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Table 1 Basic characteristics of the included studies

From: Mortality reduction with 23-valent pneumococcal polysaccharide vaccine: a systematic review and meta-analysis

Study

Study Design

Country

Study population

Sample size

Age

Male (%)

All-cause mortality with vaccination

Pneumonia related mortality

Alfageme 2006 [18]

RCT

Spain

Patients with COPD

596

65.8

96.6

NA

NA

Chan 2012 [6]

Prospective cohort study

China

Nursing home older adults

532

85.7

39.8

HR = 0.54 (95% CI: 0.35 to 0.84)

HR = 0.60 (95% CI: 0.35 to 0.99)

Córcoles AV 2006 [40]

Prospective cohort study

Spain

Community-dwelling individuals aged ≥ 65 years

11,241

≥ 65

43

HR = 0.97 (95% CI: 0.86–1.09)

HR = 0.41 (95%: 0.23 to 0.72)

Corcoles AV 2014 [41]

Population-based cohort study

Spain

Individuals aged ≥ 65 years

27,204

71.7

44.6

HR = 0.97 (95% CI: 0.89 to 1.05)

NA

French 2000 [33]

RCT

Uganda

HIV-1-infected adults

1392

31

29

HR = 1.08 (95% CI: 0.87 to 1.33)

NA

Gondar 2014 [20]

Population-based cohort study

Spain

Individuals aged ≥ 65 years

27,204

71.7

44.6

HR = 0.97 (95% CI: 0.89 to 1.05)

NA

Hsieh 2013 [7]

Case control study

Taiwan

Elderly aged 75 years and older

1,063,116

≥ 75

NA

NA

OR = 0.06

Hsieh 2016 [19]

Case-control study

Taiwan

Patients with chronic renal failure

545

> 50

NA

OR = 0.691 (95% CI: 0.460 to 1.039)

NA

Hung CC 2004 [8]

Prospective cohort study

Taiwan

HIV-1-infected patients

508

37

8.8

HR = 0.733 (95% CI: 0.236 to 2.274)

NA

Hyun 2023 [34]

Prospective cohort study

South Korea

Patients aged ≥ 19 years with CAP

5009

70.3

63.1

OR = 0.507 (95% CI: 0.267 to 0.961)

NA

Ihara 2019 [35]

Case-control study

Japan

Dialysis patients

510

64

59.2

HR = 0.62 (95% CI: 0.46 to 0.83)

HR = 0.91 (95% CI: 0.29 to 2.83)

Inoue S 2011 [9]

Prospective cohort study

Japan

Patients of chronic pulmonary diseases ≥ 60 years of age

1378

73

58.4

HR = 0.795 (95% CI: 0.499 to 1.264)

NA

Johnstone J 2010 [36]

Case-control study

Canada

Adults with CAP

2950

68

52

HR = 0.92 (95% CI: 0.79 to 1.06)

NA

Kolditz 2018 [10]

Retrospective cohort study

Germany

Individuals aged ≥ 65 years

738,927

76

38

Age 60 to 79 years: RR = 0.82 (95% CI: 0.73 to 0.91), Age ≥ 80 years: RR = 1.00 (95% CI: 0.94 to 1.07)

NA

Maruyama T 2010 [11]

RCT

Japan

Nursing home residents

1006

84.7

22.1

NA

NA

Ochoa-Gondar 2008 [12]

Prospective cohort study

Spain

Older adults with chronic respiratory diseases

1298

≥ 75

73

HR = 1.20 (95% CI: 0.91 to 1.59)

HR = 0.87 (95% CI: 0.33 to 2.28)

Ortqvist 1998 [37]

RCT

Sweden

Non-immunocompromised middle-aged and elderly people

691

69·4

50

RR = 0.95 (95% CI: 0.53 to 1.59)

NA

Pierre E 2023 [38]

Case-control study

France

Dialysis patients

1849

68.5

64.7

HR = 0.96 (95% CI: 0.78 to 1.19)

NA

Tsai YH 2015 [39]

Case-control study

Taiwan

Individuals aged ≥ 75 years

1,078,955

81.67

52.16

OR = 0.07 (95% CI: 0.069 to 0.072)

OR = 0.07 (95% CI: 0.059 to 0.082)

  1. Abbreviations CAP - Community-Acquired Pneumonia, CI - Confidence Interval, COPD - Chronic Obstructive Pulmonary Disease, HR - Hazard Ratio, NA - Not Available, NIDDM - Non-Insulin-Dependent Diabetes Mellitus, OR - Odds Ratio, RCT - Randomized Controlled Trial, RR - Relative Risk