{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:00:28Z","timestamp":1792119628688,"version":"4.4.0"},"reference-count":35,"publisher":"The Endocrine Society","issue":"5","license":[{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003196","name":"Italian Ministry of Health","doi-asserted-by":"publisher","award":["RF-2021-12372897"],"award-info":[{"award-number":["RF-2021-12372897"]}],"id":[{"id":"10.13039\/501100003196","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Italian Ministry of University and Research","award":["2022JY9CP"],"award-info":[{"award-number":["2022JY9CP"]}]},{"name":"Italian Ministry of University Research","award":["20229ZA2YF"],"award-info":[{"award-number":["20229ZA2YF"]}]},{"name":"Italian Ministry of University Research","award":["2022NH9MXB"],"award-info":[{"award-number":["2022NH9MXB"]}]},{"name":"Italian Ministry of University Research","award":["20225HWJMB"],"award-info":[{"award-number":["20225HWJMB"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Type 1 (T1D) and type 2 diabetes (T2D) are associated with an elevated incidence of infectious diseases and a higher risk of infections-related hospitalization and death.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>In this study, we delineated the \u201cvaccinome\u201d landscape obtained with a large immunization schedule offered by the Regional Government of Lombardy in a cohort of 618 396 patients with diabetes (T1D and T2D).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Between September 2021 and September 2022, immunization coverage for influenza, meningococcus, pneumococcus, and herpes zoster was obtained from the public computerized registry of the health care system of Lombardy Region (Italy) in 618 396 patients with diabetes and in 9 534 087 subjects without diabetes. Type of diabetes, age, mortality, and hospitalizations were retrospectively analyzed in vaccinated and unvaccinated patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among patients with diabetes (T1D and T2D), 44.6% received the influenza vaccine, 10.9% the pneumococcal vaccine, 2.5% the antimeningococcus vaccine, and 0.7% the antizoster vaccine. Patients with diabetes immunized for influenza, zoster, and meningococcus showed a 2-fold overall reduction in mortality risk and a decrease in hospitalizations. A 3-fold lower risk of mortality and a decrease in hospitalizations for both cardiac and pulmonary causes were also observed after influenza, zoster, and meningococcus immunization in older patients with diabetes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Immunization coverage is still far from the recommended targets in patients with diabetes. Despite this, influenza vaccination protected nearly 3800 per 100 000 patients with diabetes from risk of death. The overall impressive decrease in mortality and hospitalizations observed in vaccinated patients strengthens the need for scaling up the \u201cvaccinome\u201d landscape in patients with diabetes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1210\/clinem\/dgae476","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T01:04:23Z","timestamp":1721437463000},"page":"e1590-e1597","source":"Crossref","is-referenced-by-count":6,"title":["Vaccinome Landscape in Nearly 620 000 Patients With Diabetes"],"prefix":"10.1210","volume":"110","author":[{"given":"Francesca","family":"D\u2019Addio","sequence":"first","affiliation":[{"name":"Division of Endocrinology, ASST Fatebenefratelli-Sacco , 20157 Milan ,","place":["Italy"]},{"name":"International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Lazzaroni","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, ASST Fatebenefratelli-Sacco , 20157 Milan ,","place":["Italy"]},{"name":"International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Elena","family":"Lunati","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, ASST Fatebenefratelli-Sacco , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Preziosi","sequence":"additional","affiliation":[{"name":"ARIA S.p.A. (The Innovation and Procurement Regional Company of Regione Lombardia) , 20124 Milano, Lombardia ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Ercolanoni","sequence":"additional","affiliation":[{"name":"ARIA S.p.A. (The Innovation and Procurement Regional Company of Regione Lombardia) , 20124 Milano, Lombardia ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio","family":"Turola","sequence":"additional","affiliation":[{"name":"ARIA S.p.A. (The Innovation and Procurement Regional Company of Regione Lombardia) , 20124 Milano, Lombardia ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Marrocu","sequence":"additional","affiliation":[{"name":"Postgraduate School in Public Health, Department of Biomedical Sciences for Health, University of Milan , 20133 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Cicconi","sequence":"additional","affiliation":[{"name":"Postgraduate School in Public Health, Department of Biomedical Sciences for Health, University of Milan , 20133 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudwaric","family":"Sharma","sequence":"additional","affiliation":[{"name":"Postgraduate School in Public Health, Department of Biomedical Sciences for Health, University of Milan , 20133 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simona","family":"Scarioni","sequence":"additional","affiliation":[{"name":"Postgraduate School in Public Health, Department of Biomedical Sciences for Health, University of Milan , 20133 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Montefusco","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, ASST Fatebenefratelli-Sacco , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ida","family":"Pastore","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, ASST Fatebenefratelli-Sacco , 20157 Milan ,","place":["Italy"]},{"name":"International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola Silvia","family":"Morpurgo","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, ASST Fatebenefratelli-Sacco , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Rossi","sequence":"additional","affiliation":[{"name":"International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]},{"name":"IRCCS Ospedale Galeazzi\u2014Sant\u2019Ambrogio , Internal Medicine, 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Gandolfi","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, ASST Fatebenefratelli-Sacco , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Tinari","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, ASST Fatebenefratelli-Sacco , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giada","family":"Rossi","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, ASST Fatebenefratelli-Sacco , 20157 Milan ,","place":["Italy"]},{"name":"International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moufida","family":"Ben Nasr","sequence":"additional","affiliation":[{"name":"International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian","family":"Loretelli","sequence":"additional","affiliation":[{"name":"International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta Maria","family":"Fiorina","sequence":"additional","affiliation":[{"name":"International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baldassarre","family":"Grassa","sequence":"additional","affiliation":[{"name":"U.O.S. Diabetologia ASST Lariana , P.O. Mariano Comense, CO 22066 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Terranova","sequence":"additional","affiliation":[{"name":"Division of Diabetology, Niguarda Hospital , 20162 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loredana","family":"Bucciarelli","sequence":"additional","affiliation":[{"name":"International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]},{"name":"IRCCS MultiMedica Sesto San Giovanni , 20099 Milano ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesare","family":"Berra","sequence":"additional","affiliation":[{"name":"IRCCS MultiMedica Sesto San Giovanni , 20099 Milano ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danilo","family":"Cereda","sequence":"additional","affiliation":[{"name":"Directorate General for Health , 20124 Milano, Lombardia ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianvincenzo","family":"Zuccotti","sequence":"additional","affiliation":[{"name":"Buzzi Children's Hospital, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catia Rosanna","family":"Borriello","sequence":"additional","affiliation":[{"name":"Directorate General for Health , 20124 Milano, Lombardia ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1093-7724","authenticated-orcid":false,"given":"Paolo","family":"Fiorina","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, ASST Fatebenefratelli-Sacco , 20157 Milan ,","place":["Italy"]},{"name":"International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano , 20157 Milan ,","place":["Italy"]},{"name":"Nephrology Division, Boston Children's Hospital, Harvard Medical School , Boston, MA 02115 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"80","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"issue":"2","key":"2025042208270130900_dgae476-B1","doi-asserted-by":"crossref","first-page":"510","DOI":"10.2337\/diacare.26.2.510","article-title":"Quantifying the risk of infectious diseases for people with diabetes","volume":"26","author":"Shah","year":"2003","journal-title":"Diabetes Care"},{"issue":"3","key":"2025042208270130900_dgae476-B2","doi-asserted-by":"crossref","first-page":"513","DOI":"10.2337\/dc17-2131","article-title":"Risk of infection in type 1 and type 2 diabetes compared with the general population: a matched cohort study","volume":"41","author":"Carey","year":"2018","journal-title":"Diabetes Care"},{"issue":"7","key":"2025042208270130900_dgae476-B3","doi-asserted-by":"crossref","first-page":"1274","DOI":"10.2337\/dc14-2820","article-title":"Excess risk of dying from infectious causes in those with type 1 and type 2 diabetes","volume":"38","author":"Magliano","year":"2015","journal-title":"Diabetes Care"},{"issue":"12","key":"2025042208270130900_dgae476-B4","doi-asserted-by":"crossref","first-page":"2999","DOI":"10.2337\/dc20-1521","article-title":"Sitagliptin treatment at the time of hospitalization was associated with reduced mortality in patients with type 2 diabetes and COVID-19: a multicenter, case-control, retrospective, observational study","volume":"43","author":"Solerte","year":"2020","journal-title":"Diabetes Care"},{"issue":"38","key":"2025042208270130900_dgae476-B5","doi-asserted-by":"crossref","first-page":"5095","DOI":"10.1016\/j.vaccine.2017.07.095","article-title":"Benefits of flu vaccination for persons with diabetes mellitus: a review","volume":"35","author":"Goeijenbier","year":"2017","journal-title":"Vaccine"},{"issue":"aug23 1","key":"2025042208270130900_dgae476-B6","doi-asserted-by":"crossref","first-page":"f5061","DOI":"10.1136\/bmj.f5061","article-title":"Populations at risk for severe or complicated influenza illness: systematic review and meta-analysis","volume":"347","author":"Mertz","year":"2013","journal-title":"BMJ"},{"issue":"6","key":"2025042208270130900_dgae476-B7","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1016\/j.numecd.2023.03.016","article-title":"Influenza: diabetes as a risk factor for severe related-outcomes and the effectiveness of vaccination in diabetic population. 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