Evidence map›Paper›PMID 22421693›Full record

Trial reportSexually transmitted diseases2012

The effect of medical male circumcision on urogenital Mycoplasma genitalium among men in Kisumu, Kenya.

Supriya D Mehta, Charlotte Gaydos, Ian Maclean, Elijah Odoyo-June, Stephen Moses, Lawrence Agunda, Nicole Quinn, Robert C Bailey

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Sexually transmitted diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Prevalence ofSexually transmitted infections · 2018
    Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Canadian Urological Association guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants (full version).Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2018
    Article
  14. Article
  15. Article
  16. Infection and drug resistance · 2017
    Review
  17. Article
  18. Review
  19. Article
  20. Review
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

8 authors at 5 institutions in 3 countries.

Supriya D MehtaDivision of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Chicago, IL, USA. supriyad@uic.edu
Charlotte Gaydos
Ian Maclean
Elijah Odoyo-June
Stephen Moses
Lawrence Agunda
Nicole Quinn
Robert C Bailey
Johns Hopkins University · USUniversitas Islam Majapahit · IDUniversity of Manitoba · CAChicago Department of Public Health · USUniversity of Illinois Chicago · US

Funding

HIV Prevention Trials Network: Network LaboratoryU01AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI ESHLEMAN, SUSAN H · 2006 to 2010
$16.5M
Trial of Male Circumcision to Reduce HIV IncidenceU01AI050440 · NIAID · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BAILEY, ROBERT CONVERSE · 2001 to 2009
$14.7M
Research Infrastructure for the Hopkins Population CenterR24HD042854 · NICHD · JOHNS HOPKINS UNIVERSITY · PI CHERLIN, ANDREW J · 2003 to 2017
$5.1M
CIHRNIAID NIH HHS AI50440NIAID NIH HHS AI50440-SNIAID NIH HHS U01 AI050440NIAID NIH HHS U01 AI068613NICHD NIH HHS R24 HD042854PHS HHS HCT 44180
6 · The paper itself

Abstract

backgroundWe determined the prevalence of urethral Mycoplasma genitalium (MG) infection and whether infection was associated with circumcision status among men enrolled in the randomized trial of medical male circumcision to prevent HIV acquisition in Kisumu, Kenya.

methodsMG and Trichomonas vaginalis were detected in first void urine by APTIMA transcription-mediated amplification assay. first void urine and urethral swabs were assessed for Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) by polymerase chain reaction assay. Herpes simplex virus type 2 antibodies were detected by IgG ELISA. Multivariable logistic regression identified factors associated with MG infection.

resultsSpecimens were collected between July and September 2010, and 52 (9.9%; 95% confidence interval [CI]: 7.3%-12.4%) MG infections were detected among 526 men. N. gonorrhoeae and T. vaginalis were not associated with MG. CT coinfection was 5.8% in MG-infected men, and 0.8% among MG-uninfected men (P = 0.02). MG infection was predominantly asymptomatic (98%). The prevalence of MG was 13.4% in uncircumcised men versus 8.2% in circumcised men (P = 0.06). Being circumcised nearly halved the odds of MG (adjusted odds ratio [aQR] = 0.54; 95% CI: 0.29-0.99), adjusted for other variables significant at the P < 0.05 level: herpes simplex virus type 2 infection (aOR = 2.05; 95% CI: 1.05-4.00), CT infection (aOR = 2.69; 95% CI: 1.44-5.02), and washing the penis ≤1 hour after sex (aOR = 0.47; 95% CI: 0.24-0.95).

conclusionsMG infection was reduced among men who were circumcised, adding to the benefits of male circumcision in preventing several sexually transmitted infections.

Indexed as

Circumcision, MaleMycoplasma genitaliumAdolescentChlamydia InfectionsCoinfectionEnzyme-Linked Immunosorbent AssayFollow-Up StudiesHerpes GenitalisHIV SeropositivityHumansKenyaLogistic ModelsMaleMultivariate AnalysisMycoplasma InfectionsPolymerase Chain Reaction

Identifiers

PMID22421693
PMCPMC3306596
OpenAlexW2094698870

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.