,969), 73% patients had received at least one influenza vaccination, and 43% patients received at least one pneumococcal vaccination. Of those aged over 65 years (N=5,755), 91% patients received at least one influenza vaccination, and 61% patients had received at least one pneumococcal vaccination. Those vaccinated were older, had more comorbidity and visited the GP more often. Regional differences in vaccination rates were seen with the highest rates in Northern Ireland, and the lowest rates in London. CONCLUSIONS One in five patients received no influenza vaccinations and one in two patients received no pneumonia vaccine over five years of follow-up. There remains significant scope to improve uptake of vaccinations in patients with RA.", "link"=>"http://www.mendeley.com/research/influenza-pneumococcal-vaccination-uptake-patients-rheumatoid-arthritis-treated-immunosuppressive-th", "reader_count"=>13, "reader_count_by_academic_status"=>{"Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>2, "Other"=>3, "Student > Master"=>2, "Student > Bachelor"=>1}, "reader_count_by_user_role"=>{"Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>2, "Other"=>3, "Student > Master"=>2, "Student > Bachelor"=>1}, "reader_count_by_subject_area"=>{"Medicine and Dentistry"=>13}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>13}}, "group_count"=>1}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/4995802"], "description"=>"<p>Characteristics of RA cohort, by vaccination status (N = 15724).</p>", "links"=>[], "tags"=>["vaccination rates", "influenza vaccination", "RA", "pneumococcal vaccinations", "GP", "1 st September", "Rheumatoid Arthritis Treated", "UK", "Clinical Practice Research Datalink Introduction Guidelines", "retrospective cohort study", "pneumococcal vaccination", "Retrospective Cohort Study", "65 years", "Pneumococcal Vaccination Uptake"], "article_id"=>3191713, "categories"=>["Medicine", "Cell Biology", "Neuroscience", "Biotechnology", "Immunology", "Cancer", "Infectious Diseases", "Virology", "Computational Biology"], "users"=>["Ruth Costello", "Kevin L. Winthrop", "Stephen R. Pye", "Benjamin Brown", "William G. Dixon"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0153848.t001", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Characteristics_of_RA_cohort_by_vaccination_status_N_15724_/3191713", "title"=>"Characteristics of RA cohort, by vaccination status (N = 15724).", "pos_in_sequence"=>4, "defined_type"=>3, "published_date"=>"2016-04-20 05:34:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/4995835"], "description"=>"<p>Influenza and pneumonia vaccination uptake, and timing of vaccinations in relation to starting DMARD therapy (N = 15724).</p>", "links"=>[], "tags"=>["vaccination rates", "influenza vaccination", "RA", "pneumococcal vaccinations", "GP", "1 st September", "Rheumatoid Arthritis Treated", "UK", "Clinical Practice Research Datalink Introduction Guidelines", "retrospective cohort study", "pneumococcal vaccination", "Retrospective Cohort Study", "65 years", "Pneumococcal Vaccination Uptake"], "article_id"=>3191746, "categories"=>["Medicine", "Cell Biology", "Neuroscience", "Biotechnology", "Immunology", "Cancer", "Infectious Diseases", "Virology", "Computational Biology"], "users"=>["Ruth Costello", "Kevin L. Winthrop", "Stephen R. Pye", "Benjamin Brown", "William G. Dixon"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0153848.t002", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Influenza_and_pneumonia_vaccination_uptake_and_timing_of_vaccinations_in_relation_to_starting_DMARD_therapy_N_15724_/3191746", "title"=>"Influenza and pneumonia vaccination uptake, and timing of vaccinations in relation to starting DMARD therapy (N = 15724).", "pos_in_sequence"=>5, "defined_type"=>3, "published_date"=>"2016-04-20 05:34:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/4995718"], "description"=>"<p>Flowchart of patients eligible for the cohort.</p>", "links"=>[], "tags"=>["vaccination rates", "influenza vaccination", "RA", "pneumococcal vaccinations", "GP", "1 st September", "Rheumatoid Arthritis Treated", "UK", "Clinical Practice Research Datalink Introduction Guidelines", "retrospective cohort study", "pneumococcal vaccination", "Retrospective Cohort Study", "65 years", "Pneumococcal Vaccination Uptake"], "article_id"=>3191635, "categories"=>["Medicine", "Cell Biology", "Neuroscience", "Biotechnology", "Immunology", "Cancer", "Infectious Diseases", "Virology", "Computational Biology"], "users"=>["Ruth Costello", "Kevin L. Winthrop", "Stephen R. Pye", "Benjamin Brown", "William G. Dixon"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0153848.g001", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Flowchart_of_patients_eligible_for_the_cohort_/3191635", "title"=>"Flowchart of patients eligible for the cohort.", "pos_in_sequence"=>2, "defined_type"=>1, "published_date"=>"2016-04-20 05:34:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/4995865"], "description"=>"<p>The expected versus received influenza and pneumonia vaccinations of the RA cohort, by age group.</p>", "links"=>[], "tags"=>["vaccination rates", "influenza vaccination", "RA", "pneumococcal vaccinations", "GP", "1 st September", "Rheumatoid Arthritis Treated", "UK", "Clinical Practice Research Datalink Introduction Guidelines", "retrospective cohort study", "pneumococcal vaccination", "Retrospective Cohort Study", "65 years", "Pneumococcal Vaccination Uptake"], "article_id"=>3191782, "categories"=>["Medicine", "Cell Biology", "Neuroscience", "Biotechnology", "Immunology", "Cancer", "Infectious Diseases", "Virology", "Computational Biology"], "users"=>["Ruth Costello", "Kevin L. Winthrop", "Stephen R. Pye", "Benjamin Brown", "William G. Dixon"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0153848.t003", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/The_expected_versus_received_influenza_and_pneumonia_vaccinations_of_the_RA_cohort_by_age_group_/3191782", "title"=>"The expected versus received influenza and pneumonia vaccinations of the RA cohort, by age group.", "pos_in_sequence"=>6, "defined_type"=>3, "published_date"=>"2016-04-20 05:34:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/4995904"], "description"=>"<p>Summary of studies of influenza and pneumococcus vaccination uptake in the UK.</p>", "links"=>[], "tags"=>["vaccination rates", "influenza vaccination", "RA", "pneumococcal vaccinations", "GP", "1 st September", "Rheumatoid Arthritis Treated", "UK", "Clinical Practice Research Datalink Introduction Guidelines", "retrospective cohort study", "pneumococcal vaccination", "Retrospective Cohort Study", "65 years", "Pneumococcal Vaccination Uptake"], "article_id"=>3191815, "categories"=>["Medicine", "Cell Biology", "Neuroscience", "Biotechnology", "Immunology", "Cancer", "Infectious Diseases", "Virology", "Computational Biology"], "users"=>["Ruth Costello", "Kevin L. Winthrop", "Stephen R. Pye", "Benjamin Brown", "William G. Dixon"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0153848.t004", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Summary_of_studies_of_influenza_and_pneumococcus_vaccination_uptake_in_the_UK_/3191815", "title"=>"Summary of studies of influenza and pneumococcus vaccination uptake in the UK.", "pos_in_sequence"=>7, "defined_type"=>3, "published_date"=>"2016-04-20 05:34:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/4995763"], "description"=>"<p>Box and whisker plots showing the percentage of patients within a practice receiving at least one influenza vaccination (1A) or pneumonia vaccination (1B), by region. Box plots represent the median (central line), interquartile range (box), range, excluding outliers (whiskers) and outliers (dots) of the percentage of patients within a practice who receive at least one vaccination during follow-up.</p>", "links"=>[], "tags"=>["vaccination rates", "influenza vaccination", "RA", "pneumococcal vaccinations", "GP", "1 st September", "Rheumatoid Arthritis Treated", "UK", "Clinical Practice Research Datalink Introduction Guidelines", "retrospective cohort study", "pneumococcal vaccination", "Retrospective Cohort Study", "65 years", "Pneumococcal Vaccination Uptake"], "article_id"=>3191671, "categories"=>["Medicine", "Cell Biology", "Neuroscience", "Biotechnology", "Immunology", "Cancer", "Infectious Diseases", "Virology", "Computational Biology"], "users"=>["Ruth Costello", "Kevin L. Winthrop", "Stephen R. Pye", "Benjamin Brown", "William G. Dixon"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0153848.g002", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Box_and_whisker_plots_of_influenza_and_pneumococcal_vaccination_uptake_by_region_/3191671", "title"=>"Box and whisker plots of influenza and pneumococcal vaccination uptake by region.", "pos_in_sequence"=>3, "defined_type"=>1, "published_date"=>"2016-04-20 05:34:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/4995622", "https://ndownloader.figshare.com/files/4995634", "https://ndownloader.figshare.com/files/4995649", "https://ndownloader.figshare.com/files/4995658", "https://ndownloader.figshare.com/files/4995667", "https://ndownloader.figshare.com/files/4995673"], "description"=>"<div><p>Introduction</p><p>Guidelines for the management of rheumatoid arthritis (RA) recommend using influenza and pneumococcal vaccinations to mitigate infection risk. The level of adherence to these guidelines is not well known in the UK. The aims of this study were to describe the uptake of influenza and pneumococcal vaccinations in patients with RA in the UK, to compare the characteristics of those vaccinated to those not vaccinated and to compare vaccination rates across regions of the UK.</p><p>Methods</p><p>A retrospective cohort study of adults diagnosed with incident RA and treated with non-biologic immunosuppressive therapy, using data from a large primary care database. For the influenza vaccination, patients were considered unvaccinated on 1st September each year and upon vaccination their status changed to vaccinated. For pneumococcal vaccination, patients were considered vaccinated after their first vaccination until the end of follow-up. Patients were stratified by age 65 at the start of follow-up, given differences in vaccination guidelines for the general population.</p><p>Results</p><p>Overall (N = 15,724), 80% patients received at least one influenza vaccination, and 50% patients received a pneumococcal vaccination, during follow-up (mean 5.3 years). Of those aged below 65 years (N = 9,969), 73% patients had received at least one influenza vaccination, and 43% patients received at least one pneumococcal vaccination. Of those aged over 65 years (N = 5,755), 91% patients received at least one influenza vaccination, and 61% patients had received at least one pneumococcal vaccination. Those vaccinated were older, had more comorbidity and visited the GP more often. Regional differences in vaccination rates were seen with the highest rates in Northern Ireland, and the lowest rates in London.</p><p>Conclusions</p><p>One in five patients received no influenza vaccinations and one in two patients received no pneumonia vaccine over five years of follow-up. There remains significant scope to improve uptake of vaccinations in patients with RA.</p></div>", "links"=>[], "tags"=>["vaccination rates", "influenza vaccination", "RA", "pneumococcal vaccinations", "GP", "1 st September", "Rheumatoid Arthritis Treated", "UK", "Clinical Practice Research Datalink Introduction Guidelines", "retrospective cohort study", "pneumococcal vaccination", "Retrospective Cohort Study", "65 years", "Pneumococcal Vaccination Uptake"], "article_id"=>3191551, "categories"=>["Medicine", "Cell Biology", "Neuroscience", "Biotechnology", "Immunology", "Cancer", "Infectious Diseases", "Virology", "Computational Biology"], "users"=>["Ruth Costello", "Kevin L. Winthrop", "Stephen R. Pye", "Benjamin Brown", "William G. Dixon"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0153848.s001", "https://dx.doi.org/10.1371/journal.pone.0153848.s002", "https://dx.doi.org/10.1371/journal.pone.0153848.s003", "https://dx.doi.org/10.1371/journal.pone.0153848.s004", "https://dx.doi.org/10.1371/journal.pone.0153848.s005", "https://dx.doi.org/10.1371/journal.pone.0153848.s006"], "stats"=>{"downloads"=>1, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Influenza_and_Pneumococcal_Vaccination_Uptake_in_Patients_with_Rheumatoid_Arthritis_Treated_with_Immunosuppressive_Therapy_in_the_UK_A_Retrospective_Cohort_Study_Using_Data_from_the_Clinical_Practice_Research_Datalink/3191551", "title"=>"Influenza and Pneumococcal Vaccination Uptake in Patients with Rheumatoid Arthritis Treated with Immunosuppressive Therapy in the UK: A Retrospective Cohort Study Using Data from the Clinical Practice Research Datalink", "pos_in_sequence"=>1, "defined_type"=>4, "published_date"=>"2016-04-20 05:34:35"}

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Relative Metric

{"start_date"=>"2016-01-01T00:00:00Z", "end_date"=>"2016-12-31T00:00:00Z", "subject_areas"=>[]}
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