Evidence map›Paper›PMID 21981109›Full record

ArticleTransfusion2012

Human immunodeficiency virus prevalence, incidence, and residual risk of transmission by transfusions at Retrovirus Epidemiology Donor Study-II blood centers in Brazil.

Ester C Sabino, Thelma T Gonçalez, Anna Bárbara Carneiro-Proietti, Moussa Sarr, João Eduardo Ferreira, Divaldo A Sampaio, Nanci A Salles, David J Wright, Brian Custer, Michael Busch and 1 more

Abstract read
In one paragraph

Article in Transfusion, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
16.0field-weighted citation impact, top 1% 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.

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

30 citing papers in PubMed, 64 citations in OpenAlex.

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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

11 authors at 5 institutions in 2 countries.

Ester C SabinoPró-Sangue Foundation, São Paulo, Brazil. sabinoec@usp.br
Thelma T Gonçalez
Anna Bárbara Carneiro-Proietti
Moussa Sarr
João Eduardo Ferreira
Divaldo A Sampaio
Nanci A Salles
David J Wright
Brian Custer
Michael Busch
NHLBI Retrovirus Epidemiology Donor Study-II (REDS-II), International Component
Blood Systems Research Institute · USFundação Hemopa · BRHospital Universitário da Universidade de São Paulo · BRFundação Centro de Hematologia e Hemoterapia de Minas Gerais · BRWestat (United States) · US

Funding

NHLBI NIH HHS HHSN268200417175C
6 · The paper itself

Abstract

backgroundIn Brazil nationally representative donor data are limited on human immunodeficiency virus (HIV) prevalence, incidence, and residual transfusion risk. The objective of this study was to analyze HIV data obtained over 24 months by the Retrovirus Epidemiology Donor Study-II program in Brazil. STUDY DESIGN AND

methodsDonations reactive to third- and fourth-generation immunoassays (IAs) were further confirmed by a less-sensitive (LS) IA algorithm and Western blot (WB). Incidence was calculated for first-time (FT) donors using the LS-EIA results and for repeat donors with a model developed to include all donors with a previous negative donation. Residual risk was projected by multiplying composite FT and repeat donor incidence rates by HIV marker-negative infectious window periods.

resultsHIV prevalence among FT donors was 92.2/10(5) donations. FT and repeat donor and composite incidences were 38.5 (95% confidence interval [CI], 25.6-51.4), 22.5 (95% CI, 17.6-28.0), and 27.5 (95% CI, 22.0-33.0) per 100,000 person-years, respectively. Male and community donors had higher prevalence and incidence rates than female and replacement donors. The estimated residual risk of HIV transfusion transmission was 11.3 per 10(6) donations (95% CI, 8.4-14.2), which could be reduced to 4.2 per 10(6) donations (95% CI, 3.2-5.2) by use of individual-donation nucleic acid testing (NAT).

conclusionThe incidence and residual transfusion risk of HIV infection are relatively high in Brazil. Implementation of NAT will not be sufficient to decrease transmission rates to levels seen in the United States or Europe; therefore, other measures focused on decreasing donations by at-risk individuals are also necessary.

Indexed as

Blood DonorsTransfusion ReactionAdultAgedBrazilFemaleHIV InfectionsHumansIncidenceMaleMiddle AgedPrevalenceRisk

Identifiers

PMID21981109
PMCPMC3257370
OpenAlexW1908573361

What OpenQuestion holds

Textmetadata
LicenceTDM
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.