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. 2014 Jul 7;2014(7):CD005188. doi: 10.1002/14651858.CD005188.pub3
Study Reason for exclusion
Ahmed 2004 RCT; intervention to increase influenza vaccination rates; but cannot separate outcomes for 60 to 64 years from 18 to 64 years; E‐mail from Dr. Faruque Ahmed 3 April 2013: "We generated a random number for each employer using the RANUNI function in SAS. We randomised to the study arms based on the random number using defined cut‐offs. I am not sure whether we still have the data."
Alemi 1996 Not RCT; children
Alexy 1998 Not RCT; intervention to increase influenza vaccination rate and influenza vaccination rate outcomes; prospective cohort without control group (and those who participated through either the mobile health unit or a home visit received the same level of intervention and thus no comparison could be made for different levels of intervention)
Allsup 2004 RCT. However, focus was invitation from practices to participate in a RCT. Once invitees agreed to participate they were randomised to receive either influenza vaccination or placebo, but there was no control group which did not receive an invitation to participate. The primary focus of analysis was occurrence of GP assessed pneumonia or ILI
Anderson 1979 Not RCT; survey of sub‐sample asked about swine flu
Anon 2003 Not appropriate study design (not RCT, cohort, case‐control or time series). Article is a note about policy change by Centers for Medicare and Medicaid to remove requirement for physician signature on orders for influenza vaccination
Armstrong 1999 Not RCT; 8596 community‐dwelling residents who received care at University of Pennsylvania primary care site; reminder postcard to receive influenza vaccination mailed to random sample of 5000; brochure mailed to 390 of remaining 3596; no control; no baseline data; excluded as cannot assess secular trend in rest of population
Arthur 2001 Not RCT; offer of health assessment, but no control group
Bakare 2007 Not RCT; retrospective survey of physician‐ and nurse‐initiated influenza vaccination in acute care hospital
Balalagué 1993 Not RCT; survey of vaccination rates
Baldo 1999 RCT; vaccination outcomes, focus on side effects; no intervention to increase vaccination rates
Bardenheier 2005 Not RCT; survey of interventions in 14 US states used to increase influenza vaccination rates
Bardenheier 2010 Survey of vaccination policies and influenza vaccination rates
Bardenheier 2011 Survey of vaccination policies and influenza vaccination rates
Barker 1999 Not RCT; cohort comparing Monroe Country and Onondaga County NY; no data on comparability of cohorts; Bennett 1994 and Kouides 1993 also describe this non‐RCT
Barton 1990 Not RCT; an intervention to increase influenza vaccination rates was used. For HMO in Boston 1983‐4 = baseline rates as historical control; 1984 postcard reminders for high‐risk individuals < 65; 1985 chart reminders for > 65 plus feedback to service chiefs; 1986 chart reminders plus feedback to service chiefs plus feedback to physicians plus lists of unimmunised patients; excluded as historical controls; excluded as cannot assess secular trend in rest of population
Beardsworth 2004 Not RCT; coalition helped family physicians purchase influenza vaccine, educational pamphlets and provided a hotline; no control group
Becker 1989 Not RCT; 40 to 60 years of age; preventive care reminders
Bekker 2003 Not RCT; survey of attitudes of those ≥ 65 to influenza vaccination
Belcher 1990 RCT; interventions to increase influenza rates: comparing education and feedback to physicians, patient education and a health promotion clinic; no baseline influenza vaccination rates; data for those ≥ 60 not separately available. We e‐mailed the author for data for ≥ 60, but received no response
Bennett 1994 Not RCT; no control group; intervention to increase influenza vaccination rates: community‐wide demonstration project in Monroe County, New York, to enrol all Medicare B enrollees ≥ 65 to increase influenza vaccination rates
Berg 2004 RCT; intervention to increase influenza vaccination rates: informational sheet; publication does not state baseline data or data for those < 60 and ≥ 60 separately. We e‐mailed the trial authors for data but received no reply
Berg 2005 Matched patients randomly assigned from geographic regions; 78% of patients < 65
Birchmeier 2002 Not RCT; cohort; no control; residents offered influenza vaccination to patients in clinic
Bloom 1988 Not RCT (no control group); patients ≥ 65; intervention to increase influenza vaccination rates
Bloom 1999 Not RCT; for patients ≥ 65 a fax was sent to family physician requesting they administer influenza and pneumococcal vaccines
Bond 2011 RCT; cannot identify outcomes for those ≥ 65
Bou‐Mias 2006 Not RCT; individuals 60 to 64 in urban health centre in Spain; non‐random allocation to receive phone call about influenza vaccination or no call; no baseline rates for year before intervention
Bovier 2001 Not RCT; survey of attitudes of ≥ 65 to influenza vaccination
Brady 1988 RCT; cannot separate results for < 60 and ≥ 60
Breen 2003 Not RCT; pneumococcal vaccination campaign
Brimberry 1988 RCT; article states no baseline influenza vaccination rates available; vaccination rates not separately available for those > 60
Browngoehl 1997 Not RCT, retrospective cohort; children
Buchner 1987 RCT; intervention to increase influenza vaccination; ≥ 65 years; but self report of influenza vaccination by questionnaire
Burns 2005 Survey of attitudes to vaccination
Call 2005 No intervention to increase influenza vaccination; article describes the clinical diagnosis of ILI
Cardozo 1998 Not appropriate study design (not RCT, cohort, case‐control or time series). Article is a retrospective chart review
Carey 1991 Not RCT; audit of 13 preventive manoeuvres including influenza vaccination
Carman 2000 RCT; but no intervention to increase vaccination in elderly (one group of long‐term care hospitals had an "opt in" policy for influenza vaccination and another group an "opt out" policy; focus was on vaccinating healthcare workers
Carter 1986 RCT; design of brochure to promote influenza vaccination; unable to contact author for more baseline and outcome numbers and %s for those ≥ 60; self report of influenza vaccination
Chami 2012 RCT in nursing homes to use hygienic measures to reduce infections; no influenza vaccine intervention
Chan 1999 No intervention to increase vaccination rates. Article is a survey of influenza vaccination rates of female Medicare beneficiaries
Charles 1994 Not RCT; patients at Sunnybrook Health Science Centre Family Practice Unit, Toronto; 4 physician teams divided into 2 groups and "patients of two of the four teams were designated as subjects and patients of the remaining two were designated as controls," then "simple random selection of patients from the roster of each team physician to participate in the study." (Patients ≥ 65)
Chen 2007 No intervention to increase vaccination rates. Article is a telephone survey of attitudes to influenza vaccination
Cheney 1987 RCT; intervention to increase influenza vaccination rates: internal medicine residents were randomised to receive preventive care checklists; no baseline pre‐intervention influenza vaccination rates; no numbers for outcomes, only graphical presentation on small graphs so cannot assess numbers. We e‐mailed authors for numbers for outcomes but did not receive a reply
Chi 2006 No intervention to increase vaccination rates. Article is a telephone survey of factors influencing influenza vaccination
Chodroff 1990 Not RCT; 1986 historical controls; 1986 to 1990 residents given preventive care checklists
Christenson 2001 Not RCT; no control group; intervention to increase influenza vaccination rates: all individuals in Stockholm county ≥ 65 (n = 259,627) invited to participate in influenza plus pneumococcal vaccination campaign; 100,242 received vaccine; focus on effectiveness of vaccination in reducing hospitalisation and pneumonia
Clancy 2003 RCT; publication does not provide separate data for those < 60 and ≥ 60, or baseline influenza vaccination data for year prior to intervention; unable to locate author
Cohen 1982 RCT; no baseline data for influenza vaccination rates; influenza rates for patients > 60 not separately available
Cohen 2004 Not appropriate study design (not RCT, cohort, case‐control or time series). Article is an observational study of how physicians offer vaccination during consultations
Colombo 2005 Not appropriate study design (not RCT, cohort, case‐control or time series). Article is an economic analysis of vaccination strategies
Correa‐de‐Araujo 2006 Secondary analysis of differences in immunization rates by ethnic group in Medical Expenditure Panel Survey; no intervention to increase vaccination rates
Costa Tadeo 1994 Not appropriate study design (not RCT, cohort, case‐control or time series). Article is a prospective cross‐over without control; results for ≥ 60 not available
Cowan 1992 RCT; 16 residents in intervention, 13 in control group; no data that residents or patients groups similar; retrospective chart review of 107 charts (62 intervention, 45 control), also random sample of charts seen by first year residents (different residents from current sample) previous year
Cowan 2006 No intervention to increase vaccination rates. Article is about attitudes to vaccination among healthcare workers
Crawford 2005 Not RCT; patients in a Managed Care Organization (MCO) in "the eastern United States;" For breast cancer screening, cervical cancer screening or influenza vaccination (≥ 65 years) interactive voice reminders were sent; no control group; no data on secular trends; baseline data for year before intervention available
Crawford 2011 No intervention; survey of patient characteristics of those ≥ 65 accepting influenza vaccination
Crouse 1994 Not RCT; 6 community hospitals in N. Minnesota assessed 3 strategies to increase influenza vaccination rates: standing orders, physician chart reminders, physician education; excluded as cannot assess secular trend in rest of population
Curry 2006 Survey of factors associated with influenza vaccination; no intervention to increase vaccination rates
Daniels 2007 RCT; intervention to increase influenza vaccination rates: onsite adult vaccination in churches; abstract states patients ≥ 65, but Table 1 states mean age is 65 with SD = + or ‐ 14, so clearly includes patients younger than 60
Dannetun 2003 Survey of reasons for not being vaccinated by seniors in Linköping, Sweden; no intervention to increase vaccination rates
Davidse 1995 Not RCT; GPs selected patients in Brabant for vaccination; cannot separate ≥ 60, no publication by this author since 1995 in MEDLINE to obtain e‐mail address
Davidson 1984 Not RCT; intervention to increase influenza vaccination rates: university‐based internal medicine practice in N. Carolina; 50% sample selected 1 July 1979 to 30 June 1980 to receive nurse reminder for influenza vaccination, then another 50% sample selected 1 January to 31 December 1981; 50% not selected in each period served as controls; not stated what overlap occurred between intervention groups in the 2 periods, or controls in 2 periods; excluded as cannot assess secular trend in rest of population
Davis 2005 Focus groups with physicians about barriers to influenza vaccination
De Wals 1989 Not RCT; intervention to increase vaccination rates: patients of GPs in Braine‐le‐Château, Belgium; 1984 baseline; 1985 information campaign by GPs; 1986 information campaign by posters, newspaper editorials and lectures for retired individuals; excluded as cannot assess secular trend in rest of population
De Wals 1996 Not RCT; survey of influenza vaccination rates in long‐term care facilities in Québec
Denis 1996 Not RCT; intervention in Charleroi, Belgium, to increase influenza vaccination rates in those ≥ 65
Desbiens 2005 Not RCT; observational study of All‐Inclusive Care for the Elderly programme in Chattanooga, Tennessee. No control group
Dexter 2001 RCT; intervention to increase influenza vaccination rates in hospitalised patients; cannot separate those ≥ 60
Dickey 1990 Not appropriate study design (not RCT, cohort, case‐control or time series). Survey of US family physicians about interest in using patient‐held health passport preventive care checklist
Dickey 1992 Not RCT. Health Passport preventive care checklists used for preventive services in university family medicine clinic, but key table listing preventive services is omitted from article
Dickey 1993 Literature review of paediatric and adult patient‐held preventive healthcare cards
Dini 1996 No intervention to increase vaccination rates and not appropriate age group. (Audit of childhood vaccinations in Georgia, USA)
Donato 2007 Not RCT; intervention to increase vaccination rates: 650‐bed community hospital in Pennsylvania; 2002 nurses screened patients for influenza vaccination, put reminder stickers on front of chart and orders in chart for physician to sign; 2003 nurses screened patients and standing order for influenza vaccination before discharge; 2004 same as 2003 plus Grand Rounds and nursing education sessions on each unit; excluded as cannot assess secular trend in rest of population
Douglas 1990 Not RCT; no intervention to increase influenza vaccination rates. Retrospective audit in Kansas City family medicine residency programme clinics
Earle 2003 Not RCT; survey of patients with colorectal cancer in SEER (US National Cancer Institute Survival, Epidemiology, and End Results) programme and factors associated with vaccination; average age 79; no baseline data for year before case‐control study; no control
Egido Polo 1989 Data for those ≥ 60 not available; e‐mail for author not available
Etkind 1996 Not RCT; in Essex county, Massachusetts, letters sent to all health care providers, press releases, newspaper articles, radio and TV announcements, lectures at senior centres, influenza vaccination clinic schedules sent to all community and elder organizations, Grand Rounds at each Essex County hospital; in Worcester county "usual care"; excluded as not RCT, geographical areas may not be comparable
Evans 2003 No intervention to increase vaccination rates. Survey of reasons for not being vaccinated against influenza
Fairbrother 1999 Not target age group (childhood vaccinations)
Fedson 1989 No intervention to increase vaccination rates (guidelines for influenza vaccination in institutional settings)
Fedson 1994 No intervention to increase vaccination rates (article presenting guidelines for prevention and control of influenza in hospitals and hospital staff)
Fedson 1996 No intervention to increase vaccination rates (review of effectiveness of influenza vaccine)
Fernández Silvela 1994 Not RCT; cohort; no control group; no baseline data
Ferrante 2010 Cross‐sectional data from RCT on colon cancer screening; 23% received influenza vaccination, but no report of comparison to control group
Fiebach 1991 Survey of reasons for accepting or refusing influenza vaccination
Fishbein 2006a Observational study of missed opportunities for influenza vaccination
Fishbein 2006b Cohort; average age 46‐8; cannot separate outcomes for those > 65; no reply to e‐mail to author
Fisher 2003 Cross‐sectional analysis of spending patterns in Medicare regions and influenza vaccination rates; no intervention to increase vaccination rates in elderly
Fitzner 2001 Theoretical model of cost‐effectiveness of influenza vaccination in Hong Kong
Fitzpatrick 2004 Not RCT; retrospective case‐control; no intervention to increase vaccination rates in elderly
Flach 2004 Secondary analysis of survey of relationship of patient‐centred care and vaccination rates in Veterans Administration Hospitals
Fontanesi 2004 Analysis of workflow observations of care of patients ≥ 50 in convenience sample of 16 ambulatory care settings in San Diego (California) and Rochester (New York); development of model of 7 critical organisational, temporal and clinical activities that predicted 93% of influenza immunisations
Fowles 1998 Not RCT; survey of influenza vaccination rates in seniors in HMO in Minneapolis‐St. Paul comparing staff, multispecialty or primary care practices
Frame 1994 RCT; 10 preventive items; no influenza vaccination data
Francisco 2006 Survey of reasons for not receiving influenza vaccination among those ≥ 60 in São Paulo, Brazil
Frank 1985 Not RCT; cohort, no control; reminder letters and phone calls for influenza vaccination
Frick 2004 Analysis of changes in influenza vaccination rates by race in US among disabled seniors
Furey 2001 Not RCT; feedback to GPs on influenza vaccination rates in ≥ 75 in Merton Sutton and Wandsworth Health Authority, UK
Galasso 1977 Review of clinical trials of influenza vaccination 1976
Ganguly 1989 Survey of reasons for acceptance/refusal of vaccination
Ganguly 1995 Survey of vaccination status of veterans in a nursing home
Gannon 2012 Not RCT, cohort study or time series; no control; team intervention to improve multiple vaccination rates; no data on secular trends
Garrett 2005 Not RCT; pre‐post cohort; study of employed workers, i.e. < 65; ages not stated
Gauthey 1999 Survey of influenza vaccination rates and motivations for receiving influenza vaccine among those > 65 in the State of Geneva
Gelfman 1986 Before and after one group study; no control group; physicians were not prompted to offer influenza and pneumococcal vaccinations to high‐risk patients at the beginning of the influenza season, then were prompted later in the influenza season by reminders placed on charts at the Medical College of Virginia
Gerace 1988 Not RCT; cohort, no control; comparison of letter in 1985 and phone call in 1986
Giles 2003 Summary of articles by Arthur 2002 and Hull 2002
Gill 2000 Not RCT; Christiana Care Foulk Road Family Medicine Center, Delaware; 1997 baseline rates; 1998 reminder to nurse and physician during visit; excluded as cannot assess secular trend in rest of population
Gill 2005 Not RCT; retrospective cohort; impact of "Providing a Medical Home to the Uninsured" in Delaware, US; cannot separately identify those ≥ 60
Goebel 2005 Not RCT; retrospective chart review of physicians who used standing orders and those who did not
Grabenstein 1990 Survey of vaccination status at Walter Reed Army Hospital
Grabenstein 1992 Cost‐effectiveness model of pharmacists advocating and providing influenza vaccine
Grabenstein 2001 No RCT; survey of influenza vaccination in Washington State (where pharmacists can give influenza vaccinations) and Oregon (where they cannot)
Granolllers 1993 Not RCT; not ≥ 60; nursing staff preventive care interventions
Green 2003 Survey of the relationship of functional status, depression and treatment for psychiatric problems, to rates of influenza vaccination in those ≥ 65 In the Kaiser Permanente Northeast HMO
Greene 2001 Survey of uptake of preventive care
Groll 2006 Not RCT; study of Universal Influenza Campaign in Ontario; data for those ≥ 60 not separately available
Gutiérrez 2005 Economic evaluation of influenza vaccination for those ≥ 65 in Mexico
Gutschi 1998 RCT; intervention to increase influenza rates; no vaccination rates for year before intervention; cannot separate rates for those ≥ 60
Hahn 1990 Not RCT; use of a health maintenance protocol in a family practice clinic; no influenza intervention or outcomes
Halliday 2003 Survey of 19 residential care facilities in Australian Capital Territory on staff vaccination
Hanna 2001 Not RCT; survey of pneumococcal and influenza vaccine rates in Indigenous population in New Zealand, and monitoring after local physicians encouraged to offer vaccination; no control group; no information on secular trends; cannot separate outcomes for those ≥ 60
Hannah 2005 Not RCT, CCT, cohort or time series; description of intervention programme in W. Virginia; no patient outcome data
Harari 2008 RCT; influenza vaccination only recorded for year before study (Table 3)
Harbarth 1998 Not RCT, cohort or time series (concurrent comparison group)
Harris 1990 Retrospective chart review; N. Carolina Memorial Hospital Department of Medicine Polyclinic Practice; time series: 1979 to 1980 no prompts; 1981 nursing prompt; 1984 computer prompt; excluded as cannot assess secular trend in rest of population; cannot assess n's in target groups from Figure 2
Harris 2006 Not RCT; 249 patients with COPD recently discharged from hospital in Adelaide, Australia, for COPD intervention group (received Manual of Cochrane Collaboration systematic review summaries related to COPD) and control groups allocated to separate geographical areas; author sent PhD and we were able to verify it was not a RCT
Hedlund 2003 Not RCT; study of influenza and pneumococcal vaccination campaign for individuals ≥ 65 in Stockholm County, Sweden, 1998; no control group; baseline data for year before intervention not available
Henk 1975 Not RCT; cohort, no control; age lists used to identify patients for influenza vaccination
Hermiz 2002 RCT; no intervention to increase influenza vaccination; no statement whether vaccinated patients had received vaccination before or after intervention
Hirdes 2006 Survey of predictors of vaccination in Ontario nursing homes
Hoey 1982 Not RCT; intervention to increase vaccination rates: nurses offered influenza vaccination to half patients seen in morning clinics, and patients were vaccinated by physicians in afternoon clinics; patients ≥ 60 cannot be identified
Honkanen 1996 Survey of knowledge about influenza vaccination
Honkanen 1997 Not RCT; for 3 administrative areas in Finland; Admin Area A: risk disease based influenza vaccination programme; admin area B: age‐based vaccination programme offered Autumn 1993 and 1994; admin area C: age‐based vaccination programme offered 1992 to 1994; areas not necessarily identical
Honkanen 2006 Not RCT; northern Finland; 14 municipalities risk of disease‐based intervention x 2 years; 29 municipalities: age‐based intervention x 2 years. 12 municipalities cross‐over from disease‐based intervention in 1992 to age‐based intervention in 1993; excluded as not RCT; geographical areas may not be comparable
Humair 2002 Not RCT; primary care clinic of Department of Community Medicine, Geneva University Hospital; 1995 baseline; 1996 leaflets and posters at reception desk and waiting areas, walk‐in immunisation clinic, 1.5‐hour training workshop on influenza for physicians, computer reports q 2 weeks to residents on vaccination performance compared to other residents; reminder stickers for records of high‐risk patients; excluded as cannot assess secular trend in rest of population
Hutchinson 1995 Not RCT; survey of influenza vaccination in clinic patients
Hutchison 1991 Not RCT; historical control 1982 to 1983; reminder letter 1987 to 1988
Hutt 2010 Quasi‐experimental mixed methods; cohort (8 nursing homes in Denver; no data on comparability of 8 non‐intervention nursing homes in Missouri and Kansas); survey of implementation of guidelines on nursing home‐acquired pneumonia and hospitalisation; data on influenza vaccination rates 2004 to 2007
Jacobs 2001 Not RCT; retrospective chart review of use and non‐use of interpreters for clinical and preventive services
Jain 1998 Survey; no intervention to increase influenza vaccination
Jans 2000 Cohort of 14 medical practices with 16 physicians implementing 8 guidelines for care of COPD and asthma, compared to 5 control practices with 5 physicians "located in the same region" (non‐comparable intervention and control groups: practices differed P value = 0.04 in "troublesome symptoms" and P value < 0.01 in type of disease (COPD versus asthma))
Jefferson 1996 Economic evaluation of influenza vaccination
Jiménez‐Garcia 2007 Survey of influenza vaccination rates of COPD patients in Catalonia
Jin 2003 Secondary analysis of Alberta administrative data for influenza vaccination rates for those ≥ 65
Johnson 2005 C‐RCT; no outcome data for influenza
Kassam 2001 C‐RCT; cannot separate outcomes for influenza vaccination from pneumococcal vaccination
Kelly 1988 Not RCT; children
Kemper 1993 RCT; children
Kendal 1985 Survey of vaccination rates in nursing homes in the USA
Kennedy 1994 Not RCT; tracking system for paediatric vaccinations in a Medicaid managed care organisation
Kern 1990 Not RCT; preventive care audit by faculty of charts of patients seen by internal medicine residents; influenza vaccine outcomes not separately available for those ≥ 65
Klachko 1989 Not RCT; survey of influenza vaccination rates in diabetic clinic; data not available separately for those > 60
Knoell 1991 Not RCT; General Internal Medicine Group Practices at University of California at San Francisco; 1987 to 1988 baseline; 1989 pharmacist presented 3 in‐services to nursing staff about influenza vaccination, patients > 65 received information sheet in clinic, campaign to provide vaccination with or without a visit; excluded as cannot assess secular trend in rest of population
Korn 1988 Not RCT; preventive medicine checklist placed on charts, including influenza for those ≥ 65; faculty audit of charts of 15 internal medicine residents exposed to intervention and 13 who had not been; no assessment if residents similar; no data on secular trends in practice
Kosiak 2006 Secondary analysis of influenza vaccination rates for those ≥ 65 in 2004 National Healthcare Quality Report and National Healthcare Disparities Report
Kunze 1998 Editorial; no intervention to increase vaccination rates
Kwong 2006 Secondary analysis of influenza vaccination rates in 1996 to 1997 National Population Health Survey of Canada and Population Health Survey of Canada 2000 to 2001 and 2003, including those ≥ 65
Kyaw 2002 Survey of influenza vaccination rates and vaccination policies in 53 general practices in Scotland 1993 to 1999
Landis 1995 Not RCT; vaccine manager to increase use of 4 vaccines; no data on influenza vaccination
Landon 2004 Secondary analysis of Centers for Medicare & Medicaid Services data on influenza vaccination rates for ≥ 65
Larson 1979 Not RCT; reminder letter to those ≥ 65 and high‐risk patients University of Washington family medicine centre; cannot separate outcomes for those ≥ 65 from high‐risk patients
Larson 1982 RCT; intervention to increase influenza vaccination rates: postcard reminders; correspondence from author was neither able to provide precise baseline influenza vaccination rates before intervention (Dr Larson estimated them from a survey with a 75% response rate at 50%), nor provide data separately for those ≥ 60; self report of vaccination
Lau 2006 Telephone survey of influenza vaccination rates among residents of Hong Kong ≥ 65
Lawson 2000 Not RCT; standing orders for influenza vaccination; no control group (community rate used as control rate, no details on characteristics of community group)
Lazorik 2001 Not RCT; no intervention to increase vaccination rates; article summarising preventive care options
LeBaron 1997 Not RCT; annual measurement and feedback programme; children
Lees 2005 Secondary analysis of 2000 US National Health Interview on influenza vaccination rates
Leirer 1989 Not RCT; intervention to increase influenza vaccination rates: 321 older people who attended community supported lunch program at a senior citizen centre (location not stated, authors' professional address is Stanford, California); 64 individuals ≥ 65 "randomly selected" from those who attended ≥ 1 per week; and 257 "randomly selected" from those attending less frequently; (however 64 + 257 = 321, leaving no degrees of freedom so the second sample could not have been randomly selected); frequency of attendance does not control for potential confounders; no baseline data
Leirer 1991 Not RCT; no influenza outcomes, n = only 16
Levy 1996 French economic evaluations of influenza vaccination
Lieberman 2003 Not RCT; no intervention to increase vaccination rates. Discussion article about managing respiratory infections
Lindley 2006 Telephone survey of Medicare beneficiaries about vaccination rates
Loeser 1983 Not RCT; report of computerised vaccination register for children in Montréal; no influenza outcomes
Lu 2005 Secondary analysis of 1989 to 2002 US National Health Interview Surveys for influenza vaccination rates in those ≥ 65, and factors predicting vaccination
Lynd 2005 Article about antivirals for influenza
Macdonald 1985 Not RCT; mass campaign; children
Maciosek 2006 Literature review of cost‐effectiveness of influenza vaccination
Madlon‐Kay 1987 Not RCT; audit of 8 preventive care items but influenza not audited as seasonal administration
Mair 1974 RCT with outcomes of antigenicity and reactogenicity. No intervention to increase vaccination rates
Malmvall 2007 Not RCT; intervention to increase influenza vaccination rates: inhabitants ≥ 65 in Jönköping county, Sweden; 1999 to 2001 baseline; 90% of GPs informed of vaccination campaign 2002; education meetings encouraging senior practice nurses to vaccinate seniors each year 2002 to 2005; excluded as cannot assess secular trend in rest of population
Mandel 1985 Not RCT; audit of 9 preventive care items but influenza not included
Mangione 2006 Not RCT; secondary analysis of influenza vaccination status of random sample of 8661 patients with diabetes in 7 US health plans 2000 to 2001, and description of physician reminders, performance feedback and structured care management
Mangtani 2006 Survey of attitudes to influenza vaccination of 844 community dwelling individuals ≥ 75 in the UK 2004 Medical Research Council Trial of Assessment and Management of Older People in the Community
Margolis 1988 Not RCT; Veterans Affairs clinic in Minneapolis with patients in 3 sub‐specialty clinics as historical controls
Margolis 1992 Not RCT; informational mailing to patients; standing vaccination orders; vaccination reminders on daily patient lists; walk‐in vaccination visits; no n's from control clinic; comparator is 2 clinics "similar location"
Marra 2011 Random allocation of 12 communities in British Columbia to an intervention for pharmacists to offer influenza vaccination and 13 control communities; no data on vaccination rates in control communities
Marsteller 2006 Secondary analysis of the Canadian 1999 National Nursing Home Survey of the influenza vaccination status of a random sample of 73,350 individuals ≥ 65 in 1423 nursing facilities
Martinen 2004 Not RCT; cohort; no control; managing congestive heart failure in long‐term care
Mayo 2004 No intervention to increase vaccination rates. Study of perceived barriers for hospital patients to receiving influenza vaccination
McArthur 1999 Survey of factors affecting vaccination rates in all 1520 Canadian long‐term care facilities in 1991
McDonald 1984 RCT; intervention to increase influenza vaccination rates: residents randomly allocated to receive computer analyses of patient charts with care reminders including CDC recommendations for influenza vaccination; influenza outcomes; no pre‐intervention baseline data
McDonald 1992 RCT; intervention to increase influenza vaccination rates: computer‐generated influenza vaccination reminders; publication does not provide separate data for those < 60 and ≥ 60, or baseline influenza vaccination data for year prior to intervention; unable to locate author
McKinney 1989 Not RCT; survey of factors related to physician ordering of influenza vaccination in the Primary Care Clinic at Milwaukee County Medical Complex
McLeod 2001 Analysis of influenza outbreaks in seniors' lodges in Calgary 1997 to 2000
Merkel 1994 Not RCT; cohort; reminder data sheet; influenza vaccination baseline data available for only 75% of cohort; no control
Milman 2005 Not RCT, no control group; effect of patient care team on influenza decisions
Mody 2005 Not RCT; survey of infection control practices in nursing homes in south‐east Michigan
Morrow 1995 Not RCT; audit of 3 preventive items; no influenza data
Mosesso 2003 Not RCT; prospective observational cohort study of influenza vaccination by emergency services in Pittsburgh
Mukamel 2001 Not RCT, no control group, no influenza outcome data
Mulet Pons 1995 Telephone survey of influenza vaccination status of those ≥ 65 in a health centre in Alicante, Spain, and reasons for refusing vaccination
Murphy 1996 Not RCT; intervention to increase childhood 0 to 5 vaccination rates in an inner city Dublin family practice using postcard reminders and an improved vaccination record system
Métrailler 2003 Not RCT; no intervention to increase vaccination rates
Müller 2005 Not RCT, no intervention to increase vaccination rates
Nakatani 2002 No intervention to increase vaccination rates. Not appropriate study design (not RCT, cohort, case‐control or ITS)
Ndiaye 2005 Not appropriate study design (not RCT, cohort, case‐control or ITS). No intervention to increase vaccination rates. In this review, none of the results are presented for people aged 60 years or older ‐ summary just shows "high risk" and occasionally results for those less than 65 years
Nichol 1990 Cohort design. However, self reported vaccination status without validation
Nichol 1992 No intervention to increase vaccination rates
Nichol 1998 Not appropriate study design (not RCT, cohort, case‐control or ITS). Too few data points to qualify as time series). Had multicomponent interventions (over time) to increase vaccination rates for influenza and pneumococcal vaccines in the patient population of the Minneapolis Department of Veterans Affairs (VA) Medical Center; self report of vaccination
Nichol 2006 No intervention to increase vaccination rates
Nicoleau 2001 Not appropriate study design (not RCT, cohort or time series); interviews with patients about vaccination intentions
Nowalk 2004a No intervention to increase vaccination rates
Nowalk 2004b No intervention to increase vaccination rates
Nowalk 2004c Not appropriate study design (not RCT, cohort or time series); no control group; outcome is office and patient factors associated with vaccination
Nowalk 2008 Not RCT; "Two of the intervention sites were faith based, one was a federally qualified health center (FQHC), and one was a FQHC look‐alike; two intervention sites were University of Pittsburgh family medicine residency practices"; data for those ≥ 60 not separately identifiable
O'Connor 1996 RCT. Not target age group
O'Connor 1998 Not appropriate study design (not RCT, cohort, case‐control or ITS). Also unable to extract vaccination data for target age group
O'Malley 2006 No intervention to increase vaccination rates
O'Reilly 2002 No intervention to increase vaccination rates
Ohmit 1995 Not appropriate study design. 4 counties in south‐central and southwestern Michigan were randomised to the intervention and 3 contiguous counties "... assigned to be the comparison area." (does not state were randomised). Cases were those > 65 hospitalised with pneumonia. 2 controls per case "... similar in age, gender and zip code, were randomly selected from current study area Medicare beneficiary files." (but had not had pneumonia, so differ from cases on a key characteristic)
Ompad 2006 Not appropriate study design (literature summary of vaccination in different settings)
Ornstein 1991 Not influenza vaccination
Overhage 1996 Not influenza vaccination
Padiyara 2011 Cohort (1 group had 1 visit to the pharmacist, other group had 2 or more visits); groups were similar in gender, age, ethnicity diabetes and hypertension rates
Parchman 2004 No intervention to increase vaccination rates
Parry 2004 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Pasquarella 2003 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Patel 2004 Not target age group. Not appropriate study design (not RCT, cohort, case‐control or ITS)
Patel 2006 No intervention to increase vaccination rates
Patriarca 1985 Not appropriate study design (not RCT, cohort, case‐control or ITS). No intervention to increase vaccination rates
Payaprom 2011 Not RCT; cannot identify outcomes for those > 65
Pearson 2005 Not appropriate study design (cohort, no control); patients presenting to an emergency department were invited to receive influenza and pneumococcal vaccinations
Piedra 1995 Not appropriate study design (not RCT, cohort, case‐control or ITS). No intervention to increase vaccination rates
Pleis 2002 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Ploeg 1994 Not influenza vaccine. The study included interventions to address several health behaviours, however the focus of this article is on outcomes other than vaccination (i.e. safety changes to prevent injury)
Poole 2010 Not appropriate study design (not RCT, cohort, case‐control or ITS). No intervention to increase vaccination rates
Postma 2005 Not target age group. Not appropriate study design (not RCT, cohort, case‐control or ITS). No intervention to increase vaccination rates
Prati 2012 RCT; individuals ≥ 65; no influenza vaccination outcomes (only risk perception, efficacy and self efficacy)
Puig‐Barbera 1999 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Quinley 2004 Not influenza vaccination
Rantz 2001 Not influenza vaccination, no intervention to increase vaccination rates
Reichert 2001 Not target age group. No intervention to increase vaccination rates
Resnick 2001 Not appropriate study design (not RCT, cohort, case‐control or ITS). No intervention to increase vaccination rates
Ressel 2003 Not appropriate study design (not RCT, cohort, case‐control or ITS). No intervention to increase vaccination rates
Retchin 1991 No intervention to increase vaccination rates. Not appropriate study design (not RCT, cohort, case‐control or ITS)
Rimple 2006 Not appropriate study design (Not RCT, cohort or time series); offer of vaccination to patients in an emergency department; no control group
Robare 2011 RCT; however, the Brief Education and Counselling Intervention and BECI plus physical activity group outcomes were pooled and no control group
Rodewald 1999 Not target age group
Rodriguez 1993 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Rodriguez‐Rodriguez 2006 No intervention to increase vaccination rates
Roffey 1998 No intervention to increase vaccination rates
Russell 2000 No intervention to increase vaccination rates
Rust 1999 Not target age group. Not influenza vaccine
Ryan 1984 Not target age group. No intervention to increase vaccination rates. Assesses impact of adverse events/side effects of prior vaccination on influenza vaccine acceptance in subsequent season among persons of all ages
Sambamoorthi 2005 No intervention to increase vaccination rates
Sansom 2003 Not influenza vaccination
Sarnoff 1998 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Schectman 1995 No intervention to increase vaccination rates, not influenza vaccination
Schensul 2009 RCT (2 buildings randomised); multi‐level intervention to increase influenza vaccination rates; average age of male participants = 57, female = 62; cannot identify results for those ≥ 60. E‐mail from Dr. Schensul 31 March 2013: "We have only baseline and endline data for our treatment and control groups and no data on vaccination rates prior to intervention baseline. With respect to randomization, our CDC funded study was a pilot that used a quasiexperimental design, with buildings matched by number of residential units and as best we could, by ethnicity. We could not apply randomization to our intervention assignment, as our pilot funding was not sufficient to allow us to randomize and work in multiple buildings, and the intervention was a "community" intervention designed to have an effect on the entire population of the intervention building."
Schluter 1999 Not appropriate study design (cohort study without control); nursing homes in Colorado were surveyed for policies to provide influenza vaccination to staff, and influenza vaccination rates were measured 1995/6 and 1997/8
Schmitz 1993a Not appropriate study design (not RCT, cohort or time series; survey of vaccination rates in nursing homes)
Schmitz 1993b Not appropriate study design (not RCT, cohort or time series; survey of vaccination rates in nursing homes)
Schneider 2001 Not appropriate study design (not RCT, cohort or time series); 1996 Medicare Current Beneficiaries Survey interviewed individuals and compared vaccination status in managed care and fee‐for‐service practices
Schreiner 1988 Not appropriate study design, not influenza vaccination
Schwartz 2006 Not appropriate study design (not RCT or time series); cohort without control group; patients in 7 clinics offered vaccination by non‐physician staff members
Schwarz 2005 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Scott 1996 No intervention to increase vaccination rates
Setia 1985 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Shah 2006 Not RCT; emergency services screened adults for needed preventive interventions
Shahrabani 2006 No intervention to increase vaccination rates
Shank 1989 Not appropriate study design
Shenson 2005 Not appropriate study design (not RCT, cohort, case‐control or ITS). No intervention to increase vaccination rates
Shenson 2007 No intervention to increase vaccination rates
Shenson 2011 Not RCT; survey of screening received by those ≥ 65
Shugarman 2006 Retrospective cross‐sectional study; nursing homes; outcome = ILI
Siebers1985 Not influenza vaccination
Simor 2002 No intervention to increase vaccination rates
Siriwardena 2003a Not appropriate study design (not RCT, time series); audit and anonymised feedback but no control group and no data on vaccination trends in Lincolnshire in non‐participating practices
Slobodkin 1998 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Soljak 1987 Not target age group
Stancliff 2000 Not appropriate study design; not appropriate age group; syringe exchange programme
Stehr‐Green 1993 Not target age group
Stenqvist 2006 Not appropriate study design
Steyer 2004 Not RCT, cohort or time series; survey of vaccination rates in US states where pharmacists can and cannot give influenza vaccinations
Stott 1998 No intervention to increase vaccination rates
Straits‐Troster 2006 No intervention to increase vaccination rates
Stratis Health 1997 Not RCT; intervention to increase influenza vaccination: postcard sent to 38,000 households with Medicare B beneficiary in Ramsey County, Minnesota; letter to sent to 2983 households with Medicare B beneficiary in selected zip codes; as comparator Hennepin county selected as urban county with similar demographics; individuals ≥ 65
Stuart 1969 No intervention to increase vaccination rates. Assessed vaccine efficacy related to outbreak investigation
Sylvan 2003 Not appropriate study design
Szilagyi 1992 Not target age group
Szilagyi 2005 No intervention to increase vaccination rates
Szilagyi 2006 Not target age group
Szucs 2006 No intervention to increase vaccination rates
Tabbarah 2005 Not appropriate study design (not RCT, cohort, case‐control or ITS). No intervention to increase vaccination rates
Tacken 2002 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Tape 1993 Not appropriate study design (i.e. not a RCT): this was an intervention study but allocation was not randomised. Results were presented but it was not possible to extract age‐specific results
Terrell‐Perica 2001 RCT with intervention to increase vaccination rates. Excluded as not possible to extract results for persons over age 60
Tierney 2005 RCT; outcomes for those ≥ 60 cannot be separately identified
Tollestrup1991 Not target age group, not influenza vaccination
Toscani 2003 No intervention to increase vaccination rates
Traeger 2006 Not appropriate study design (not RCT or time series); Whiteriver Services Unit in Arizona reported vaccination rates; no control group
Trick 2009 Not RCT; electronic reminder intervention to increase influenza vaccination rates; average age of participants = 52; cannot identify individuals ≥ 60
Tucker 1987 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Turner 1989 Not influenza vaccination; not appropriate study design
Turner 1990 RCT comparing computer prompts for physicians and computer prompts for physicians plus card prompts for their patients on performance of multiple preventive interventions including influenza vaccination. However, it is not possible to extract outcomes by age group
Turner 2003 Not appropriate study design (not RCT, cohort, case‐control or ITS). No intervention to increase vaccination rates. Not influenza vaccination
Tymchuk 1991 No intervention to increase vaccination rates
Usami 2009 RCT; intervention to increase influenza vaccination rates (pharmacists explained risk of influenza and benefits of vaccine); participants ≥ 65; excluded as influenza vaccination rate by self report
Van Amburgh 2001 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Van den Hooven 2006 No intervention to increase vaccination rates
van Essen 1997 Results specific to the age group of interest to this review are not presented
Van Hoof 2001 Not appropriate study design (not RCT, cohort, case‐control or ITS)
van Lieshout 2012 Not RCT; survey of cardiovascular care
Wadhwa 1997 RCT; patients ≥ 65; but 57% of those in the phone arm were not contacted either by voice or machine, so excluded as unknown large risk of bias
Walker 1992 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Walsh 2012 RCT; cannot separate outcome data for those 60 and older
Wang 2005 No intervention to increase vaccination rates. Not appropriate study design (not RCT, cohort, case‐control or ITS)
Warren 1995 No intervention to increase vaccination rates. Not appropriate study design (not RCT, cohort, case‐control or ITS)
Watkinson 2004 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Weatherill 2004 Not appropriate study design; campaign to vaccinate high risk populations in disadvantaged area in Vancouver; no control; no data on secular trends; cannot separate outcomes for those ≥ 60
Weaver 2001 Not appropriate study design (not RCT, cohort, case‐control or ITS). The data for this study derive from a RCT; however, the focus of this article is a cost‐effectiveness analysis of a community‐based outreach initiative to promote pneumococcal and influenza vaccines for people aged 65 years or older. The full report of the RCT is presented in Krieger 2000
Weaver 2003 Not target age group. Although elderly persons were included, outcomes data could not be extracted by age group. The study design is best described as a cohort study
Wee 2001 Not appropriate study design (not RCT, cohort or time series); chart review; no intervention
Wei 2007 No intervention to increase vaccination rates
Whelan 2013 Effect of request for proxy assent on recruitment to RCT of vaccination in care homes; no influenza vaccination outcome data
While 2005 No intervention to increase vaccination rates. Not appropriate study design (not RCT, cohort, case‐control or ITS)
Wiese‐Posselt 2006 No intervention to increase vaccination rates
Wilkinson 2002 Not target age group. This was a pilot study and patients were randomly allocated to intervention; however, it is not possible to extract outcomes by age group
Williams 1987 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Wilson 1989 Not appropriate study design (not RCT, cohort, case‐control or ITS)
Winston 2006a Not appropriate study design (not RCT, cohort or time series); telephone survey in 5 US states; no control group; no intervention to increase vaccination rates
Winston 2006b Not appropriate study design (not RCT, cohort or time series); chart review after introduction of vaccination policy in 4 Michigan hospitals; no control group
Wood 1998 Not target age group
Wortley 2005 No intervention to increase vaccination rates. Not appropriate study design (not RCT, cohort, case‐control or ITS)
Wray 2009 RCT; intervention to increase influenza vaccination rates (vaccine safety message versus vaccine information statement); no influenza vaccination outcomes; cannot separate results for ≥ 60
Wright 2011 RCT; outcome data for those 60 and older cannot be identified; no reply from e‐mail to author
Wuorenma 1994 Not target age group. Not appropriate study design (not RCT, cohort, case‐control or ITS)
Yoo 2006 No intervention to increase vaccination rates. Not appropriate study design (not RCT, cohort, case‐control or ITS)
Young 1980 Not target age group
Zimmerman 2003a No intervention to increase vaccination rates; survey of self report compared to medical record of influenza and pneumococcal vaccination
Zimmerman 2003b No intervention to increase vaccination rates; survey of vaccination rates
Zimmerman 2003c Not appropriate study design (not RCT or time series); cohort study compared vaccination rates in 2 health centres which could choose which interventions to implement; no control; Health Centre A chose clinic posters, mailed reminders, free vaccine, community posters, staff education, chart reminders, standing orders, designated vaccination times; Health Centre B chose clinic posters, free vaccine, community posters, staff education, reminder card in chart, standing orders, any time vaccination and off‐site vaccination clinics. It was thus not possible to disentangle the effects of interventions
Zimmerman 2004 No intervention to increase vaccination rates; survey of factors associated with vaccination

COPD: chronic obstructive pulmonary disease CDC: Centers for Disease Control CCT: controlled clinical trial C‐RCT: cluster‐randomised controlled trial GP: general practitioner HMO: Health Maintenance Organization ILI: influenza‐like illness ITS: interrupted time series RCT: randomised controlled trial SD: standard deviation