Evidence map›Paper›PMID 25646883›Full record

Trial reportTransfusion2015

Does offering human immunodeficiency virus testing at the time of blood donation reduce transfusion transmission risk and increase disclosure counseling? Results of a randomized controlled trial, São Paulo, Brazil.

Thelma T Goncalez, Paula F Blatyta, Fernanda M Santos, Sandra Montebello, Sandra P D Esposti, Fatima N Hangai, Nanci A Salles, Alfredo Mendrone, Hong-Ha M Truong, Ester C Sabino and 1 more

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Transfusion, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.6field-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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

11 authors at 5 institutions in 2 countries.

Thelma T GoncalezBlood Systems Research Institute, San Francisco, California.
Paula F BlatytaFundação Pró-Sangue/Hemocentro De São Paulo, São Paulo, Brazil.
Fernanda M SantosFundação Pró-Sangue/Hemocentro De São Paulo, São Paulo, Brazil.
Sandra MontebelloFundação Pró-Sangue/Hemocentro De São Paulo, São Paulo, Brazil.
Sandra P D EspostiFundação Pró-Sangue/Hemocentro De São Paulo, São Paulo, Brazil.
Fatima N HangaiFundação Pró-Sangue/Hemocentro De São Paulo, São Paulo, Brazil.
Nanci A SallesFundação Pró-Sangue/Hemocentro De São Paulo, São Paulo, Brazil.
Alfredo MendroneFundação Pró-Sangue/Hemocentro De São Paulo, São Paulo, Brazil.
Hong-Ha M TruongUniversity of California at San Francisco, San Francisco, California.
Ester C SabinoUniversity of São Paulo, São Paulo, Brazil.
Willi McFarlandUniversity of California at San Francisco, San Francisco, California.
Fundação Pró-Sangue Hemocentro de São Paulo · BRBlood Systems Research Institute · USSan Francisco Department of Public Health · USUniversidade de São Paulo · BRUniversity of California, San Francisco · US

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
Improving blood safety and HIV testing in Brazil: a randomized controlled trialR01HL108704 · NHLBI · VITALANT · PI GONCALEZ, THELMA THEREZINHA · 2011 to 2014
$761k
NHLBI NIH HHS R01 HL108704NIMH NIH HHS P30 MH062246
6 · The paper itself

Abstract

backgroundIn a randomized controlled trial (RCT) in a blood bank in São Paulo, we tested the hypotheses that offering client-centered human immunodeficiency virus (HIV) counseling and testing to blood donors would: 1) reduce the risk of HIV contamination in the blood supply by diverting higher-risk, test-seeking donors away from donation and 2) increase return for results and referrals to care. STUDY DESIGN AND

methodsWe randomly selected weeks between August 2012 and May 2013 when donors were offered HIV counseling and testing (n = 6298), leaving usual procedure weeks as control (n = 5569).

resultsFew candidate donors chose HIV testing (n = 81, 1.3%). There was no significant difference in herpes simplex virus Type 2 (HSV-2) prevalence (a marker of sexual risk) among donors during intervention weeks compared to control (10.4% vs. 11.1%, p = 0.245). No donor choosing testing was HIV infected, and there was no difference in HSV-2 prevalence between testers and donors (9.9% vs. 10.4%, p = 0.887). Returning for positive results did not differ between testers and donors (three of three vs. 58 of 80, p = 0.386). A higher proportion of donors acknowledged that HIV testing was a strong motivation to donate during intervention weeks compared to control (2.6% vs. 2.0%, p = 0.032).

conclusionThe evidence of our RCT is that offering HIV counseling and testing at the time of donation would not change the risk of contamination in the blood supply, nor improve results disclosure and referral to care.

Indexed as

AIDS SerodiagnosisBlood SafetyCounselingTruth DisclosureAdultBiomarkersBlood DonorsBrazilFemaleHealth Knowledge, Attitudes, PracticeHerpes GenitalisHerpesvirus 2, HumanHIV InfectionsHIV SeroprevalenceHumansMaleBiomarkers

Identifiers

PMID25646883
PMCPMC4843840
OpenAlexW2105657891

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.