Factors predicting influenza vaccination adherence among patients in dialysis: an Italian survey

Battistella, Claudio; Quattrin, Rosanna; Celotto, D; D’Angelo, Matteo; Fabbro, Elisa; Brusaferro, Silvio; Agodi, Antonella; Astengo, Matteo; Baldo, Vincenzo; Baldovin, Tatjana; Bert, Fabrizio; Biancone, Luigi; Calò, Lorenzo A.; Canale, A; Castellino, Pietro; Carli, A; Icardi, Giancarlo; Lopalco, Pietro Luigi; Righi, Anna; Siliquini, Roberta; Tardivo, Stefano; Tassinari, Federico; Veroux, Massimiliano

doi:10.1080/21645515.2019.1588005

Cited by 20 publications

(17 citation statements)

References 24 publications

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“…Dialysis patients regardless of eligibility for transplantation are reported to have a high influenza vaccine uptake ranging from 57% to 80%. 16,39,40 This correlates with our findings, although without reaching significance, KTR were less often recommended vaccination and fewer were vaccinated against influenza latest season (Table 2).…”

Section: The Lack Of Information and Insufficient Vaccination Programsupporting

confidence: 89%

“…Even though vaccination is the least invasive way to diminish morbidity and mortality caused by infection [10][11][12] and the risk of adverse events or rejection of the allograft is low, 13,14 pneumococcal and influenza vaccine coverage remains suboptimal among CKD patients and KTR. [15][16][17][18] This may be the result of both patient and health care system factors, such as lack of awareness and lack of formalized procedures regarding immunization.…”

Section: Introductionmentioning

confidence: 99%

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The coverage of influenza and pneumococcal vaccination among kidney transplant recipients and waiting list patients: A cross‐sectional survey in Denmark

Petersen

Bistrup

Sørensen

et al. 2020

Transplant Infectious Dis

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Background: To characterize level and predictors of influenza and pneumococcal vaccine uptake among Danish kidney transplant recipients (KTR) and kidney transplant waiting list patients (WLP). Methods:A cross-sectional survey based on self-reported vaccine uptake including WLP and KTR ≤ 1½ years post transplantation. Descriptive statistics and logistic regression analyses identifying factors associated with influenza vaccine uptake in the latest season were performed.Results: A total of 220 participants were included in the study, 54% KTR and 46% WLP. Self-reported influenza vaccine uptake in the latest season was overall 41.8%.Uptake of influenza vaccine on any prior season apart from the latest season was 53.2% and significantly higher among WLP than KTR (P = .007). Pneumococcal vaccine uptake was only 4% overall.The only factor positively associated with influenza vaccine uptake in the latest season was any prior influenza vaccine uptake (OR 5.79, CI95 2.44-13.76) (P < .001).Recommendations given by other persons (non-physician) were negatively associated with receiving the influenza vaccination in the latest season (OR 0.34, CI95 0.13-0.92) (P = .03). Reasons for not being vaccinated were primarily lack of information, perception of own good health, and fear of adverse reactions.Conclusions: Influenza and pneumococcal vaccine uptakes were suboptimal among Danish WLP and KTR. Increased awareness about guidelines and physicians´ education are warranted.

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Section: The Lack Of Information and Insufficient Vaccination Programsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

The coverage of influenza and pneumococcal vaccination among kidney transplant recipients and waiting list patients: A cross‐sectional survey in Denmark

Petersen

Bistrup

Sørensen

et al. 2020

Transplant Infectious Dis

View full text Add to dashboard Cite

show abstract

“…Higher risk of all-cause cardiovascular events in hemodialysis group aligns with contemporary literature that it is accounted for by thrombotic events, vein injury, fibrosis and stenosis associated with central vein access devices such as dialysis catheters [40][41][42]. The statistically insignificant differences in risk of all-cause infections between the 2 groups could be accounted for by the fact that both modalities are associated with dialysis devices induced infections [43][44][45][46][47]; peritoneal dialysis with peritonitis [48,49] and hemodialysis with central vein access-devices infections [41,42]. Statistical insignificant difference between the risk of lupus flares in the 2 comparison groups could be explained by the fact that SLE activity undergoes quiescence, "burn out", when a lupus nephritis patient progresses to ESRD [15,18] and during RRT as shown by Gonzalez-Pulido et al (2014) [50], ideally due to immunosuppressants administration as illustrated by Maroz et al (2013) [51].…”

Section: Discussionsupporting

confidence: 80%

Systematic review and meta-analysis of clinical outcomes comparison between different initial dialysis modalities in end-stage renal disease patients due to lupus nephritis prior to renal transplantation

et al. 2020

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Background: Regarding lupus disease activity, morbidity and survival, limited literature concluded conflicting results when comparing hemodialysis versus peritoneal dialysis as initial renal replacement therapies (RRT) prior to transplantation, in lupus nephritis end-stage renal disease (LN-ESRD) patients. This study was aimed to compare the risks of lupus flares, all-cause infections, all-cause cardiovascular events, and mortality, between hemodialysis versus peritoneal dialysis as initial RRT-modality before renal-transplant in LN-ESRD patients, by systematic review and meta-analysis. Methods: PubMed, EMBASE, and SCOPUS were searched for observational-studies comparing LN-ESRD-patients undergoing hemodialysis (Group1) versus peritoneal-dialysis (Group 2) prior to renal-transplantation, by their risks of lupus flare, all-cause infections, all-cause cardiovascular events, and mortality as outcome measures. Relative-Risks of outcomes between the groups measured overall effects at a 95% significance level. RevMan 5.3 computer software was used for analysis. Results: From search, 16 eligible studies reported 15,636 LN-ESRD-patients prior to renal transplantation with 4616 patients on hemodialysis, 2089 on peritoneal dialysis, 280 directly underwent kidney transplantation, 8319 were eliminated with reasons and 332 participants' details were not reported. Hemodialysis group had higher risk of allcause cardiovascular events, Relative-Risk = 1.44 (Confidence Interval:1.02, 2.04), p-Value< 0.05. With regards to risks for mortality, flare and all-cause infections, there were trends that were not statistically significant (p-Value> 0.05). Conclusion: Except for all-cause cardiovascular events in which peritoneal dialysis is superior to hemodialysis offering better outcomes, both treatment modalities offer more or less similar clinical outcomes as effective initial choices of RRT in LN-ESRD patients prior to renal transplant.

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“…In general, knowledge has a positive influence on uptake in all risk groups. However, since several studies showed no relation between knowledge and uptake [19,35,62,66,71,95], improving education alone will probably not be sufficient to increase uptake. In all groups, the perceived susceptibility and severity of diseases on one hand and the perceived effectiveness and risks of vaccinations on the other hand are important determinants predicting uptake.…”

Section: Discussionmentioning

confidence: 99%

“…Thirteen studies investigated where ICP retrieve their information from. In general, gathering information from online media sources was somewhat associated with a lower vaccination uptake, while receiving information from HCW resulted in a higher uptake [35,41].…”

Section: Information Factorsmentioning

confidence: 97%

Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review

et al. 2020

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Vaccination uptake has decreased globally in recent years, with a subsequent rise of vaccine-preventable diseases. Travellers, immunocompromised patients (ICP), and healthcare workers (HCW) are groups at increased risk for (severe) infectious diseases due to their behaviour, health, or occupation, respectively. While targeted vaccination guidelines are available, vaccination uptake seems low. In this review, we give a comprehensive overview of determinants—based on the integrated change model—predicting vaccination uptake in these groups. In travellers, low perceived risk of infection and low awareness of vaccination recommendations contributed to low uptake. Additionally, ICP were often unaware of the recommended vaccinations. A physician’s recommendation is strongly correlated with higher uptake. Furthermore, ICP appeared to be mainly concerned about the risks of vaccination and fear of deterioration of their underlying disease. For HCW, perceived risk of (the severity of) infection for themselves and for their patients together with perceived benefits of vaccination contribute most to their vaccination behaviour. As the determinants that affect uptake are numerous and diverse, we argue that future studies and interventions should be based on multifactorial health behaviour models, especially for travellers and ICP as only a limited number of such studies is available yet.

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Factors predicting influenza vaccination adherence among patients in dialysis: an Italian survey

Cited by 20 publications

References 24 publications

The coverage of influenza and pneumococcal vaccination among kidney transplant recipients and waiting list patients: A cross‐sectional survey in Denmark

The coverage of influenza and pneumococcal vaccination among kidney transplant recipients and waiting list patients: A cross‐sectional survey in Denmark

Systematic review and meta-analysis of clinical outcomes comparison between different initial dialysis modalities in end-stage renal disease patients due to lupus nephritis prior to renal transplantation

Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review

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