Evidence map›Paper›PMID 40060938›Full record

ReviewThe Lancet regional health. Europe2025

Control of HIV across the WHO European region: progress and remaining challenges.

Miłosz Parczewski, Deniz Gökengin, Ann Sullivan, Julia de Amo, Gus Cairns, Stela Bivol, Giorgi Kuchukhidze, Marta Vasylyev, Jürgen K Rockstroh

Abstract readReview
In one paragraph

Review in The Lancet regional health. Europe, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–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

30 citing papers in PubMed.

  1. Review
  2. Article
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  7. Observational
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  13. Review
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  18. Article
  19. Article
  20. Opt-in and opt-out strategies for HIV testing.The Lancet regional health. Europe · 2025
    Article
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

9 authors.

Miłosz ParczewskiDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Deniz GökenginDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Ege University, İzmir, Turkiye.
Ann SullivanChelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Julia de AmoDivision for the Control of HIV, STI, Viral Hepatitis and Tuberculosis, Ministry of Health, Madrid, Spain.
Gus CairnsEuropean AIDS Treatment Group, Brussels, Belgium.
Stela BivolJoint Infectious Diseases Unit, Division of Communicable Diseases, Environment and Health, World Health Organization, Regional Office for Europe, Copenhagen, Denmark.
Giorgi KuchukhidzeJoint Infectious Diseases Unit, Division of Communicable Diseases, Environment and Health, World Health Organization, Regional Office for Europe, Copenhagen, Denmark.
Marta VasylyevAstar Medical Center, Lviv, Ukraine.
Jürgen K RockstrohDepartment of Internal Medicine I, Universitätsklinkum Bonn, Bonn, Germany.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Despite the ambitious global goal to control HIV transmissions by 2030, more than 30% of people with HIV from the WHO European Region show persistent transmissible levels of the virus. Successful introduction of oral pre-exposure prophylaxis (PrEP) has led to significant decreases in new HIV transmissions in some areas of Europe, particularly among men who have sex with men. However, the limited PrEP access or lack of state funding in many European countries underlines the need to increase efforts to make PrEP consistently and equitably available for all individuals in need. The success of modern antiretroviral therapy (ART) is evident throughout the WHO European region, with more than 90% of treated individuals with viral suppression. Remaining barriers to control HIV include disparities in access to testing facilities such as community-based centers, persistently high levels of late diagnosis, delayed linkage to care especially for undocumented migrant populations, and inequalities in access to treatment. Retention in care and maintenance of viral suppression are additional challenges. The ongoing war in Ukraine is causing service disruption for people with HIV. Combating HIV associated stigma and discrimination, particularly in Eastern Europe and Central Asia, seems paramount in removing barriers to testing; new testing strategies, such as emergency room opt-out testing, could enable earlier diagnosis of HIV in transmission groups that have been difficult to reach. This review summarizes the barriers, opportunities, and pathways towards improvement of the HIV response in the WHO European region.

Indexed as

Ending AIDSHIVMigrationStigmaSustainable development goals

Identifiers

PMID40060938
PMCPMC11889346

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.