Evidence map›Paper›PMID 36514443›Full record

ArticleOpen forum infectious diseases2022

Sexually Transmitted Infection Testing in the National Veterans Health Administration Patient Cohort During the Coronavirus Disease 2019 Pandemic.

Lauren A Beste, Shimrit Keddem, Joleen Borgerding, Elliott Lowy, Carolyn Gardella, Lorenzo McFarland, Emily Comstock, Giuseppe Allan Fonseca, Puja Van Epps, Michael Ohl and 3 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 34% 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, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Trends in Gonorrhea and Chlamydia Testing and Infections Across the COVID-19 Pandemic in Adolescents and Young Adults in an Integrated Health System.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Article
  4. 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

13 authors at 7 institutions in 1 country.

Lauren A BesteGeneral Medicine Service, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.ORCID https://orcid.org/0000-0001-6488-435X
Shimrit KeddemCorporal Michael J. Crescenz Veterans Affairs Medical Center, Veterans Affairs Center for Health Equity Research and Promotion, Philadelphia, Pennsylvania, USA.
Joleen BorgerdingHealth Services Research and Development, Veterans Affairs Puget Sound Healthcare System, Seattle, Washington, USA.
Elliott LowyHealth Services Research and Development, Veterans Affairs Puget Sound Healthcare System, Seattle, Washington, USA.
Carolyn GardellaGynecology Service, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.
Lorenzo McFarlandOffice of Specialty Care Services, Veterans Health Administration, Washington, District of Columbia, USA.
Emily ComstockDepartment of Infectious Diseases, Baltimore Veterans Affairs Medical Center, Baltimore, Maryland, USA.
Giuseppe Allan FonsecaDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Puja Van EppsDivision of Infectious Diseases, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Michael OhlCenter for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs, Iowa City, Iowa, USA.
Ronald G HauserPathology and Laboratory Medicine Department, Veterans Affairs Connecticut Healthcare, New Haven, Connecticut, USA.
David RossOffice of Specialty Care Services, Veterans Health Administration, Washington, District of Columbia, USA.
Marissa M MaierDivision of Infectious Diseases, Department of Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Veterans Health Administration · USUniversity of Washington · USUniversity of Puget Sound · USOregon Health & Science University · USUniversity of Iowa · USVA Northeast Ohio Healthcare System · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Assessing Trends in STI Screening among Women Veterans in the VHAIK2HX003348 · VA · PHILADELPHIA VA MEDICAL CENTER · PI Shimrit Keddem · 2022 to 2026
–
HSRD VA IK2 HX003348NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background: We performed a retrospective study of chlamydia, gonorrhea, syphilis, and human immunodeficiency virus (HIV) testing in the Veterans Health Administration (VHA) during 2019-2021. Methods: We determined the annual number of chlamydia, gonorrhea, syphilis, and HIV tests from 2019 through 2021 using electronic health record data. We calculated rates by age, birth sex, race, census region, rurality, HIV status, and use of preexposure prophylaxis. Results: The VHA system experienced a 24% drop in chlamydia/gonorrhea testing, a 25% drop in syphilis testing, and a 29% drop in HIV testing in 2020 versus 2019. By the conclusion of 2021, testing rates had recovered to 90% of baseline for chlamydia/gonorrhea, 91% for syphilis, and 88% for HIV. Declines and subsequent improvements in sexually transmitted infection (STI) testing occurred unequally across age, sex, race, and geographic groups. Testing for all 4 STIs in 2021 remained below baseline in rural Veterans. Excluding those aged <25 years, women experienced a steeper decline and slower recovery in chlamydia/gonorrhea testing relative to men, but quicker recovery in HIV testing. Asian Americans and Hawaiian/Pacific Islanders had a steeper decline and a slower recovery in testing for chlamydia/gonorrhea. Black and White Veterans had slower recovery in HIV testing compared with other race groups. People living with HIV experienced a smaller drop in testing for syphilis compared with people without HIV, followed by a near-total recovery of testing by 2021. Conclusions: After dramatic reductions from 2019 to 2020, STI testing rates returned to near-baseline in 2021. Testing recovery lagged in rural, female, Asian American, Hawaiian/Pacific Islander, and Black Veterans.

Indexed as

COVID-19epidemiologysexual health

Identifiers

PMID36514443
PMCPMC9452156
OpenAlexW4292965179

What OpenQuestion holds

Textmetadata
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.