Evidence map›Paper›PMID 21545296›Full record

ArticleAIDS patient care and STDs2011

Testing and linkage to care outcomes for a clinician-initiated rapid HIV testing program in an urban emergency department.

Katerina A Christopoulos, Beth Kaplan, David Dowdy, Barbara Haller, Patricia Nassos, Marguerite Roemer, Teri Dowling, Diane Jones, C Bradley Hare

Abstract read
In one paragraph

Article in AIDS patient care and STDs, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Linkage-to-care Methods and Rates in U.S. Emergency Department-based HIV Testing Programs: A Systematic Literature Review Brief Report.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016
    Pooled it
  3. Pooled it
  4. Randomized comparison of universal and targeted HIV screening in the emergency department.Journal of acquired immune deficiency syndromes (1999) · 2013
    Trial
  5. Article
  6. Article
  7. Article
  8. Targeted HIV screening in the emergency department.Internal and emergency medicine · 2021
    Review
  9. Article
  10. Review
  11. Article
  12. Black:White Disparities in HIV Mortality in the United States: 1990-2009.Journal of racial and ethnic health disparities · 2016
    Article
  13. Article
  14. A review of Human Immunodeficiency Virus (HIV) rapid testing.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2014
    Article
  15. Article
  16. Review
  17. Article
  18. Linkage to HIV care in San Francisco: implications of measure selection.Journal of acquired immune deficiency syndromes (1999) · 2013
    Article
  19. Article
  20. Accuracy of definitions for linkage to care in persons living with HIV.Journal of acquired immune deficiency syndromes (1999) · 2013
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Katerina A ChristopoulosHIV/AIDS Division, San Francisco General Hospital, University of California San Francisco, USA. christopoulosk@php.ucsf.edu
Beth Kaplan
David Dowdy
Barbara Haller
Patricia Nassos
Marguerite Roemer
Teri Dowling
Diane Jones
C Bradley Hare

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Training in HIV Translational ResearchT32AI060530 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Diane V Havlir · 2005 to 2026
$6.4M
Optimizing Rapid and Full Engagement in Care for Persons with Newly Diagnosed HIVK23MH092220 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHRISTOPOULOS, KATERINA A · 2010 to 2013
$635k
NCHHSTP CDC HHS PS07-768NCRR NIH HHS UL1 RR024131NIAID NIH HHS T32AI60530NIMH NIH HHS K23 MH092220NIMH NIH HHS K23 MH092220-01
6 · The paper itself

Abstract

The urban emergency department is an important site for the detection of HIV infection. Current research has focused on strategies to increase HIV testing in the emergency department. As more emergency department HIV cases are identified, there need to be well-defined systems for linkage to care. We conducted a retrospective study of rapid HIV testing in an urban public emergency department and level I trauma center from June 1, 2008, to March 31, 2010. The objectives of this study were to evaluate the increase in the number of tests and new HIV diagnoses resulting from the addition of targeted testing to clinician-initiated diagnostic testing, describe the demographic and clinical characteristics of patients with newly diagnosed HIV infection, and assess the effectiveness of an HIV clinic based linkage to care team. Of 96,711 emergency department visits, there were 5340 (5.5%) rapid HIV tests performed, representing 4827 (91.3%) unique testers, of whom 62.4% were male and 60.8% were from racial/ethnic minority groups. After the change in testing strategy, the median number of tests per month increased from 114 to 273 (p=0.004), and the median number of new diagnoses per month increased from 1.5 to 4 (p=0.01). From all tests conducted, there were 65 new diagnoses of HIV infection (1.2%, 95% confidence interval [CI] 0.9%, 1.5%). The linkage team connected over 90% of newly diagnosed and out-of-care HIV-infected patients to care. In summary, the addition of targeted testing to diagnostic testing increased new HIV case identification, and an HIV clinic-based team was effective at linkage to care.

Indexed as

Delivery of Health CareAdolescentAdultAgedEmergency Service, HospitalFemaleHIV InfectionsHumansMaleMiddle AgedRetrospective StudiesSan FranciscoTime FactorsUrban PopulationYoung Adult

Identifiers

PMID21545296
PMCPMC3125572

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.