Covid-19 Vaccine Effectiveness and the Test-Negative Design
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Observational studies are emerging as fundamental sources of information about vaccine effectiveness outside the controlled environment of randomized trials, and they are being used to generate evi...
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The test-negative design mitigates bias from healthcare-seeking behavior and was chosen for this analysis for that reason.
“The test-negative design, which does not assume that a lack of a positive test equals a negative test and somewhat adjusts for testing volume, attempts to better mitigate this bias and is the reason we chose this method for this analysis”
From Waning effectiveness of the third dose of the BNT162b2 mRNA COVID-19 vaccine (2022) · cites this paper as [24]
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Vaccinating against a Novel Pathogen: A Critical Review of COVID-19 Vaccine Effectiveness Evidence
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Over- and under-estimation of vaccine effectiveness
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Effectiveness of COVID-19 vaccines in Ecuador: A test-negative design
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- Authors
- Dean, N. E., Hogan, J. W., & Schnitzer, M. E.
- Affiliations
- Emory University (US)
- Corresponding author
- Hogan, Joseph W.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2021-10-07
- Volume
- 385
- Issue
- 15
- Pages
- 1431-1433
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- PMC
- PMC8451180
- OpenAlex
- W3196352038
- Cited by
- 168
- References
- 10
- Citations by year
- 2026: 8 · 2025: 24 · 2024: 29 · 2023: 39 · 2022: 61 · 2021: 6 · 2013: 1
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- New England Journal of Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (R01AI139761, P30AI042853)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
- Keywords
- COVID-19 vaccines, vaccine effectiveness, test-negative design, observational studies, SARS-CoV-2
- MeSH terms
- COVID-19, SARS-CoV-2, COVID-19 Vaccines, Hospitalization, Humans, Case-Control Studies
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