A recent cohort study consisting of over 700,000 Medicare patients over 65 years old evaluated the effectiveness of the herpes zoster (shingles) vaccine .  Vaccination was associated with a 48% reduction in the incidence of shingles and a 59% reduction in the incidence of post-herpetic neuralgia that is often associated with shingles.  One major limitation was that only 3.9% of the subjects were vaccinated.  How often do older patients ask about the shingles vaccine? Based on this data, will you recommend that elderly patients receive the shingles vaccine?

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