Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk: The ANRS 1265 Trial
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{"title"=>"Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: The ANRS 1265 trial", "type"=>"journal", "authors"=>[{"first_name"=>"Bertran", "last_name"=>"Auvert", "scopus_author_id"=>"7004943317"}, {"first_name"=>"Dirk", "last_name"=>"Taljaard", "scopus_author_id"=>"6602611386"}, {"first_name"=>"Emmanuel", "last_name"=>"Lagarde", "scopus_author_id"=>"11241035300"}, {"first_name"=>"Joëlle", "last_name"=>"Sobngwi-Tambekou", "scopus_author_id"=>"9738684800"}, {"first_name"=>"Rémi", "last_name"=>"Sitta", "scopus_author_id"=>"23490701800"}, {"first_name"=>"Adrian", "last_name"=>"Puren", "scopus_author_id"=>"6603367058"}], "year"=>2005, "source"=>"PLoS Medicine", "identifiers"=>{"sgr"=>"28444460441", "doi"=>"10.1371/journal.pmed.0020298", "pui"=>"41735779", "pmid"=>"16231970", "scopus"=>"2-s2.0-28444460441", "issn"=>"15491277", "isbn"=>"10.1371/journal.pmed.0020298"}, "id"=>"fa6692bb-3f20-39c7-ad33-81504863b17e", "abstract"=>"BACKGROUND: Observational studies suggest that male circumcision may provide protection against HIV-1 infection. A randomized, controlled intervention trial was conducted in a general population of South Africa to test this hypothesis.\\n\\nMETHODS AND FINDINGS: A total of 3,274 uncircumcised men, aged 18-24 y, were randomized to a control or an intervention group with follow-up visits at months 3, 12, and 21. Male circumcision was offered to the intervention group immediately after randomization and to the control group at the end of the follow-up. The grouped censored data were analyzed in intention-to-treat, univariate and multivariate, analyses, using piecewise exponential, proportional hazards models. Rate ratios (RR) of HIV incidence were determined with 95% CI. Protection against HIV infection was calculated as 1 - RR. The trial was stopped at the interim analysis, and the mean (interquartile range) follow-up was 18.1 mo (13.0-21.0) when the data were analyzed. There were 20 HIV infections (incidence rate = 0.85 per 100 person-years) in the intervention group and 49 (2.1 per 100 person-years) in the control group, corresponding to an RR of 0.40 (95% CI: 0.24%-0.68%; p < 0.001). This RR corresponds to a protection of 60% (95% CI: 32%-76%). When controlling for behavioural factors, including sexual behaviour that increased slightly in the intervention group, condom use, and health-seeking behaviour, the protection was of 61% (95% CI: 34%-77%).\\n\\nCONCLUSION: Male circumcision provides a degree of protection against acquiring HIV infection, equivalent to what a vaccine of high efficacy would have achieved. Male circumcision may provide an important way of reducing the spread of HIV infection in sub-Saharan Africa. (Preliminary and partial results were presented at the International AIDS Society 2005 Conference, on 26 July 2005, in Rio de Janeiro, Brazil.).", "link"=>"http://www.mendeley.com/research/randomized-controlled-intervention-trial-male-circumcision-reduction-hiv-infection-risk-anrs-1265-tr", "reader_count"=>606, "reader_count_by_academic_status"=>{"Unspecified"=>19, "Professor > Associate Professor"=>25, "Librarian"=>4, "Student > Doctoral Student"=>32, "Researcher"=>113, "Student > Ph. D. Student"=>91, "Student > Postgraduate"=>43, "Student > Master"=>154, "Other"=>25, "Student > Bachelor"=>58, "Lecturer"=>10, "Lecturer > Senior Lecturer"=>10, "Professor"=>22}, "reader_count_by_user_role"=>{"Unspecified"=>19, "Professor > Associate Professor"=>25, "Librarian"=>4, "Student > Doctoral Student"=>32, "Researcher"=>113, "Student > Ph. D. 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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/960936"], "description"=>"<p>This figure represents the infection-free probability using a piecewise exponential distribution with boundaries at M3, M12, and M21 obtained with a Poisson log-linear model (see text). Each segment of exponential has been fitted to the data in each period for each randomization group. The 95% confidence intervals have been represented in the middle of each period. x/y is the number of HIV infections observed in each period (x) and the number of persons at the beginning of the period (y).</p>", "links"=>[], "tags"=>["probability"], "article_id"=>630936, "categories"=>["Cancer", "Medicine", "Infectious Diseases", "Biotechnology"], "users"=>["Bertran Auvert", "Dirk Taljaard", "Emmanuel Lagarde", "Joëlle Sobngwi-Tambekou", "Rémi Sitta", "Adrian Puren"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0020298.g002", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Infection_Free_Probability_As_a_Function_of_Time_and_of_Randomization_/630936", "title"=>"Infection-Free Probability As a Function of Time and of Randomization", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-22 08:53:43"}
  • {"files"=>["https://ndownloader.figshare.com/files/960831"], "description"=>"<div><p>This figure describes the state of the trial corresponding to planned visits up to 30 April 2005. HIV-positive and HIV-negative participants were randomized. All were followed, but only participants HIV-negative at randomization were analyzed and are represented in the three follow-up visits of the figure. After randomization, the participants could attend the 3-mo visit, miss it, or be excluded from follow-up (death or loss to follow-up). The non-excluded participants who attended the 3-mo visit could then attend the 12-mo visit, miss it, or be excluded (death or loss to follow-up). The non-excluded participants of the 12-mo visit could then attend the 21-mo visit, be excluded (death or loss to follow-up) or were planning to attend the 21-mo visit but had not yet done so, because of the interruption of the trial.</p>\n <p>*, did not come for the scheduled visit (refused, withdrew, moved away or died); **, no blood sample</p></div>", "links"=>[], "tags"=>["Infectious diseases", "public health and epidemiology", "non-clinical medicine/health policy", "infectious diseases/hiv infection and aids", "urology"], "article_id"=>630829, "categories"=>["Cancer", "Medicine", "Infectious Diseases", "Biotechnology"], "users"=>["Bertran Auvert", "Dirk Taljaard", "Emmanuel Lagarde", "Joëlle Sobngwi-Tambekou", "Rémi Sitta", "Adrian Puren"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0020298.g001", "stats"=>{"downloads"=>2, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Trial_Profile_/630829", "title"=>"Trial Profile", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-22 08:52:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/474439", "https://ndownloader.figshare.com/files/474609", "https://ndownloader.figshare.com/files/474674"], "description"=>"<div><h3>Background</h3><p>Observational studies suggest that male circumcision may provide protection against HIV-1 infection. A randomized, controlled intervention trial was conducted in a general population of South Africa to test this hypothesis.</p> <h3>Methods and Findings</h3><p>A total of 3,274 uncircumcised men, aged 18–24 y, were randomized to a control or an intervention group with follow-up visits at months 3, 12, and 21. Male circumcision was offered to the intervention group immediately after randomization and to the control group at the end of the follow-up. The grouped censored data were analyzed in intention-to-treat, univariate and multivariate, analyses, using piecewise exponential, proportional hazards models. Rate ratios (RR) of HIV incidence were determined with 95% CI. Protection against HIV infection was calculated as 1 − RR. The trial was stopped at the interim analysis, and the mean (interquartile range) follow-up was 18.1 mo (13.0–21.0) when the data were analyzed. There were 20 HIV infections (incidence rate = 0.85 per 100 person-years) in the intervention group and 49 (2.1 per 100 person-years) in the control group, corresponding to an RR of 0.40 (95% CI: 0.24%–0.68%; <em>p</em> < 0.001). This RR corresponds to a protection of 60% (95% CI: 32%–76%). When controlling for behavioural factors, including sexual behaviour that increased slightly in the intervention group, condom use, and health-seeking behaviour, the protection was of 61% (95% CI: 34%–77%).</p> <h3>Conclusion</h3><p>Male circumcision provides a degree of protection against acquiring HIV infection, equivalent to what a vaccine of high efficacy would have achieved. Male circumcision may provide an important way of reducing the spread of HIV infection in sub-Saharan Africa. (Preliminary and partial results were presented at the International AIDS Society 2005 Conference, on 26 July 2005, in Rio de Janeiro, Brazil.).</p> </div>", "links"=>[], "tags"=>["controlled", "circumcision", "hiv", "anrs", "1265"], "article_id"=>153503, "categories"=>["Cancer", "Medicine", "Biotechnology"], "users"=>["Bertran Auvert", "Dirk Taljaard", "Emmanuel Lagarde", "Joëlle Sobngwi-Tambekou", "Rémi Sitta", "Adrian Puren"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.0020298.st001", "https://dx.doi.org/10.1371/journal.pmed.0020298.st002", "https://dx.doi.org/10.1371/journal.pmed.0020298.st003"], "stats"=>{"downloads"=>29, "page_views"=>47, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Randomized_Controlled_Intervention_Trial_of_Male_Circumcision_for_Reduction_of_HIV_Infection_Risk_The_ANRS_1265_Trial/153503", "title"=>"Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk: The ANRS 1265 Trial", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-01-20 13:36:28"}

PMC Usage Stats | Further Information

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Relative Metric

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