Evidence map›Paper›PMID 36679967›Full record

ArticleVaccines2023

PrEP Scale-Up and PEP in Central and Eastern Europe: Changes in Time and the Challenges We Face with No Expected HIV Vaccine in the near Future.

Deniz Gokengin, Dominik Bursa, Agata Skrzat-Klapaczynska, Ivailo Alexiev, Elena Arsikj, Tatevik Balayan, Josip Begovac, Alma Cicic, Gordana Dragovic, Arjan Harxhi and 17 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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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

27 authors at 20 institutions in 23 countries.

Deniz GokenginDepartment of Infectious Diseases and Clinical Microbiology, Medical Faculty, Ege University, Izmir 35100, Türkiye.ORCID 0000-0003-0704-2302
Dominik BursaDepartment of Adults' Infectious Diseases, Hospital for Infectious Diseases, Medical University of Warsaw, 01-201 Warsaw, Poland.
Agata Skrzat-KlapaczynskaDepartment of Adults' Infectious Diseases, Hospital for Infectious Diseases, Medical University of Warsaw, 01-201 Warsaw, Poland.
Ivailo AlexievDepartment of Virology, National Center of Infectious and Parasitic Diseases, 1504 Sofia, Bulgaria.ORCID 0000-0002-3186-1124
Elena ArsikjUniversity Clinic for Infectious Diseases and Febrile Conditions Skopje, Faculty of Medicine Skopje, Ss.Cyril and Methodius University, 1010 Skopje, North Macedonia.ORCID 0000-0002-5784-5405
Tatevik BalayanNational Center for Disease Control and Prevention, Yerevan 0025, Armenia.
Josip BegovacDepartment of Infectious Diseases, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0003-2641-4327
Alma CicicCenter for Communicable Disease Control and Prevention, Institute for Public Health of Montenegro, 81000 Podgorica, Montenegro.
Gordana DragovicDepartment of Pharmacology, Clinical Pharmacology and Toxicology, School of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Arjan HarxhiDepartment of Infectious Disease, Faculty of Medicine, University Hospital Center of Tirana, 1001 Tirana, Albania.
Kerstin AimlaDepartment of Infectious Diseases, Tartu University Hospital, 50406 Tartu, Estonia.
Botond LakatosDepartment of HIV and Tropical Diseases, South Pest Central Hospital, National Institute of Hematology and Infectious Diseases, 1097 Budapest, Hungary.
Raimonda MatulionyteDepartment of Infectious Diseases and Dermatovenerology, Vilnius University Hospital Santaros Klinikos, Vilnius University, LT-08410 Vilnius, Lithuania.
Velida MulabdicClinic for Infectious Diseases, Clinical Center University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina.
Cristiana OpreaVictor Babes Hospital for Infectious and Tropical Diseases, Carol Davila University of Medicine and Pharmacy, 030303 Bucharest, Romania.
Antonios Papadopoulos4th Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, University General Hospital "ATTIKON", 12462 Athens, Greece.ORCID 0000-0003-4735-2620
Nino RukhadzeInfectious Diseases, AIDS & Clinical Immunology Research Center, 0160 Tbilisi, Georgia.ORCID 0000-0003-4055-086X
Dalibor SedlacekHIV Center University Hospital, Charles University, 11000 Pilsen, Czech Republic.ORCID 0000-0003-4711-6679
Lubomir SojakCenter for Treatment of HIV/AIDS Patients, Department of Infectology and Geographical Medicine, Academic L. Derer's University Hospital, 2412 Bratislava, Slovakia.ORCID 0000-0001-8745-0845
Janez TomazicDepartment of Infectious Diseases, University Medical Center Ljubljana, 1525 Ljubljana, Slovenia.
Anna VassilenkoGlobal Fund Grant Management Department, Republican Scientific and Practical Center of Medical Technologies, Informatization, Management and Economics of Public Health (RNPT MT), 220013 Minsk, Belarus.ORCID 0000-0003-1907-2322
Marta VasylyevAstar Medical Center, 79054 Lviv, Ukraine.
Antonija VerhazClinic for Infectious Diseases, University Clinical Center of the Republic of Srpska, 78000 Banja Luka, Bosnia and Herzegovina.
Nina YanchevaDepartment for AIDS, Specialized Hospital for Active Treatment of Infectious and Parasitic Diseases-Sofia, Medical University Sofia, 1431 Sofia, Bulgaria.
Oleg YurinDepartment of AIDS, Epidemiology and Prevention, Central Research Institute of Epidemiology, Federal AIDS Centre, 111123 Moscow, Russia.ORCID 0000-0003-1930-7486
Justyna KowalskaDepartment of Adults' Infectious Diseases, Hospital for Infectious Diseases, Medical University of Warsaw, 01-201 Warsaw, Poland.
Euroguidelines in Central and Eastern Europe (ECEE) Network Group
Medical University of Warsaw · PLAIDS and Clinical Immunology Research Center · GECarol Davila University of Medicine and Pharmacy · ROCentral Research Institute of Epidemiology · RUCharles University · CZEge University · TRErasmus MC · NLLjubljana University Medical Centre · SINational and Kapodistrian University of Athens · GRNational Center for Epidemiology · HUNational Center of Infectious and Parasitic Diseases · BGNational Statistical Service of the Republic of Armenia · AMRSPC MT · BYSs. Cyril and Methodius University in Skopje · MKTartu University Hospital · EEUniversity clinical center of Republika Srpska · BAUniversity Hospital Bratislava · SKUniversity of Belgrade · RSUniversity of Montenegro · MEUniversity of Sarajevo · BA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With no expected vaccine for HIV in the near future, we aimed to define the current situation and challenges for pre- and post-exposure prophylaxis (PrEP and PEP) in Central and Eastern Europe (CEE). The Euroguidelines CEE Network Group members were invited to respond to a 27-item survey including questions on PrEP (response rate 91.6%). PrEP was licensed in 68.2%; 95 centers offered PrEP and the estimated number on PrEP was around 9000. It was available in daily (40.1%), on-demand (13.3%), or both forms (33.3%). The access rate was <1−80%. Three major barriers for access were lack of knowledge/awareness among people who are in need (59.1%), not being reimbursed (50.0%), and low perception of HIV risk (45.5%). Non-occupational PEP was available in 86.4% and was recommended in the guidelines in 54.5%. It was fully reimbursed in 36.4%, only for accidental exposures in 40.9%, and was not reimbursed in 22.72%. Occupational PEP was available in 95.5% and was reimbursed fully. Although PrEP scale-up in the region has gained momentum, a huge gap exists between those who are in need of and those who can access PrEP. Prompt action is required to address the urgent need for PrEP scale-up in the CEE region.

Indexed as

Central and Eastern EuropeHIVpost-exposure prophylaxispre-exposure prophylaxis

Identifiers

PMID36679967
PMCPMC9867039
OpenAlexW4313500176

What OpenQuestion holds

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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.