Evidence map›Paper›PMID 24031999›Full record

ArticlePoint of care2012

Patients Can Accurately Perform Their Own Rapid HIV Point-of-Care Test in the Emergency Department.

Samah Nour, Yu-Hsiang Hsieh, Richard E Rothman, Mary Jett-Goheen, Ophelia Langhorne, Lan Wu, Stephen Peterson, Charlotte A Gaydos

Registry-linked trialAbstract read
In one paragraph

Article in Point of care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03021005 (Provision of HIV Self-Test Kit to Increase Uptake of HIV Testing Among Emergency Department Patients Who Decline Emergency Department-Based HIV Screening.), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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.

NCT03021005 nacompletednot on this mapstarted 2016, after this paper: background citation

Provision of HIV Self-Test Kit to Increase Uptake of HIV Testing Among Emergency Department Patients Who Decline Emergency Department-Based HIV Screening.

TypeinterventionalSponsorJohns Hopkins UniversityRan2016 to 2020Enrolled200ConditionsHIV InfectionsArmsHIV Self-testing
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Acceptability and uptake of HIV self-testing in emergency care settings: A systematic review and meta-analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. "Take an HIV Test Kit Home": A Pilot Randomized Controlled Trial Among HIV High-risk Urban ED Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Arguments for and against HIV self-testing.HIV/AIDS (Auckland, N.Z.) · 2014
    Review
  16. 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

8 authors.

Samah NourDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD.
Yu-Hsiang Hsieh
Richard E Rothman
Mary Jett-Goheen
Ophelia Langhorne
Lan Wu
Stephen Peterson
Charlotte A Gaydos

Funding

TrainingU54EB007958 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI Yukari C Manabe · 2007 to 2026
$34.6M
HIV Prevention Trials Network: Network LaboratoryU01AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI ESHLEMAN, SUSAN H · 2006 to 2010
$16.5M
NIAID NIH HHS U01 AI068613NIBIB NIH HHS U54 EB007958
6 · The paper itself

Abstract

objectiveThe objective of this study was to evaluate the feasibility, acceptability, and accuracy of having emergency department (ED) patients perform a rapid, point-of-care (POC) self-test for HIV before routine HIV testing.

methodsPatients aged 18 to 65 years were recruited to perform a rapid POC HIV oral fluid at The Johns Hopkins ED in conjunction with the standard-of-care HIV POC test. Acceptability and ease of use were assessed by a questionnaire.

resultsA total of 259 patients were approached for testing, and 249 (96.1%) consented to perform a self POC HIV test. Of patients performing a self-test, 100% had concordant results with those obtained by the health care worker. Four females (1.6%) were newly identified as HIV positive. Median participant age was 41 years, and 58% of patients were female; 83% were African American, and 16% were white. Overall, greater than 90% of patients reported trust of the test results, ease of testing, and willingness to test again. Approximately 35% of patients indicated they would pay up to a maximum price of $30 for testing. Overall, 46.9% of patients preferred self-testing, and 39.5% preferred health care professional testing. Regarding preferred location for testing, 51.0% preferred home self-testing, 39.5% preferred clinic/ED self-testing (

conclusionsA significant proportion of patients offered POC testing in the ED agreed to perform a self-HIV test. Patients' results were concordant with those obtained by the health care worker; 1.6% were HIV positive. The majority of participants believed the veracity of their results. A greater number of patients preferred self-testing.

Indexed as

emergency departmentHIVoral fluid HIV testpoint-of-care testself-testing

Identifiers

PMID24031999
PMCPMC3769219

What OpenQuestion holds

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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.