Evidence map›Paper›PMID 21943026›Full record

Trial reportBMC infectious diseases2011

HIV surveillance in a large, community-based study: results from the pilot study of Project Accept (HIV Prevention Trials Network 043).

Estelle Piwowar-Manning, Agnes Fiamma, Oliver Laeyendecker, Michal Kulich, Deborah Donnell, Greg Szekeres, Laura Robins-Morris, Caroline E Mullis, Ana Vallari, John Hackett and 9 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00203749 (NIMH Project Accept), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
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.

NCT00203749 phase3completednot on this map

NIMH Project Accept: A Phase III Randomized Controlled Trial of Community Mobilization, Mobile Testing, Same-Day Results, and Post-Test Support for HIV in Sub-Saharan Africa and Thailand

TypeinterventionalSponsorUniversity of California, Los AngelesRan2004 to 2011Enrolled192,814ConditionsHIV InfectionsArmsCommunity-Based HIV VCT, Standard clinic-based VCT
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Performance of the fourth-generation Bio-Rad GS HIV Combo Ag/Ab enzyme immunoassay for diagnosis of HIV infection in Southern Africa.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2015
    Article
  4. Article
  5. 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

19 authors at 14 institutions in 7 countries.

Estelle Piwowar-ManningDept. of Pathology, Johns Hopkins Univ, School of Medicine, Baltimore, MD, USA.
Agnes Fiamma
Oliver Laeyendecker
Michal Kulich
Deborah Donnell
Greg Szekeres
Laura Robins-Morris
Caroline E Mullis
Ana Vallari
John Hackett
Timothy D Mastro
Glenda Gray
Linda Richter
Michel W Alexandre
Suwat Chariyalertsak
Alfred Chingono
Michael Sweat
Thomas Coates
Susan H Eshleman
University of California, Los Angeles · USAbbott Fund · USFred Hutch Cancer Center · USJohns Hopkins Medicine · USCharles University · CZChiang Mai University · THChris Hani Baragwanath Hospital · ZAFamily Health International 360 · USHuman Sciences Research Council · ZAJohns Hopkins University · USMedical University of South Carolina · USMuhimbili University of Health and Allied Sciences · TZNational Institute on Drug Abuse · USUniversity of Zimbabwe · ZW

Funding

LC: HIV Prevention Trials Network - Laboratory Support for the SARS-CoV-2 Seroprevalence Study (CoVPN 5002)UM1AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SUSAN H ESHLEMAN, Mark A Marzinke · 2011 to 2026
$100.2M
HIV Prevention trials Network (HPTN) Coordinating and Operations CenterU01AI068619 · NIAID · FAMILY HEALTH INTERNATIONAL · PI VERMUND, STEN H. · 2006 to 2010
$72.7M
Leadership for HIV/AIDS Clinical Trials Networks; HIV Prevention Trials NetworkU01AI068617 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DONNELL, DEBORAH J · 2006 to 2010
$28.8M
Community-Based HIV VCT: South AfricaU01MH066701 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI COATES, THOMAS J. · 2003 to 2010
$24.3M
HIV Prevention Trials Network: Network LaboratoryU01AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI ESHLEMAN, SUSAN H · 2006 to 2010
$16.5M
International Studies of the Acquired Immune Deficiency Syndrome (AIDS)ZIAAI000361 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI REDD, ANDREW · 2009 to 2025
$15.8M
Community-Based VCT: ZimbabweU01MH066702 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MORIN, STEPHEN F · 2003 to 2010
$13.4M
Community-Based VCT: TanzaniaU01MH066688 · NIMH · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SWEAT, MICHAEL D · 2003 to 2010
$11.7M
Community-Based VCT: ThailandU01MH066687 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CELENTANO, DAVID D. · 2003 to 2010
$9.8M
Intramural NIH HHSNIAID NIH HHS U01AI068613NIAID NIH HHS U01AI068617NIAID NIH HHS U01AI068619NIAID NIH HHS UM1AI068613NIMH NIH HHS U01MH066687NIMH NIH HHS U01MH066688NIMH NIH HHS U01MH066701NIMH NIH HHS U01MH066702
6 · The paper itself

Abstract

backgroundProject Accept is a community randomized, controlled trial to evaluate the efficacy of community mobilization, mobile testing, same-day results, and post-test support for the prevention of HIV infection in Thailand, Tanzania, Zimbabwe, and South Africa. We evaluated the accuracy of in-country HIV rapid testing and determined HIV prevalence in the Project Accept pilot study.

methodsTwo HIV rapid tests were performed in parallel in local laboratories. If the first two rapid tests were discordant (one reactive, one non-reactive), a third HIV rapid test or enzyme immunoassay was performed. Samples were designated HIV NEG if the first two tests were non-reactive, HIV DISC if the first two tests were discordant, and HIV POS if the first two tests were reactive. Samples were re-analyzed in the United States using a panel of laboratory tests.

resultsHIV infection status was correctly determined based on-in country testing for 2,236 (99.5%) of 2,247 participants [7 (0.37%) of 1,907 HIV NEG samples were HIV-positive; 2 (0.63%) of 317 HIV POS samples were HIV-negative; 2 (8.3%) of 24 HIV DISC samples were incorrectly identified as HIV-positive based on the in-country tie-breaker test]. HIV prevalence was: Thailand: 0.6%, Tanzania: 5.0%, Zimbabwe 14.7%, Soweto South Africa: 19.4%, Vulindlela, South Africa: 24.4%, (overall prevalence: 14.4%).

conclusionsIn-country testing based on two HIV rapid tests correctly identified the HIV infection status for 99.5% of study participants; most participants with discordant HIV rapid tests were not infected. HIV prevalence varied considerably across the study sites (range: 0.6% to 24.4%).

trial registrationClinicalTrials.gov registry number NCT00203749.

Indexed as

AdolescentAdultAfricaClinical Laboratory TechniquesDisease Transmission, InfectiousFemaleHIV InfectionsHumansMalePilot ProjectsPopulation SurveillanceThailandYoung Adult

Identifiers

PMID21943026
PMCPMC3198953
OpenAlexW2100365741

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.