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      <title>Effectiveness of SARS-CoV-2 primary vaccines and boosters in patients with type 2 diabetes mellitus in Hungary (HUN-VE 4 Study)</title>
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      <abstractText>Introduction Type 2 diabetes mellitus is a risk factor for severe COVID-19 infection and is associated with increased risk of complications. The present study aimed to investigate effectiveness and persistence of different COVID vaccines in persons with or without diabetes during the Delta wave in Hungary.Research design and methods Data sources were the national COVID-19 registry data from the National Public Health Center and the National Health Insurance Fund on the total Hungarian population. The adjusted incidence rate ratios and corresponding 95% CIs were derived from a mixed-effect negative binomial regression model.Results A population of 672 240 cases with type 2 diabetes and a control group of 2 974 102 non-diabetic persons free from chronic diseases participated. Unvaccinated elderly persons with diabetes had 2.68 (95% CI 2.47 to 2.91) times higher COVID-19-related mortality rate as the ‘healthy’ controls. Primary immunization effectively equalized the risk of COVID-19 mortality between the two groups. Vaccine effectiveness declined over time, but the booster restored the effectiveness against mortality to over 90%. The adjusted vaccine effectiveness of the primary Pfizer-BioNTech against infection in the 14–120 days of postvaccination period was 71.6 (95% CI 66.3 to 76.1)% in patients aged 65–100 years with type 2 diabetes and 64.52 (95% CI 59.2 to 69.2)% in the controls. Overall, the effectiveness tended to be higher in individuals with diabetes than in controls. The booster vaccines could restore vaccine effectiveness to over 80% concerning risk of infection (eg, patients with diabetes aged 65–100 years: 89.1 (88.1–89.9)% with Pfizer-on-Pfizer, controls 65–100 years old: 86.9 (85.8–88.0)% with Pfizer-on-Pfizer, or patients with diabetes aged 65–100 years: 88.3 (87.2–89.2)% with Pfizer-on-Sinopharm, controls 65–100 years old: 87.8 (86.8–88.7)% with Pfizer-on-Sinopharm).Conclusions Our data suggest that people with type 2 diabetes may have even higher health gain when getting vaccinated as compared with non-diabetic persons, eliminating the marked, COVID-19-related excess risk of this population. Boosters could restore protection.Data are available upon reasonable request.</abstractText>
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            (&lt;span class=&quot;authorship-author-name&quot;&gt;Molnár Gergő Attila&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Belgyógyászat&lt;/span&gt;)
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Pécsi Tudományegyetem&quot;&gt;PTE&lt;/span&gt;/&lt;span title=&quot;Általános Orvostudományi Kar&quot;&gt;ÁOK&lt;/span&gt;/II. sz. Belgyógyászati Klinika és Nephrológiai, Diabetológiai Centrum&lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10000181&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10000181&quot; target=&quot;_blank&quot;&gt;Vokó Zoltán&lt;sup&gt;*&lt;/sup&gt;
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Vokó Zoltán&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; A nem-fertőző betegségek&lt;/span&gt;)
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis Egyetem&quot;&gt;SE&lt;/span&gt;/&lt;span title=&quot;Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)&quot;&gt;KSZE&lt;/span&gt;/Egészségügyi Technológiaértékelő és Elemzési Központ&lt;/span&gt;
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10010793&quot;&gt;&lt;a 
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            (&lt;span class=&quot;authorship-author-name&quot;&gt;Sütő Gábor&lt;/span&gt;
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Pécsi Tudományegyetem&quot;&gt;PTE&lt;/span&gt;/&lt;span title=&quot;Általános Orvostudományi Kar&quot;&gt;ÁOK&lt;/span&gt;/II. sz. Belgyógyászati Klinika és Nephrológiai, Diabetológiai Centrum&lt;/span&gt;
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10080246&quot;&gt;&lt;a 
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							&lt;span class=&quot;author-name&quot; &gt;Nagy Dávid
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10028053&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10028053&quot; target=&quot;_blank&quot;&gt;Surján György
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis Egyetem&quot;&gt;SE&lt;/span&gt;/&lt;span title=&quot;Egészségügyi Közszolgálati Kar&quot;&gt;EKK&lt;/span&gt;/Digitális Egészségtudományi Intézet&lt;/span&gt;
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							&lt;span class=&quot;author-name&quot; &gt;Surján Orsolya
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10021022&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10021022&quot; target=&quot;_blank&quot;&gt;Nagy Péter
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Nagy Péter&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Biokémia&lt;/span&gt;)
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&lt;span class=&quot;author-affil&quot;&gt;Országos Onkológiai Intézet&lt;/span&gt;
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            (&lt;span class=&quot;authorship-author-name&quot;&gt;Kenessey István&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Patológia, onkológia&lt;/span&gt;)
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10064611&quot;&gt;&lt;a 
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            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Demográfia&lt;/span&gt;)
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							&lt;span class=&quot;author-name&quot; &gt;Pálosi Mihály
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							&lt;span class=&quot;author-name&quot; &gt;Müller Cecília
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            &lt;span class=&quot;authorAux-mtmt&quot;&gt; A főbb mortalitásért felelős betegségek epidemi...&lt;/span&gt;)
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				    &lt;/div&gt;
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&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;34538356&quot; target=&quot;_blank&quot;&gt;Effectiveness of SARS-CoV-2 primary vaccines and boosters in patients with type 2 diabetes mellitus in Hungary (HUN-VE 4 Study)&lt;/a&gt;&lt;/div&gt;    &lt;div&gt;		&lt;span class=&quot;journal-title&quot;&gt;BMJ OPEN DIABETES RESEARCH &amp; CARE&lt;/span&gt;

        &lt;span class=&quot;journal-issn&quot;&gt;( &lt;a target=&quot;_blank&quot; href=&quot;https://portal.issn.org/resource/ISSN/2052-4897&quot;&gt;2052-4897&lt;/a&gt;)&lt;/span&gt;:
		&lt;span class=&quot;journal-volume&quot;&gt;12&lt;/span&gt; &lt;span class=&quot;journal-issue&quot;&gt;1&lt;/span&gt;
&lt;span class=&quot;page&quot;&gt;
		Paper e003777.
	 10 p. 
&lt;/span&gt;		 &lt;span class=&quot;year&quot;&gt;(2024)&lt;/span&gt;  
    &lt;/div&gt;
&lt;div class=&quot;pub-footer&quot;&gt;
    

	&lt;span class=&quot;language&quot; xmlns=&quot;http://www.w3.org/1999/html&quot;&gt;Nyelv:
			Angol
		 |  &lt;/span&gt;

	&lt;span class=&quot;identifiers&quot;&gt;
						&lt;span class=&quot;id identifier oa_GOLD&quot; title=&quot;	Gold
&quot;&gt;
							
							&lt;a style=&quot;color:blue&quot; title=&quot;10.1136/bmjdrc-2023-003777&quot; target=&quot;_blank&quot; href=&quot;https://doi.org/10.1136/bmjdrc-2023-003777&quot;&gt;
									DOI
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						&lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt;
							
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									WoS
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						&lt;/span&gt;
						&lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt;
							
							&lt;a style=&quot;color:blue&quot; title=&quot;85183336004&quot; target=&quot;_blank&quot; href=&quot;http://www.scopus.com/record/display.url?origin=inward&amp;eid=2-s2.0-85183336004&quot;&gt;
									Scopus
							&lt;/a&gt;
						&lt;/span&gt;
						&lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt;
							
							&lt;a style=&quot;color:blue&quot; title=&quot;38267204&quot; target=&quot;_blank&quot; href=&quot;http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&amp;db=PubMed&amp;list_uids=38267204&amp;dopt=Abstract&quot;&gt;
									PubMed
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	&lt;OnlyViewableByAuthor&gt;&lt;div class=&quot;ratings&quot;&gt;
				&lt;div class=&quot;journal-subject&quot;&gt;Folyóirat szakterülete: Scopus - Endocrinology, Diabetes and Metabolism&amp;nbsp;&amp;nbsp;&amp;nbsp;SJR indikátor:&amp;nbsp;Q1&lt;/div&gt;
    &lt;/div&gt;&lt;/OnlyViewableByAuthor&gt;


	&lt;div class=&quot;publication-citation&quot; style=&quot;margin-left: 0.5cm;&quot;&gt;
		&lt;span title=&quot;Nyilvános idézőközlemények összesen, említések nélkül&quot; class=&quot;citingPub-count&quot;&gt;Nyilvános idéző összesen: 12&lt;/span&gt;
		| Független: 12
		| Függő: 0
		| Nem jelölt: 0
		| WoS jelölt: 12 
		|  Scopus jelölt:&amp;nbsp;11 
		|  WoS/Scopus jelölt:&amp;nbsp;12 
		|  DOI jelölt:&amp;nbsp;12 
		
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			Idézett közlemények száma: 3
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    &lt;div class=&quot;mtid&quot;&gt;&lt;span class=&quot;long-pub-mtid&quot;&gt;Közlemény: 34538356&lt;/span&gt;
    | &lt;span class=&quot;status-data status-VALIDATED&quot;&gt; 	Egyeztetett
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Forrás	 Idéző
	
	
    | &lt;span class=&quot;type-subtype&quot;&gt;Folyóiratcikk
			( Szakcikk
			
			)
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      		| &lt;span class=&quot;pub-category&quot;&gt;Tudományos&lt;/span&gt;
	| &lt;span class=&quot;publication-sourceOfData&quot;&gt;Bibtex&lt;/span&gt;
&lt;/div&gt;


&lt;div class=&quot;lastModified&quot;&gt;Utolsó módosítás: 2024.02.13. 10:35 Szalóky-Siki Ágnes (SE_KK_Admin5_SZSA, admin)
&lt;/div&gt;




	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: * Megosztott szerzőség&lt;/pre&gt;

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