Table 1—

Characteristics of influenza effectiveness studies in individuals with diabetes

AuthorsStudy typeInfluenza seasonEnd pointsConclusion
Serological studies     
    Pozilli et al. Case-control 1984–1985 Postvaccination antibody titer and cell-mediated immune response in adults with type 1 or type 2 diabetes compared with healthy control subjects No significant difference 
    Diepersloot et al. Case-control 1987–1988 Postvaccination antibody titer in adults with type 1 diabetes compared with healthy control subjects No significant difference 
    McElhaney et al. Case-control 1993–1994 Pre- and postvaccination in vitro challenge of peripheral blood mononuclear cells with live influenza virus, measuring interleukin-2 activity in elderly (aged ≥60 years) with type 2 diabetes compared with healthy control subjects Increased postvaccination interleukin-2 production in diabetic patients due to vaccination history; no difference due to diabetes 
    Feery et al. Case-control 1980–1981 Postvaccination antibody titer in adults with type 1 or type 2 diabetes compared with healthy control subjects No significant difference and influenza vaccination is safe 
Clinical studies     
    Colquhoun et al. Case-control 1989–1990 and 1993 Hospitalization for influenza, pneumonia, bronchitis, diabetic ketoacidosis, coma, or diabetes in people of all age-groups with type 1 or type 2 diabetes compared with control subjects with type 1 or type 2 diabetes 79% reduction in hospitalization 
    Heymann et al. Case-control 2000–2001 Hospitalization in internal medicine and geriatric wards for any reason or death in elderly (aged ≥65 years) with type 1 or type 2 diabetes compared with healthy control subjects 23% reduction in hospitalization and death among elderly patients; no additional benefit for diabetic patients 
    Hak et al. Case-control 1996–1997 and 1997–1998 Hospitalization for pneumonia/influenza or death in people aged ≥65 years with type 1 or type 2 diabetes compared with healthy control subjects 31–48% reduction in hospitalization and death in high-risk elderly and 21%–50% reduction in people with diabetes 
AuthorsStudy typeInfluenza seasonEnd pointsConclusion
Serological studies     
    Pozilli et al. Case-control 1984–1985 Postvaccination antibody titer and cell-mediated immune response in adults with type 1 or type 2 diabetes compared with healthy control subjects No significant difference 
    Diepersloot et al. Case-control 1987–1988 Postvaccination antibody titer in adults with type 1 diabetes compared with healthy control subjects No significant difference 
    McElhaney et al. Case-control 1993–1994 Pre- and postvaccination in vitro challenge of peripheral blood mononuclear cells with live influenza virus, measuring interleukin-2 activity in elderly (aged ≥60 years) with type 2 diabetes compared with healthy control subjects Increased postvaccination interleukin-2 production in diabetic patients due to vaccination history; no difference due to diabetes 
    Feery et al. Case-control 1980–1981 Postvaccination antibody titer in adults with type 1 or type 2 diabetes compared with healthy control subjects No significant difference and influenza vaccination is safe 
Clinical studies     
    Colquhoun et al. Case-control 1989–1990 and 1993 Hospitalization for influenza, pneumonia, bronchitis, diabetic ketoacidosis, coma, or diabetes in people of all age-groups with type 1 or type 2 diabetes compared with control subjects with type 1 or type 2 diabetes 79% reduction in hospitalization 
    Heymann et al. Case-control 2000–2001 Hospitalization in internal medicine and geriatric wards for any reason or death in elderly (aged ≥65 years) with type 1 or type 2 diabetes compared with healthy control subjects 23% reduction in hospitalization and death among elderly patients; no additional benefit for diabetic patients 
    Hak et al. Case-control 1996–1997 and 1997–1998 Hospitalization for pneumonia/influenza or death in people aged ≥65 years with type 1 or type 2 diabetes compared with healthy control subjects 31–48% reduction in hospitalization and death in high-risk elderly and 21%–50% reduction in people with diabetes 
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