Missed opportunities for human papillomavirus vaccination at office visits during which influenza vaccine was administered: An AAP pediatric research in office settings (PROS) national primary care research network study

Mary Kate Kelly, Robert W. Grundmeier, Alisa J. Stephens-Shields, Russell Localio, Laura P. Shone, Margaret Wright, Jennifer Steffes, Sharon G. Humiston, Cynthia Rand, Christina Albertin, Abigail Breck, Dianna E. Abney, Greta McFarland, Peter G. Szilagyi, Alexander G. Fiks

Research output: Contribution to journalArticle

Abstract

Introduction: Little is known about missed opportunities (MOs) for HPV vaccination during primary care visits at which influenza vaccination is delivered. Methods: We extracted electronic health records for HPV vaccine-eligible 11-to-17-year-olds. We assessed the proportion of visits during which an influenza vaccine was given and an HPV vaccine was due, but not given (i.e., MOs). Results: Of 56,135 eligible visits, 57.5% represented MOs for HPV vaccination. MOs were more common at visits where an initial versus subsequent HPV vaccine dose was due (68.6% vs. 31.3%) and for acute/chronic and nurse-only visits compared to preventive visits (74.0% and 80.2% vs. 36.7%). In a multivariable model, MOs were more likely for the initial HPV dose and for non-preventive visits, but did not vary by patient sex/age. Conclusions: HPV vaccine MOs were common during visits where influenza vaccine was administered. Increasing simultaneous administration of HPV and influenza vaccines could increase HPV vaccine coverage.

Original languageEnglish (US)
Pages (from-to)5105-5108
Number of pages4
JournalVaccine
Volume38
Issue number33
DOIs
StatePublished - Jul 14 2020

Keywords

  • Human papillomavirus vaccine
  • Influenza vaccine
  • Missed opportunities
  • Primary care

ASJC Scopus subject areas

  • Molecular Medicine
  • Immunology and Microbiology(all)
  • veterinary(all)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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    Kelly, M. K., Grundmeier, R. W., Stephens-Shields, A. J., Localio, R., Shone, L. P., Wright, M., Steffes, J., Humiston, S. G., Rand, C., Albertin, C., Breck, A., Abney, D. E., McFarland, G., Szilagyi, P. G., & Fiks, A. G. (2020). Missed opportunities for human papillomavirus vaccination at office visits during which influenza vaccine was administered: An AAP pediatric research in office settings (PROS) national primary care research network study. Vaccine, 38(33), 5105-5108. https://doi.org/10.1016/j.vaccine.2020.05.090