Evidence map›Paper›PMID 25290584›Full record

ArticleScandinavian journal of infectious diseases2014

Delayed HIV diagnosis common in Sweden, 2003-2010.

Katarina Widgren, Helena Skar, Torsten Berglund, Anna-Maria Kling, Anders Tegnell, Jan Albert

Abstract read
In one paragraph

Article in Scandinavian journal of infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Katarina WidgrenFrom the 1 Department for Monitoring and Evaluation, Public Health Agency of Sweden , Solna , Sweden *
Helena Skar
Torsten Berglund
Anna-Maria Kling
Anders Tegnell
Jan Albert

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly diagnosis of HIV is important for the prognosis of individual patients, because antiretroviral treatment can be started at the appropriate time, and for public health, because transmission can be prevented.

methodsData were collected from 767 HIV patients who were diagnosed in Sweden during 2003-2010 and were infected in Sweden or born in Sweden and infected abroad. A recent infection testing algorithm (RITA) was applied to BED-EIA test results (OD-n < 0.8), CD4 counts (≥ 200 cells/μl), and clinical information. A recent infection classification was used as indicator for early diagnosis. Time trends in early diagnosis were investigated to detect population changes in HIV testing behavior. Patients with early diagnosis were compared to patients with delayed diagnosis with respect to age, gender, transmission route, and country of infection (Sweden or abroad).

resultsEarly diagnosis was observed in 271 patients (35%). There was no statistically significant time trend in the yearly percentage of patients with early diagnosis in the entire study group (p = 0.836) or in subgroups. Early diagnosis was significantly more common in men who have sex men (MSM) (45%) than in heterosexuals (21%) and injecting drug users (27%) (p < 0.001 and p = 0.001, respectively) in both univariate and multivariable analyses. The only other factor that remained associated with early diagnosis in multivariable analysis was young age group.

conclusionApproximately one-third of the study patients were diagnosed early with no significant change over time. Delayed HIV diagnosis is a considerable problem in Sweden, which does not appear to diminish.

Indexed as

AdultAgedCD4 Lymphocyte CountDelayed DiagnosisDrug UsersFemaleHeterosexualityHIV-1HIV InfectionsHomosexuality, MaleHumansLogistic ModelsMaleMiddle AgedRisk FactorsSex Factorsdelayed diagnosisHIVimmunoassayrisk factorstrends

Identifiers

PMID25290584
PMCPMC4266095

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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.