Evidence map›Paper›PMID 30869043›Full record

ReviewEpidemiology and infection2019

The resurgence of syphilis in high-income countries in the 2000s: a focus on Europe.

G Spiteri, M Unemo, O Mårdh, A J Amato-Gauci

Open access · hybridAbstract readReview
In one paragraph

Review in Epidemiology and infection, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
9.7field-weighted citation impact, top 1% 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

61 citing papers in PubMed, 3 syntheses or guidelines pooled it, 154 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Trial
  5. Clearance ofEClinicalMedicine · 2026
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  19. Diagnostic riddle- case report of ocular syphilis.Journal of ophthalmic inflammation and infection · 2025
    Review
  20. Article

1 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

4 authors at 2 institutions in 1 country.

G SpiteriEuropean Centre for Disease Prevention and Control,Stockholm,Sweden.ORCID 0000-0002-8877-059X
M UnemoDepartment of Laboratory Medicine, Microbiology, Faculty of Medicine and Health,WHO Collaborating Centre for Gonorrhoea and other STIs, Örebro University,Örebro,Sweden.
O MårdhEuropean Centre for Disease Prevention and Control,Stockholm,Sweden.
A J Amato-GauciEuropean Centre for Disease Prevention and Control,Stockholm,Sweden.
European Centre for Disease Prevention and Control · SEÖrebro University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Syphilis can cause severe complications and sequelae. Following a decrease in reported cases in European Union/European Economic Area (EU/EEA) and other high-income countries in the 1980s and 1990s as a result of the HIV epidemic and ensuing changes in sexual behaviour, trends started to increase in the 2000s in a number of EU/EEA Member States with higher rates among men and a large proportion of cases reported among men who have sex with men (MSM), particularly HIV-positive MSM. Trends in EU/EEA Member States vary however with some countries continuing to report decreases in the number of reported cases (mostly in the Eastern part of EU/EEA) whereas many Western European countries report increasing numbers of cases. Increasing rates among women, although still relatively low, have been observed in a number of countries leading to concerns around mother-to-child transmission of syphilis and congenital syphilis. Similar overall trends are observed in other high-income countries with the exception of Japan where rates among heterosexual men and women have been rising at alarming levels. Control of syphilis requires use of comprehensive, evidence-based strategies which take into account lessons learned from previous control efforts as well as consideration of biomedical interventions.

Indexed as

Communicable Diseases, EmergingDeveloped CountriesDisease Transmission, InfectiousEuropeFemaleHumansMaleSyphilisEpidemiologysurveillancesyphilis (T. pallidum infection)

Identifiers

PMID30869043
PMCPMC6518487
OpenAlexW2921684873

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.