Evidence map›Paper›PMID 26738795›Full record

ArticleScience translational medicine2016

Sources of HIV infection among men having sex with men and implications for prevention.

Oliver Ratmann, Ard van Sighem, Daniela Bezemer, Alexandra Gavryushkina, Suzanne Jurriaans, Annemarie Wensing, Frank de Wolf, Peter Reiss, Christophe Fraser, ATHENA observational cohort

Abstract read
In one paragraph

Article in Science translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 3 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

74 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. A 95% decline in estimated newly acquired HIV infections, Amsterdam, 2010 to 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
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14 more citing papers are in PubMed but not listed here.

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

10 authors.

Oliver RatmannDepartment of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London W21PG, UK. oliver.ratmann@imperial.ac.uk.
Ard van SighemStichting HIV Monitoring, 1105 BD Amsterdam, the Netherlands.
Daniela BezemerStichting HIV Monitoring, 1105 BD Amsterdam, the Netherlands.
Alexandra GavryushkinaDepartment of Computer Science, University of Auckland, Auckland 1142, New Zealand.
Suzanne JurriaansDepartment of Medical Microbiology, Academic Medical Center, 1105 AZ Amsterdam, the Netherlands.
Annemarie WensingDepartment of Medical Microbiology, University Medical Center Utrecht, 3584 CX Utrecht, the Netherlands.
Frank de WolfDepartment of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London W21PG, UK.
Peter ReissStichting HIV Monitoring, 1105 BD Amsterdam, the Netherlands. Department of Global Health, Academic Medical Center, 1105 BM Amsterdam, the Netherlands.
Christophe FraserDepartment of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London W21PG, UK.
ATHENA observational cohort

Funding

European Research Council 339251Medical Research Council MR/K010174/1Wellcome Trust 092311Wellcome Trust WR092311MF
6 · The paper itself

Abstract

New HIV diagnoses among men having sex with men (MSM) have not decreased appreciably in most countries, even though care and prevention services have been scaled up substantially in the past 20 years. To maximize the impact of prevention strategies, it is crucial to quantify the sources of transmission at the population level. We used viral sequence and clinical patient data from one of Europe's nationwide cohort studies to estimate probable sources of transmission for 617 recently infected MSM. Seventy-one percent of transmissions were from undiagnosed men, 6% from men who had initiated antiretroviral therapy (ART), 1% from men with no contact to care for at least 18 months, and 43% from those in their first year of infection. The lack of substantial reductions in incidence among Dutch MSM is not a result of ineffective ART provision or inadequate retention in care. In counterfactual modeling scenarios, 19% of these past cases could have been averted with current annual testing coverage and immediate ART to those testing positive. Sixty-six percent of these cases could have been averted with available antiretrovirals (immediate ART provided to all MSM testing positive, and preexposure antiretroviral prophylaxis taken by half of all who test negative for HIV), but only if half of all men at risk of transmission had tested annually. With increasing sequence coverage, molecular epidemiological analyses can be a key tool to direct HIV prevention strategies to the predominant sources of infection, and help send HIV epidemics among MSM into a decisive decline.

Indexed as

AdultHIV InfectionsHomosexuality, MaleHumansIncidenceMaleNetherlandsPhylogeny

Identifiers

PMID26738795
PMCPMC4902123

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Registered trials

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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.