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Population effectiveness of opportunistic chlamydia testing in primary care in Australia: a cluster-randomised controlled trial

© 2018 Elsevier Ltd Background: Screening young adults who are sexually active for genital Chlamydia trachomatis infection is promoted in several high-income countries, but its effectiveness at the population level is highly debated. We aimed to investigate the effects of opportunistic chlamydia tes... Full description

Main Author: Hocking, Js
Other Authors: Temple-Smith, M , Guy, R , Donovan, B , Braat, S , Law, M , Gunn, J , Regan, D , Vaisey, A , Bulfone, L , Kaldor, J , Fairley, Ck , Low, N
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0140-6736 ; ISSN: 1474-547X ; E-ISSN: 1474-547X ; DOI: 10.1016/S0140-6736(18)31816-6
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recordid: unsw_summonoai_unsworks_library_unsw_edu_au_1959_4_unsworks_53065
title: Population effectiveness of opportunistic chlamydia testing in primary care in Australia: a cluster-randomised controlled trial
format: Article
creator:
  • Hocking, Js
  • Temple-Smith, M
  • Guy, R
  • Donovan, B
  • Braat, S
  • Law, M
  • Gunn, J
  • Regan, D
  • Vaisey, A
  • Bulfone, L
  • Kaldor, J
  • Fairley, Ck
  • Low, N
subjects:
  • 11 Medical and Health Sciences
  • Medicine
ispartof:
description: © 2018 Elsevier Ltd Background: Screening young adults who are sexually active for genital Chlamydia trachomatis infection is promoted in several high-income countries, but its effectiveness at the population level is highly debated. We aimed to investigate the effects of opportunistic chlamydia testing in primary care on the estimated chlamydia prevalence in the population aged 16–29 years in Australia. Methods: We did a cluster-randomised controlled trial. Clusters were rural towns with a minimum of 500 women and men aged 16–29 years and no more than six primary care clinics. We randomly allocated each cluster using a computer-generated minimisation algorithm to receive a multifaceted, clinic-based chlamydia testing intervention or to continue usual care. The intervention included computerised reminders to test patients, an education package, payments for chlamydia testing, and feedback on testing rates. The primary outcome was chlamydia prevalence, estimated before randomisation...
language: eng
source:
identifier: ISSN: 0140-6736 ; ISSN: 1474-547X ; E-ISSN: 1474-547X ; DOI: 10.1016/S0140-6736(18)31816-6
fulltext: fulltext_linktorsrc
issn:
  • 0140-6736
  • 01406736
  • 1474-547X
  • 1474547X
url: Link


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titlePopulation effectiveness of opportunistic chlamydia testing in primary care in Australia: a cluster-randomised controlled trial
creatorHocking, Js ; Temple-Smith, M ; Guy, R ; Donovan, B ; Braat, S ; Law, M ; Gunn, J ; Regan, D ; Vaisey, A ; Bulfone, L ; Kaldor, J ; Fairley, Ck ; Low, N
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description© 2018 Elsevier Ltd Background: Screening young adults who are sexually active for genital Chlamydia trachomatis infection is promoted in several high-income countries, but its effectiveness at the population level is highly debated. We aimed to investigate the effects of opportunistic chlamydia testing in primary care on the estimated chlamydia prevalence in the population aged 16–29 years in Australia. Methods: We did a cluster-randomised controlled trial. Clusters were rural towns with a minimum of 500 women and men aged 16–29 years and no more than six primary care clinics. We randomly allocated each cluster using a computer-generated minimisation algorithm to receive a multifaceted, clinic-based chlamydia testing intervention or to continue usual care. The intervention included computerised reminders to test patients, an education package, payments for chlamydia testing, and feedback on testing rates. The primary outcome was chlamydia prevalence, estimated before randomisation...
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© 2018 Elsevier Ltd Background: Screening young adults who are sexually active for genital Chlamydia trachomatis infection is promoted in several high-income countries, but its effectiveness at the population level is highly debated. We aimed to investigate the effects of opportunistic chlamydia testing in primary care on the estimated chlamydia prevalence in the population aged 16–29 years in Australia. Methods: We did a cluster-randomised controlled trial. Clusters were rural towns with a minimum of 500 women and men aged 16–29 years and no more than six primary care clinics. We randomly allocated each cluster using a computer-generated minimisation algorithm to receive a multifaceted, clinic-based chlamydia testing intervention or to continue usual care. The intervention included computerised reminders to test patients, an education package, payments for chlamydia testing, and feedback on testing rates. The primary outcome was chlamydia prevalence, estimated before randomisation...

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© 2018 Elsevier Ltd Background: Screening young adults who are sexually active for genital Chlamydia trachomatis infection is promoted in several high-income countries, but its effectiveness at the population level is highly debated. We aimed to investigate the effects of opportunistic chlamydia testing in primary care on the estimated chlamydia prevalence in the population aged 16–29 years in Australia. Methods: We did a cluster-randomised controlled trial. Clusters were rural towns with a minimum of 500 women and men aged 16–29 years and no more than six primary care clinics. We randomly allocated each cluster using a computer-generated minimisation algorithm to receive a multifaceted, clinic-based chlamydia testing intervention or to continue usual care. The intervention included computerised reminders to test patients, an education package, payments for chlamydia testing, and feedback on testing rates. The primary outcome was chlamydia prevalence, estimated before randomisation...

doi10.1016/S0140-6736(18)31816-6
oafree_for_read
issue10156
pages1413-1422
volume392
date2018-10-20