Evidence map›Paper›PMID 27260786›Full record

ArticleThe Journal of infectious diseases2016

Proportion of Pelvic Inflammatory Disease Cases Caused by Chlamydia trachomatis: Consistent Picture From Different Methods.

Malcolm J Price, A E Ades, Nicky J Welton, Ian Simms, John Macleod, Paddy J Horner

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
4.1field-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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Recommendation on screening for chlamydia and gonorrhea in primary care for individuals not known to be at high risk.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Limited Role ofObstetrics and gynecology international · 2026
    Article
  7. Long-Term Dynamics of Pelvic Inflammatory Disease Attributable toInternational journal of women's health · 2026
    Article
  8. Article
  9. Interleukin-10 Gene Polymorphisms Modulate the Risk of Infertility inReports of biochemistry & molecular biology · 2024
    Article
  10. Article
  11. Management of Pelvic Inflammatory Disease in Clinical Practice.Therapeutics and clinical risk management · 2023
    Review
  12. Article
  13. Review
  14. Article
  15. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  16. Expert review of vaccines · 2021
    Article
  17. Article
  18. Article
  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

6 authors at 3 institutions in 1 country.

Malcolm J PriceInstitute of Applied Health Research, University of Birmingham.
A E AdesSchool of Social and Community Medicine, University of Bristol.
Nicky J WeltonSchool of Social and Community Medicine, University of Bristol.
Ian SimmsBristol Sexual Health Centre, University Hospital Bristol NHS Foundation Trust, United Kingdom.
John MacleodSchool of Social and Community Medicine, University of Bristol.
Paddy J HornerSchool of Social and Community Medicine, University of Bristol Public Health England, London.
University of Bristol · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Birmingham · GB

Funding

Medical Research Council G0801947Medical Research Council MC_U145079307
6 · The paper itself

Abstract

backgroundPelvic inflammatory disease (PID) is a leading cause of both tubal factor infertility and ectopic pregnancy. Chlamydia trachomatis is an important risk factor for PID, but the proportion of PID cases caused by C. trachomatis is unclear. Estimates of this are required to evaluate control measures.

methodsWe consider 5 separate methods of estimating age-group-specific population excess fractions (PEFs) of PID due to C. trachomatis, using routine data, surveys, case-control studies, and randomized controlled trials, and apply these to data from the United Kingdom before introduction of the National Chlamydia Screening Programme.

resultsAs they are informed by randomized comparisons and national exposure and outcome estimates, our preferred estimates of the proportion of PID cases caused by C. trachomatis are 35% (95% credible interval [CrI], 11%-69%) in women aged 16-24 years and 20% (95% CrI, 6%-38%) in women aged 16-44 years in the United Kingdom. There is a fair degree of consistency between adjusted estimates of PEF, but all have wide 95% CrIs. The PEF decreases from 53.5% (95% CrI, 15.6%-100%) in women aged 16-19 years to 11.5% (95% CrI, 3.0%-25.7%) in women aged 35-44 years.

conclusionsThe PEFs of PID due to C. trachomatis decline steeply with age by a factor of around 5-fold between younger and older women. Further studies of the etiology of PID in different age groups are required.

Indexed as

AdolescentAdultAge FactorsChlamydia InfectionsChlamydia trachomatisFemaleHumansPelvic Inflammatory DiseasePregnancyUnited KingdomYoung AdultBayesianChlamydia trachomatisevidence synthesismeta-analysispelvic inflammatory diseasepopulation attributable fractionpopulation excess fraction

Identifiers

PMID27260786
PMCPMC4957435
OpenAlexW2417313975

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.