Evidence map›Paper›PMID 33000916›Full record

SynthesisJournal of the International AIDS Society2020

Acute and early HIV infection screening among men who have sex with men, a systematic review and meta-analysis.

Shaun Palmer, Maartje Dijkstra, Johannes Cf Ket, Elizabeth W Wahome, Jeffrey Walimbwa, Evanson Gichuru, Elise M van der Elst, Maarten F Schim van der Loeff, Godelieve J de Bree, Eduard J Sanders

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the International AIDS Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 26% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. The contemporary immunoassays for HIV diagnosis: a concise overview.Asian biomedicine : research, reviews and news · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

10 authors at 6 institutions in 5 countries.

Shaun Palmer *Centre for Geographic Medicine Research - Coast, Kenya Medical Research Institute, Kilifi, Kenya.
Maartje Dijkstra *Department of Infectious Diseases, Public Health Service Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0003-2561-7659
Johannes Cf KetMedical Library, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Elizabeth W WahomeCentre for Geographic Medicine Research - Coast, Kenya Medical Research Institute, Kilifi, Kenya.ORCID 0000-0001-8386-7555
Jeffrey WalimbwaISHTAR MSM Health and Social Wellbeing, Nairobi, Kenya.
Evanson GichuruCentre for Geographic Medicine Research - Coast, Kenya Medical Research Institute, Kilifi, Kenya.
Elise M van der ElstCentre for Geographic Medicine Research - Coast, Kenya Medical Research Institute, Kilifi, Kenya.ORCID 0000-0001-5106-0466
Maarten F Schim van der LoeffDepartment of Infectious Diseases, Public Health Service Amsterdam, Amsterdam, the Netherlands.
Godelieve J de BreeDepartment of Internal Medicine, Division of Infectious Diseases, and Amsterdam Institute for Infection and Immunity (AI&II), Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Eduard J SandersCentre for Geographic Medicine Research - Coast, Kenya Medical Research Institute, Kilifi, Kenya.ORCID 0000-0002-1062-8921
Kenya Medical Research Institute · KEGGD Amsterdam · NLAmsterdam University Medical Centers · NLInternational AIDS Vaccine Initiative · USNuffield Orthopaedic Centre · GBVrije Universiteit Amsterdam · NL

Funding

Impact of a novel screening program to detect acute and prevalent HIV infection and reduce HIV transmissionR01AI124968 · NIAID · UNIVERSITY OF WASHINGTON · PI GRAHAM, SUSAN MARIE, SANDERS, EDUARD · 2016 to 2019
$2.3M
NIAID NIH HHS R01 AI124968NIH HHS R01AI124968Wellcome TrustWellcome Trust 107752Wellcome Trust 203077
6 · The paper itself

Abstract

introductionScreening for acute and early HIV infections (AEHI) among men who have sex with men (MSM) remains uncommon in sub-Saharan Africa (SSA). Yet, undiagnosed AEHI among MSM and subsequent failure to link to care are important drivers of the HIV epidemic. We conducted a systematic review and meta-analysis of AEHI yield among MSM mobilized for AEHI testing; and assessed which risk factors and/or symptoms could increase AEHI yield in MSM.

methodsWe systematically searched four databases from their inception through May 2020 for studies reporting strategies of mobilizing MSM for testing and their AEHI yield, or risk and/or symptom scores targeting AEHI screening. AEHI yield was defined as the proportion of AEHI cases among the total number of visits. Study estimates for AEHI yield were pooled using random effects models. Predictive ability of risk and/or symptom scores was expressed as the area under the receiver operator curve (AUC).

resultsTwenty-two studies were identified and included a variety of mobilization strategies (eight studies) and risk and/or symptom scores (fourteen studies). The overall pooled AEHI yield was 6.3% (95% CI, 2.1 to 12.4; I

conclusionsStrategies mobilizing MSM for targeted AEHI testing resulted in substantially higher AEHI yields than universal AEHI testing. Targeted AEHI testing may be optimized using risk and/or symptom scores, especially if scores include symptoms. Studies assessing AEHI yield and validation of risk and/or symptom scores among MSM in SSA are urgently needed.

Indexed as

Homosexuality, MaleMass ScreeningAfrica South of the SaharaCoitusHIV InfectionsHumansMaleRisk FactorsSexual and Gender Minoritiesacute HIV infectionearly HIV infectionmen who have sex with menmobilizationrisk scoresystematic reviewtargeted screening

Identifiers

PMID33000916
PMCPMC7527764
OpenAlexW3090704836

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.