Evidence map›Paper›PMID 25389806›Full record

ReviewCurrent opinion in HIV and AIDS2015

How can we better identify early HIV infections?

Nora E Rosenberg, Christopher D Pilcher, Michael P Busch, Myron S Cohen

Abstract readReview
In one paragraph

Review in Current opinion in HIV and AIDS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 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.

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

46 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Analytical and Clinical Performance of VIDASDiagnostics (Basel, Switzerland) · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. HIV-1 testing in the context of expanding PrEP modalities.Journal of the International AIDS Society · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Significance of initiating antiretroviral therapy in the early stage of HIV infection.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2022
    Article
  16. Evaluation of serological assays for the diagnosis of HIV infection in adults.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
    Article
  17. Minor and major circRNAs in virus and host genomes.Journal of microbiology (Seoul, Korea) · 2021
    Review
  18. Review
  19. Article
  20. 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

4 authors.

Nora E RosenbergaDivision of Infectious Diseases, University of North Carolina, Chapel Hill, USA bUniversity of North Carolina Project, University of North Carolina, Lilongwe, Malawi cSchool of Medicine, University of California at San Francisco dBlood Systems Research Institute, San Francisco, California, USA.
Christopher D Pilcher
Michael P Busch
Myron S Cohen

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Fogarty Global Health Fellows Coordinating CenterR25TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHI, BENJAMIN H. · 2012 to 2016
$6.9M
A Pilot of Intervention to Promote Acute HIV Testing by Ambulatory Care ProvidersR34MH096606 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PILCHER, CHRISTOPHER D · 2012 to 2014
$693k
FIC NIH HHS R25 TW009340NIAID NIH HHS P30 AI050410NIAID NIH HHS P30 AI50410NIMH NIH HHS R34 MH096606NIMH NIH HHS R34MH096606
6 · The paper itself

Abstract

purpose of reviewDetection of early HIV infections (EHIs), including acute HIV infection (AHI), is important for individual health, prevention of HIV transmission, and measurement of HIV incidence. We describe markers of EHI, diagnostic strategies for detecting these markers, and ways to incorporate these strategies into diagnostic and HIV incidence algorithms. RECENT

findingsFor individual diagnosis in the USA and Europe, laboratory-based diagnostic algorithms increasingly incorporate fourth-generation HIV antigen tests, allowing for earlier detection. In some sub-Saharan African settings, symptom-based screening is being explored to identify subsets of persons at high risk for AHI. Point-of-care diagnostics designed for AHI detection are in the pipeline and, if validated, represent an opportunity for real-time AHI diagnosis. At the population level, multiassay algorithms are promising new strategies for estimating HIV incidence on the basis of several assays applied to cross-sectional samples. These algorithms can be developed to optimize performance, in addition to cost and logistical considerations. SUMMARY: There are important recent advances in detection of EHIs at the individual and population levels. Applying optimal combinations of tests in diagnostic and HIV incidence algorithms is urgently needed to support the multiple goals derived from enhanced detection and discrimination of EHIs.

Indexed as

AlgorithmsBiomarkersDelivery of Health CareEarly DiagnosisHIV InfectionsHumansPoint-of-Care SystemsBiomarkers

Identifiers

PMID25389806
PMCPMC4490585

What OpenQuestion holds

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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.