ArticleBMJ open2018
Missed opportunities for HIV testing among patients newly presenting for HIV care at a Swiss university hospital: a retrospective analysis.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 27 citations in OpenAlex.
- Quality improvement report: Investigating barriers in HIV testing oncology patients to optimize HIV testing practice.HIV medicine · 2025Article
- Review
- Analysing Early Diagnosis Strategies for HIV Infection: A Retrospective Study of Missed Diagnostic Opportunities.Healthcare (Basel, Switzerland) · 2024Article
- Multidisciplinary Approach to Improve Human Immunodeficiency Virus and Syphilis Testing Rates in Emergency Departments.Open forum infectious diseases · 2022Article
- Delayed presentation of HIV among older individuals: a growing problem.The lancet. HIV · 2022Review
- HIV testing in termination of pregnancy and colposcopy services: a scoping review.Sexually transmitted infections · 2022Article
- Missed opportunities for earlier diagnosis of HIV infection in people living with HIV in Thailand.PLOS global public health · 2022Article
- Understanding Reasons for HIV Late Diagnosis: A Qualitative Study Among HIV-Positive Individuals in Amsterdam, The Netherlands.AIDS and behavior · 2021Article
- Missed opportunities for HIV testing in patients newly diagnosed with HIV in Morocco.BMC infectious diseases · 2021Article
- Missed opportunities for HIV testing in people diagnosed with HIV, Estonia, 2014 to 2015.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019Observational
- Missed opportunities for earlier diagnosis of HIV in British Columbia, Canada: A retrospective cohort study.PloS one · 2019Article
Corrections and comments
- Erratum issuedCorrection:2018
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the frequency of missed opportunities (MOs) among patients newly diagnosed with HIV, risk factors for presenting MOs and the association between MOs and late presentation (LP) to care.
designRetrospective analysis.
settingHIV outpatient clinic at a Swiss tertiary hospital.
participantsPatients aged ≥18 years newly presenting for HIV care between 2010 and 2015. MEASURES: Number of medical visits, up to 5 years preceding HIV diagnosis, at which HIV testing had been indicated, according to Swiss HIV testing recommendations. A visit at which testing was indicated but not performed was considered an MO for HIV testing.
resultsComplete records were available for all 201 new patients of whom 51% were male and 33% from sub-Saharan Africa. Thirty patients (15%) presented with acute HIV infection while 119 patients (59%) were LPs (CD4 counts <350 cells/mm
conclusionsAt our centre, 47% of patients presented at least one MO. While our LP rate was higher than the national figure of 49.8%, LPs were less likely to experience MOs, suggesting that these patients were diagnosed late through presenting late, rather than through being failed by our hospital. We conclude that, in addition to optimising provider-initiated testing, access to testing must be improved among patients who are unaware that they are at HIV risk and who do not seek healthcare.
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