Screening for HIV: Systematic Review to Update the 2005 U.S. Preventive Services Task Force Recommendation

@article{Chou2012ScreeningFH,
  title={Screening for HIV: Systematic Review to Update the 2005 U.S. Preventive Services Task Force Recommendation},
  author={Roger Chou and Shelley Selph and Tracy L Dana and Christina Bougatsos and Bernadette Zakher and Ian Blazina and P. Todd Korthuis},
  journal={Annals of Internal Medicine},
  year={2012},
  volume={157},
  pages={706 - 718}
}
BACKGROUND A 2005 U.S. Preventive Services Task Force (USPSTF) review found good evidence that HIV screening is accurate and that antiretroviral therapy (ART) for immunologically advanced disease is associated with substantial clinical benefits, but insufficient evidence to determine the effects on transmission or in less immunologically advanced disease. PURPOSE To update the 2005 USPSTF review on benefits and harms of HIV screening in adolescents and adults, focusing on research gaps… Expand
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46 Citations
Background Citations
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Methods Citations
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46 Citations

Citation Type

Citation Type

Screening for HIV Infection in Asymptomatic, Nonpregnant Adolescents and Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.
TLDR
New evidence extends effectiveness of ART to asymptomatic individuals with CD4 cell counts greater than 500/mm3 and shows sustained reduction in risk of HIV transmission at longer-term follow-up, although certain ART regimens may be associated with increased risk of long-term harms. Expand
The Value of HIV Screening in the United States in the Era of Effective Treatment
  • B. Schackman
  • Medicine
  • Medical decision making : an international journal of the Society for Medical Decision Making
  • 2013
The US Preventive Services Task Force (USPSTF) recently released a draft recommendation for routine HIV screening in the general adult population under age 65 in the US, consistent with the 2006… Expand
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TLDR
In an effort to identify more HIV-infected individuals by reducing physician barriers to HIV testing, the Centers for Disease Control and Prevention have expanded HIV screening recommendations to adolescents and adults without HIV risk factors or behaviors, eliminated federal requirements for pretest counseling, and modified the informed consent process. Expand
Mandating the Offer of HIV Testing in New York: Simulating the Epidemic Impact and Resource Needs
TLDR
A mandatory offer of HIV testing in New York may increase diagnoses and avert infections but will not eliminate the epidemic, highlighting the importance of continued funding for HIV care. Expand
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TLDR
Interventions along the care cascade are mostly focused on adherence and do not sufficiently address all vulnerable populations, and digital, mixed and peer/community-based interventions were reported to be effective across the continuum of care. Expand
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TLDR
Testing and HIV diagnoses stratified by sex and racial/ethnic groups are described, specifically concluding that African American females had the largest disparity between the population tested and those who tested positive for HIV. Expand
Sexually Transmitted Infections: Recommendations from the U.S. Preventive Services Task Force.
The U.S. Preventive Services Task Force (USPSTF) has issued recommendations on behavioral counseling to prevent sexually transmitted infections (STIs) and recommendations about screening for… Expand
Association between knowledge of HIV-positive status or use of antiretroviral therapy and high-risk transmission behaviors: Systematic review
TLDR
Overall, knowledge of HIV-positive status was associated with less engagement in high-risk transmission behaviors, and the use of ART was not found to increase participation inHigh- risk transmission behaviors by HIV- positive individuals. Expand
Promotion of rapid testing for HIV in primary care (RHIVA2): a cluster-randomised controlled trial.
TLDR
Promotion of opt-out rapid testing in general practice led to increased rate of diagnosis, and might increase early detection, of HIV, and it is recommended implementation of HIV screening in general practices in areas with high HIV prevalence. Expand
The Effectiveness and Cost-Effectiveness of Screening for HIV in Migrants in the EU/EEA: A Systematic Review
TLDR
Evaluated HIV testing strategies in migrant populations found that rapid testing approaches improve the access and uptake of testing, and were associated with a lower incidence of HIV in the middle-aged women subgroup among marginalised populations at a high risk of HIV exposure and HIV related stigma. Expand
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References

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Screening for HIV: Recommendation Statement
TLDR
The USPSTF found good evidence that both standard and FDA-approved rapid screening tests accurately detect HIV infection in pregnant women and fair evidence that introduction of universal prenatal counseling and voluntary testing increases the proportion of HIV-infected women who receive a diagnosis and are treated before delivery. Expand
Costs and Consequences of the US Centers for Disease Control and Prevention's Recommendations for Opt-Out HIV Testing
TLDR
It is found that for the same programmatic cost of US$864,207,288, targeted counseling and testing services (at a 1% HIV seropositivity rate) would be preferred to opt-out testing: targeted services would newly diagnose more HIV infections, prevent more infections, and do so at a lower gross cost per infection averted. Expand
The Cost-Effectiveness and Population Outcomes of Expanded HIV Screening and Antiretroviral Treatment in the United States
TLDR
Expanding HIV screening and treatment simultaneously offers the greatest health benefit and is cost-effective, however, even substantial expansion of HIV screenings and treatment programs is not sufficient to markedly reduce the U.S. HIV epidemic without substantial reductions in risk behavior. Expand
Expanded screening for HIV in the United States--an analysis of cost-effectiveness.
TLDR
In all but the lowest-risk populations, routine, voluntary screening for HIV once every three to five years is justified on both clinical and cost-effectiveness grounds. Expand
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TLDR
A decision model was used to estimate the cost-effectiveness of same-day rapid test HIV screening, considering outcomes experienced by the infected person and his or her sexual contacts, and transmission-related effects. Expand
Cost-Effectiveness of Strategies to Improve HIV Testing and Receipt of Results: Economic Analysis of a Randomized Controlled Trial
TLDR
In a primary-care population, nurse-initiated routine screening with rapid HIV testing and streamlined counseling increased rates of testing and receipt of test results and was cost-effective compared with traditional HIV testing strategies. Expand
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TLDR
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TLDR
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TLDR
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TLDR
This guidance statement recommends that clinicians adopt routine screening for HIV and encourage patients to be tested and advises that clinicians determine the need for repeat screening on an individual basis. Expand
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