Evidence map›Paper›PMID 36695464›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2022

National medical specialty guidelines of HIV indicator conditions in Europe lack adequate HIV testing recommendations: a systematic guideline review.

Carlijn C E Jordans, Marta Vasylyev, Caroline Rae, Marie Louise Jakobsen, Anna Vassilenko, Nicolas Dauby, Anne Louise Grevsen, Stine Finne Jakobsen, Anne Raahauge, Karen Champenois and 34 more

Abstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

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

  1. Pooled it
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  7. Article
  8. Ending HIV transmission in Europe.The Lancet regional health. Europe · 2026
    Article
  9. Article
  10. Implicit bias in HIV testing based on indicator conditions in primary care: a population-based study in Catalonia, Spain, 2017 to 2021.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  11. High acceptability of point-of-care HIV testing at the colposcopy outpatient clinic in hospitals in the Netherlands.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
  12. Missed opportunities for early HIV diagnosis in Greece: The MORFEAS study, 2019 to 2021.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
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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

44 authors.

Carlijn C E JordansErasmus University Medical Center, Department of Internal Medicine and Department of Medical Microbiology and Infectious Diseases, Rotterdam, the Netherlands.
Marta VasylyevAstar Medical Center, Lviv, Ukraine.
Caroline RaeChelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom.
Marie Louise JakobsenCentre of Excellence for Health, Immunity & Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Anna VassilenkoRepublican Scientific and Practical Center of Medical Technologies, Informatization, Management and Economics of Public Health, Minsk, Belarus.
Nicolas DaubyCHU Saint-Pierre, Université Libre de Bruxelles (ULB), and School of Public Health, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Anne Louise GrevsenCentre of Excellence for Health, Immunity & Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Stine Finne JakobsenCentre of Excellence for Health, Immunity & Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Anne RaahaugeCentre of Excellence for Health, Immunity & Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Karen ChampenoisUniversité de Paris, INSERM IAME, Paris, France.
Emmanuelle PapotUniversité de Paris, INSERM IAME, Paris, France.
Jakob J MalinUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department I of Internal Medicine, Division of Infectious Diseases, Cologne, Germany.
T Sonia BoenderECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Solna, Sweden.
Georg M N BehrensHannover Medical School, Department for Rheumatology and Immunology, Hannover, Germany.
Henning GruellInstitute of Virology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Anja NeumannInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.
Christoph D SpinnerTechnical University of Munich, School of Medicine, University hospital rechts der Isar, Department of Internal Medicine II, Munich, Germany.
Frederik ValbertInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.
Karolina AkinosoglouDepartment of Internal Medicine and Infectious Diseases, University General Hospital of Patras, Patras, Greece.
Evangelia G KostakiDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Silvia NozzaOspedale San Raffaele, Milano, Italy.
Andrea GiacomelliIII Infectious Diseases Unit, ASST Fatebenefratelli Sacco, Via G.B. Grassi, Milan, Italy.
Giuseppe LapadulaSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Maria MazzitelliInfectious and Tropical Diseases Unit, University Hospital, Padua, Italy.
Carlo TortiUniversity Magna Graecia of Catanzaro, Catanzaro, Italy.
Raimonda MatulionyteDepartment of Infectious Diseases and Dermatovenerology, Faculty of Medicine, Vilnius University; Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
Elzbieta MatulyteDepartment of Infectious Diseases and Dermatovenerology, Faculty of Medicine, Vilnius University; Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
Berend J Van WelzenDepartment of Internal Medicine and Infectious Diseases, University Medical Center Utrecht, Utrecht, Netherlands.
Kathryn S HensleyErasmus University Medical Center, Department of Internal Medicine and Department of Medical Microbiology and Infectious Diseases, Rotterdam, the Netherlands.
Magdalena ThompsonHospital for Infectious Diseases, Warsaw, Poland.
Magdalena Ankiersztejn-BartczakFoundation of Social Education (FES), Warsaw, Poland.
Agata Skrzat-KlapaczyńskaHospital for Infectious Diseases Warsaw, Medical University of Warsaw, Department of Adults' Infectious Diseases, Warsaw, Poland.
Oana SăndulescuNational Institute for Infectious Diseases "Prof.Dr. Matei Bals", Bucharest, Romania.
Adrian Streinu-CercelNational Institute for Infectious Diseases "Prof.Dr. Matei Bals", Bucharest, Romania.
Anca Streinu-CercelNational Institute for Infectious Diseases "Prof.Dr. Matei Bals", Bucharest, Romania.
Viktor Daniel MironCarol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Anastasia PokrovskayaCentral Research Institute of Epidemiology of Rospotrebnadzor, Moscow, Russian Federation.
Anna HachfeldDepartment of Infectious Diseases, Bern University Hospital and University of Bern, Bern, Switzerland.
Antonina DorokhinaO.O.Bogomolets' National Medical University, Kyiv, Ukraine.
Maryna SukachO.O.Bogomolets' National Medical University, Kyiv, Ukraine.
Emily LordOxford University Hospitals NHS Trust, Oxford, United Kingdom.
Ann K SullivanChelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom.
Casper RokxErasmus University Medical Center, Department of Internal Medicine and Department of Medical Microbiology and Infectious Diseases, Rotterdam, the Netherlands.
Guidelines Review Group for the projects: Optimising testing and linkage to care for HIV across Europe (OptTEST by HiE) and the Joint Action on integrating prevention, testing and linkage to care strategies across HIV, viral hepatitis, TB and STIs in Europe (INTEGRATE)https://www.opttest.eu/About and https://integrateja.eu/.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundAdequate identification and testing of people at risk for HIV is fundamental for the HIV care continuum. A key strategy to improve timely testing is HIV indicator condition (IC) guided testing.AimTo evaluate the uptake of HIV testing recommendations in HIV IC-specific guidelines in European countries.MethodsBetween 2019 and 2021, European HIV experts reviewed guideline databases to identify all national guidelines of 62 HIV ICs. The proportion of HIV IC guidelines recommending HIV testing was reported, stratified by subgroup (HIV IC, country, eastern/western Europe, achievement of 90-90-90 goals and medical specialty).ResultsOf 30 invited European countries, 15 participated. A total of 791 HIV IC guidelines were identified: median 47 (IQR: 38-68) per country. Association with HIV was reported in 69% (545/791) of the guidelines, and 46% (366/791) recommended HIV testing, while 42% (101/242) of the AIDS-defining conditions recommended HIV testing. HIV testing recommendations were observed more frequently in guidelines in eastern (53%) than western (42%) European countries and in countries yet to achieve the 90-90-90 goals (52%) compared to those that had (38%). The medical specialties internal medicine, neurology/neurosurgery, ophthalmology, pulmonology and gynaecology/obstetrics had an HIV testing recommendation uptake below the 46% average. None of the 62 HIV ICs, countries or medical specialties had 100% accurate testing recommendation coverage in all their available HIV IC guidelines.ConclusionFewer than half the HIV IC guidelines recommended HIV testing. This signals an insufficient adoption of this recommendation in non-HIV specialty guidelines across Europe.

Indexed as

HIV InfectionsMedicineEuropeEurope, EasternFemaleHIV TestingHumansPregnancyAIDS-defining conditionsEuropeguidelinesHIVHIV testing recommendationsindicator conditions

Identifiers

PMID36695464
PMCPMC9716648

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