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Cited by 214

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

The Effect of Age on Immunologic Response to Recombinant Hepatitis B Vaccine: A Meta‐analysis

Fisman, David N., Agrawal, Deepak, Leder, Karin·2002·Clinical Infectious Diseases

Abstract

Hepatitis B vaccine is a key tool for the prevention of hepatitis B infection. Age-associated changes in immune function may contribute to decreased vaccine efficacy in older individuals, although research related to this topic has yielded contradictory findings. We performed a meta-analysis of 24 published trials and studies that evaluated the association of age with response to hepatitis B vaccine, using a random-effects model. Pooling of study results suggested a significantly increased risk of nonresponse to hepatitis B vaccine among older individuals (relative risk [RR], 1.76; 95% confidence interval [CI], 1.48-2.10). An elevated risk of nonresponse persisted even after exclusion of poor-quality studies (RR, 1.63; 95% CI, 1.23-2.15) and adjustment for publication bias (RR, 1.52; 95% CI, 1.26-1.83), and it was present even when "older" individuals were defined as being as young as 30 years. These findings have important implications for individuals at risk for hepatitis B infection, including health care workers and travelers.

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Metadata

Authors
Fisman, D. N., Agrawal, D., & Leder, K.
Venue
Clinical Infectious Diseases
Published
2002-12
Volume
35
Issue
11
Pages
1368-1375
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2144641242
Cited by
214
References
1
FWCI
3.33
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Effect of Age on Immunologic Response to Recombinant Hepatitis B Vaccine: A Meta‐analysis. https://app.cochat.ai/papers/10.1086/344271
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Fisman, D. N., Agrawal, D., & Leder, K. (2002). The Effect of Age on Immunologic Response to Recombinant Hepatitis B Vaccine: A Meta‐analysis. Clinical Infectious Diseases. https://doi.org/10.1086/344271

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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