Evidence map›Paper›PMID 36300428›Full record

ArticleJournal of primary care & community health

Closing the Equity Gap: An Intervention to Improve Chlamydia and Gonorrhea Testing for Adolescents and Young Adults in Primary Care.

Margaret M Tomcho, Yingbo Lou, Sonja C O'Leary, Deborah J Rinehart, Tara Thomas-Gale, Lara Penny, Holly M Frost

Open access · goldAbstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Detecting asymptomatic syphilis.The Lancet regional health. Western Pacific · 2023
    Article
  4. Reducing Ophthalmic Antibiotic Use for Non-severe Conjunctivitis in Children.Journal of the Pediatric Infectious Diseases Society · 2023
    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

7 authors at 1 institution in 1 country.

Margaret M TomchoDenver Health and Hospital Authority, Denver, CO, USA.
Yingbo LouDenver Health and Hospital Authority, Denver, CO, USA.
Sonja C O'LearyDenver Health and Hospital Authority, Denver, CO, USA.
Deborah J RinehartDenver Health and Hospital Authority, Denver, CO, USA.ORCID 0000-0003-3002-8875
Tara Thomas-GaleDenver Health and Hospital Authority, Denver, CO, USA.
Lara PennyDenver Health and Hospital Authority, Denver, CO, USA.
Holly M FrostDenver Health and Hospital Authority, Denver, CO, USA.ORCID 0000-0001-5419-7476
Denver Health Medical Center · US

Funding

Rapid diagnostic tests for adenovirus conjunctivitis in children: An epidemiologic, clinical, and cost-effectiveness evaluationK23HD099925 · NICHD · DENVER HEALTH AND HOSPITAL AUTHORITY · PI FROST, HOLLY · 2019 to 2023
$762k
NICHD NIH HHS K23 HD099925
6 · The paper itself

Abstract

background

methodsAn opt-out testing program that standardized testing to once annually for 14 to 24-year-old patients was implemented across 28 federally qualified health centers spanning 4 specialties. A quasi-experimental design using interrupted time series analyses evaluated testing and infection rates between baseline, intervention, and pandemic-associated test shortage periods. Reduction in testing inequities based on sex, race, ethnicity, insurance, and language preference were also examined.

resultsA total of 57 452 encounters during the baseline, 17 320 during the intervention, and 26 993 during the test supply shortage periods were included. Testing increased from 66.8% to 81.0% (14.2% absolute increase) between baseline and intervention periods. Pediatric clinics demonstrated the largest improvement compared to other settings (absolute increase 30.9%). We found significant reductions in testing inequities for language preference (

conclusionsAn opt-out approach increased testing, reduced inequities between some groups and detected more infections than a risk-based approach. Opt-out testing should be considered as an approach to increase detection of chlamydia and gonorrhea and promote equity.

Indexed as

Chlamydia InfectionsGonorrheaAdolescentAdultChildChlamydia trachomatisHumansMass ScreeningPrimary Health CareUnited StatesYoung Adultchlamydiaequitygonorrheaopt-outscreening

Identifiers

PMID36300428
PMCPMC9619876
OpenAlexW4307502486

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.