Table 2 Sensitivity analysis for aVE of 3 doses of rotavirus vaccine in preventing hospital admission for AGE among children aged 6–59 months

From: Impact of the indigenous rotavirus vaccine Rotavac in the Universal Immunization Program in India during 2016–2020

Type of analysis

aVE

95% CI lower limit

95% CI upper limit

Interpretation

Unmatched regression model

54%

45%

62%

Main analysis model used in the study

Matched regression model

52%

35%

64%

Values similar to main model; not adapted because of loss of sample size due to matching

Propensity score matched regression model

64%

36%

80%

Values similar to main model; not adapted because of loss of sample size due to matching

PSW regression model

Inverse probability of treatment weights

56%

47%

63%

Among eligible children who were fully vaccinated or unvaccinated (N = 7,226), for estimating PSW analysis, the PS was estimated as mean PS of 0.24 and s.d. of 0.06; children in the study have 24% probability of receiving the treatment. The PS values are normally distributed in this population group. The standardized mean differences before and after weighting were assessed for covariates to see their balance between treated and control groups. Since all covariates have s.m.d. <0.1 after weighting, the model is considered well balanced

Stabilized treatment weights

56%

47%

63%

Overlap treatment weights

48%

38%

57%

E value to measure residual confounding

Measured value for OR 0.46 is 3.77

An unmeasured confounder would need to increase the odds of both being vaccinated and getting infected by at least 3.77× each to fully explain away the observed effect

  1. A sensitivity analysis was performed to assess the aVE of 3 doses of the rotavirus vaccine in preventing hospital admissions for AGE among children aged 6–59 months (N = 1,790 for rotavirus-positive cases and N = 5,437 for rotavirus-negative controls). All models are adjusted for potential confounders, including age and socioeconomic status. The P values were computed using two-sided tests. PSW, propensity score weighted model; PS, propensity score; s.d., standard deviation; s.m.d., standardized mean differences.