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Cassell JA, Dodds J, Estcourt C, et al. The relative clinical effectiveness and cost-effectiveness of three contrasting approaches to partner notification for curable sexually transmitted infections: a cluster randomised trial in primary care. Southampton (UK): NIHR Journals Library; 2015 Jan. (Health Technology Assessment, No. 19.5.)

Cover of The relative clinical effectiveness and cost-effectiveness of three contrasting approaches to partner notification for curable sexually transmitted infections: a cluster randomised trial in primary care

The relative clinical effectiveness and cost-effectiveness of three contrasting approaches to partner notification for curable sexually transmitted infections: a cluster randomised trial in primary care.

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Chapter 11Results of all phases

Partner notification outcomes

During all phases of the pilot a total of 25 (3.2%; n = 783) patients were diagnosed positive for a STI (24 for chlamydia and one for genital herpes) across eight practices. They are summarised in Figure 13. The majority of patients (n = 18) came through patient referral practices, five through provider and two through contract (Figures 1417). The majority of patients diagnosed with a STI were female (22 females vs. 3 males). The HA was able to contact successfully 11 (44%) of the patients diagnosed with a STI, six (24%) of whom were followed up at 1 week and two (8%) subsequently followed up at the 6-week and 3-month periods.

FIGURE 13. Follow-up of positive respondents.

FIGURE 13

Follow-up of positive respondents.

FIGURE 14. Consent at diagnosis practices recruited in phase 1 and continuing (n = 3) (8 November 2010–31 July 2012).

FIGURE 14

Consent at diagnosis practices recruited in phase 1 and continuing (n = 3) (8 November 2010–31 July 2012).

FIGURE 17. Intensive recruitment practices recruited in phase 4 (n = 8) (2 February 2012–3 August 2012).

FIGURE 17

Intensive recruitment practices recruited in phase 4 (n = 8) (2 February 2012–3 August 2012).

FIGURE 15. Consent at test practices recruited in phase 1 and continuing (n = 3) (November 2010–31 July 2012).

FIGURE 15

Consent at test practices recruited in phase 1 and continuing (n = 3) (November 2010–31 July 2012).

FIGURE 16. Consent at test practices newly recruited in phase 3 and continuing (n = 2) (11 July 2011–31 July 2012).

FIGURE 16

Consent at test practices newly recruited in phase 3 and continuing (n = 2) (11 July 2011–31 July 2012).

Partners were known to have been tested for four patients; three partners were diagnosed positive for chlamydia and for two of these the HA was told by the index patient that they had been treated. The two participants who were followed up at the 3-month period were retested for chlamydia, with both testing negative.

Given the small numbers, it is not possible to present outcome data for the range of primary and secondary outcomes.

Consolidated Standards of Reporting Trials diagrams

Summary recruitment data have been given at the end of each chapter describing a pilot phase, with a complete summary at the end of phase 4. Here we present for completeness the Consolidated Standards of Reporting Trials (CONSORT) flow diagrams for the various phases and categories of practice (Figures 1418).

FIGURE 18. Consent at diagnosis practice recruited in phase 4 (n = 1) (3 February 2012–31 July 2012).

FIGURE 18

Consent at diagnosis practice recruited in phase 4 (n = 1) (3 February 2012–31 July 2012).

Copyright © Queen’s Printer and Controller of HMSO 2015. This work was produced by Cassell et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK269475

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