Evidence map›Paper›PMID 25317221›Full record

ArticleThe open AIDS journal2014

Male Circumcision and HIV Transmission; What Do We Know?

Parana H M Jayathunge, William J H McBride, David MacLaren, John Kaldor, Andrew Vallely, Stuart Turville

Open access · hybridAbstract read
In one paragraph

Article in The open AIDS journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

6 authors at 3 institutions in 1 country.

Parana H M JayathungeCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.
William J H McBrideCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.
David MacLarenCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.
John KaldorThe Kirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
Andrew VallelyThe Kirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
Stuart TurvilleThe Kirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
James Cook University · AUUNSW Sydney · AUNew South Wales Institute of Psychiatry · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Male circumcision (MC) has been shown to be protective against heterosexual HIV transmission and is being explored in some parts of the world as a means of combating the epidemic. The World Health Organization (WHO) recommends that MC be considered as an important component of HIV prevention in high prevalence settings. We review evidence that demonstrates that the inner foreskin is likely to be the main portal of entry for the HIV virus in males. Whether removal of the inner foreskin accounts for all the protection afforded by circumcision is yet to be established. The proposed mechanisms of protection range from inherent immunohistological factors of foreskin such as difference in thickness of keratin layer and density of target cells for HIV between inner and outer foreskin to physiological mechanisms that follow male circumcision such as drying of secretions underneath foreskin after sexual intercourse, loss of microbiome that attract target cells to the genital mucosa and lack of priming the genital mucosa with less abundant sexual transmitted infections among circumcised men. The aim of this review is to give an updated account on the mechanisms proposed so far on the demonstrated 50-70% protection from HIV transmission through heterosexual intercourse, by male circumcision.

Indexed as

CircumcisionforeskinHIV transmissionimmune cellskeratin layer.

Identifiers

PMID25317221
PMCPMC4192839
OpenAlexW1746838500

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.