Evidence map›Paper›PMID 34544889›Full record

ArticleSexually transmitted infections2022

HIV testing in termination of pregnancy and colposcopy services: a scoping review.

Paraskevas Filippidis, Katyuska Francini, Martine Jacot-Guillarmod, Patrice Mathevet, Loïc Lhopitallier, Matthias Cavassini, Katharine E A Darling

Abstract readScoping Review
In one paragraph

Article in Sexually transmitted infections, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Identifying socioeconomic characteristics of pregnant women aged 15-50 years diagnosed with HIV during pregnancy, the Netherlands, 2016 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
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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

7 authors.

Paraskevas FilippidisService of Infectious Diseases, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0002-6784-7420
Katyuska FranciniService of Gynaecology and Obstetrics, Lausanne University Hospital, Lausanne, Switzerland.
Martine Jacot-GuillarmodService of Gynaecology and Obstetrics, Lausanne University Hospital, Lausanne, Switzerland.
Patrice MathevetService of Gynaecology and Obstetrics, Lausanne University Hospital, Lausanne, Switzerland.
Loïc LhopitallierService of Infectious Diseases, Lausanne University Hospital, Lausanne, Switzerland.
Matthias CavassiniService of Infectious Diseases, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0003-0933-7833
Katharine E A DarlingService of Infectious Diseases, Lausanne University Hospital, Lausanne, Switzerland Katharine.Darling@chuv.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen and girls are relatively under-represented across the HIV treatment cascade. Two conditions unique to women, pregnancy and cervical cancer/dysplasia, share a common acquisition mode with HIV. This scoping review aimed to explore HIV testing practices in voluntary termination of pregnancy (TOP) and colposcopy services.

methodsThe scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. We searched articles published up to 20 December 2020 using three electronic databases (PubMed/Medline, Embase, Google Scholar) and including the keywords "HIV Testing", "Abortion, Induced", "Colposcopy", "HIV screen*" and "termination of pregnancy".

resultsA total of 1496 articles were identified, of which 55 met the inclusion criteria. We included studies providing background HIV prevalence in addition to prevalence in the study population and studies of women seeking TOP rather than presenting with TOP complications. This limited our review to high-income, low HIV prevalence settings. We observed two study phases: studies pre-antiretroviral therapy (ART) using unlinked anonymous testing data and examining HIV risk factors associated with positive HIV tests and studies post-ART using routine testing data and exploring HIV testing uptake. HIV prevalence was estimated at >0.2% in most TOP settings and >1% (range 1.7%-11.4%) in colposcopy services. Many TOP providers did not have local HIV testing policies and HIV testing was not mentioned in many specialist guidelines. Testing uptake was 49%-96% in TOP and 23%-75% in colposcopy services.

conclusionGiven the estimated HIV prevalence of >0.1% among women attending TOP and colposcopy services, HIV testing would be economically feasible to perform in high-income settings. Explicit testing policies are frequently lacking in these two settings, both at the local level and in specialist guidelines. Offering HIV testing regardless of risk factors could normalise testing, reduce late HIV presentation and create an opportunity for preventive counselling.

Indexed as

Abortion, InducedColposcopyFemaleHIV InfectionsHIV TestingHumansMass ScreeningPregnancyabortioncolposcopydiagnostic screening programmeshabitualHIVpregnancy

Identifiers

PMID34544889
PMCPMC8862085

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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.