Evidence map›Paper›PMID 31235527›Full record

ArticleSexually transmitted infections2020

Substantial underdiagnosis of lymphogranuloma venereum in men who have sex with men in Europe: preliminary findings from a multicentre surveillance pilot.

Michelle Jayne Cole, Nigel Field, Rachel Pitt, Andrew J Amato-Gauci, Josip Begovac, Patrick D French, Darja Keše, Irena Klavs, Snjezana Zidovec Lepej, Katharina Pöcher and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Sexually transmitted infections, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Anorectal lymphogranuloma venereum among men who have sex with men: a 3-year nationwide survey, France, 2020 to 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  8. Article
  9. [Persistent proctitis and anorectal ulcer].Chirurgie (Heidelberg, Germany) · 2023
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Lymphogranuloma venereum: an emerging problem in Poland.Postepy dermatologii i alergologii · 2022
    Review
  15. Article
  16. Review
  17. Article
  18. Lymphogranuloma venereum.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  19. Article
  20. Ongoing evolution ofMicrobial genomics · 2021
    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

14 authors.

Michelle Jayne ColeNational Infection Service, Public Health England, London, UK Michelle.Cole@phe.gov.uk.ORCID 0000-0002-6707-6910
Nigel FieldNational Infection Service, Public Health England, London, UK.ORCID 0000-0002-2825-6652
Rachel PittNational Infection Service, Public Health England, London, UK.
Andrew J Amato-GauciOffice of the Chief Scientist, European Centre for Disease Prevention and Control, Stockholm, Sweden.
Josip BegovacUniversity Hospital for Infectious Diseases 'Dr Fran Mihaljevic', Zagreb, Croatia.
Patrick D FrenchMortimer Market, UCLH, Camden Primary Care Trust, London, UK.
Darja KešeInstitute of Microbiology and Immunology, Ljubljana, Slovenia.
Irena KlavsInstitut za varovanje zdravja Republike Slovenije, Ljubljana, Slovenia.
Snjezana Zidovec LepejUniversity Hospital for Infectious Diseases 'Dr Fran Mihaljevic', Zagreb, Croatia.
Katharina PöcherOutpatients' Centre for Diagnosis of Infectious Venero-Dermatological Diseases, Vienna, Austria.
Angelika StaryOutpatients' Centre for Diagnosis of Infectious Venero-Dermatological Diseases, Vienna, Austria.
Horst SchalkPractice for General Medicine, Vienna, Austria.
Gianfranco SpiteriSurveillance and Response Support Unit, European Centre for Disease Prevention and Control, Stockholm, Sweden.
Gwenda HughesNational Infection Service, Public Health England, London, UK.ORCID 0000-0003-2090-7702

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesUnderstanding the public health impact of lymphogranuloma venereum (LGV) in Europe is hampered by inadequate diagnostics and surveillance systems in many European countries. We developed and piloted LGV surveillance in three European countries without existing systems and performed a preliminary investigation of LGV epidemiology, where little evidence currently exists.

methodsWe recruited STI or dermatovenereology clinics and associated laboratories serving men who have sex with men (MSM) in Austria, Croatia and Slovenia, using the UK for comparison. We undertook centralised LGV testing of

resultsIn total, 500 specimens from CT-positive MSM were tested, and LGV positivity was 25.6% (128/500; 95% CI 22.0% to 29.6%) overall, and 47.6% (79/166; 40.1% to 55.2%) in Austria, 20.0% (3/15; 7.1% to 45.2%) in Croatia, 16.7% (1/6; 3.0% to 56.4%) in Slovenia and 14.4% (45/313; 10.9% to 18.7 %) in the UK. Proformas were completed for cases in Croatia, Slovenia and in the UK; proformas could not be completed for Austrian cases, but limited data were available from line listings. Where recorded, 83.9% (78/93) of LGV-CT cases were HIV-positive compared with 65.4% (149/228) of non-LGV-CT cases; MSM with LGV-CT were more likely to have proctitis (Austria, 91.8% vs 40.5%, p<0.001; Croatia, 100% vs 25%, p=0.04; UK, 52.4% vs 11.7%, p<0.001) than those with non-LGV-CT. Six different

conclusionsLGV is substantially underdiagnosed in MSM across Europe. Unified efforts are needed to overcome barriers to testing, establish effective surveillance, and optimise diagnosis, treatment and prevention.

Indexed as

AdultAustriaBacterial Outer Membrane ProteinsChlamydia InfectionsChlamydia trachomatisCoinfectionCroatiaEpidemiological MonitoringEuropeGonorrheaHIV InfectionsHumansLymphogranuloma VenereumMaleMiddle AgedPilot ProjectsBacterial Outer Membrane ProteinsOMPA outer membrane proteinsanogenital conditionslymphogranuloma venereumsurveillance

Identifiers

PMID31235527
PMCPMC7035679

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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.