Imperial College London
Alternate

Dr Nikolas Mastellos

Faculty of Medicine, School of Public Health

Honorary Lecturer
 
 
 
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Contact

 

n.mastellos Website

 
 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Quezada:2019:10.1136/bmjopen-2019-031644,
author = {Quezada, Yamamoto H and Dubois, E and Mastellos, N and Rawaf, S},
doi = {10.1136/bmjopen-2019-031644},
journal = {BMJ Open},
title = {Primary care integration of sexual and reproductive health services for chlamydia testing across WHO-Europe: a systematic review},
url = {http://dx.doi.org/10.1136/bmjopen-2019-031644},
volume = {9},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective To identify current uptake of chlamydia testing (UCT) as a sexual and reproductive health service (SRHS) integrated in primary care settings of the WHO European region, with the aim to shape policy and quality of care.Design Systematic review for studies published from January 2001 to May 2018 in any European language.Data sources OVID Medline, EMBASE, Maternal and Infant Care and Global Health.Eligibility criteria Published studies, which involved women or men, adolescents or adults, reporting a UCT indicator in a primary care within a WHO European region country. Study designs considered were: randomised control trials (RCTs), quasi-experimental, observational (eg, cohort, case–control, cross-sectional) and mixed-methods studies as well as case reports.Data extraction and synthesis Two independent reviewers screened the sources and validated the selection process. The BRIGGS Critical Appraisal Checklist for Analytical Cross-Sectional Studies, the Mixed Methods Appraisal Tool 2011 and Critical Appraisal Skills Programme (CASP) checklists were considered for quality and risk of bias assessment.Results 24 studies were finally included, of which 15 were cross-sectional, 4 cohort, 2 RCTs, 2 case–control studies and 1 mixed-methods study. A majority of the evidence cites the UK model, followed by the Netherlands, Denmark, Norway and Belgium only. Acceptability if offered test in primary healthcare (PHC) ranged from 55% to 81.4% in women and from 9.5% to 70.6% when both genders were reported together. Men may have a lower UCT compared with women. When both genders were reported together, the lowest acceptability was 9.5% in the Netherlands. Denmark presented the highest percentage of eligible people who tested in a PHC setting (87.3%).Conclusions Different health systems may influence UCT in PHC. The regional use of a common testing rate indicator is suggested to homogenise reporting. There is very little evidence on integration of SRHS such as chla
AU  - Quezada,Yamamoto H
AU  - Dubois,E
AU  - Mastellos,N
AU  - Rawaf,S
DO  - 10.1136/bmjopen-2019-031644
PY  - 2019///
SN  - 2044-6055
TI  - Primary care integration of sexual and reproductive health services for chlamydia testing across WHO-Europe: a systematic review
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2019-031644
UR  - http://hdl.handle.net/10044/1/73639
VL  - 9
ER  -
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