{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T06:38:10Z","timestamp":1768804690581,"version":"3.49.0"},"reference-count":21,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,11,8]]},"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe and explore data from the surveillance of chlamydia, syphilis, gonorrhoea and genital warts by the Belgian Network of Sentinel General Practices (SGP) over the first 2\u2005years (2013 and 2014) and to estimate the incidence of these 4 sexually transmitted infections (STIs). A special focus is put on data quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>General practices from the nationwide representative SGP network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Agreement between data distributions by year, agreement between SGP-based incidence and incidence based on mandatory notification, missingness of patient age or gender and incompleteness of sexual risk history of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>306 new STI episodes were reported from 298 patients, corresponding with an episode-based incidence of 91.9\/100\u2005000 (95% CI 81.9 to 102.8) general practice patients, with almost half of it due to chlamydia. The incidence of chlamydia in men was significantly higher in 2014 than in 2013. Population characteristics were similarly distributed in 2013 and 2014. The SGP-based incidence of gonorrhoea and syphilis in Flanders were in agreement with the incidence based on mandatory notification of cases. Patient age or gender was missing from 35 episodes (11.4%). Independent determinants of missingness of patient age or gender were the Flemish region (OR 3.46; 95% CI 1.02 to 11.73) and genital warts infection (OR 2.23; 95% CI 1.07 to 4.63). An incomplete sexual risk history was reported for 54.6% STI episodes. The odds for an incomplete sexual history were higher for older patients (OR 1.72; 95% CI 1.06 to 2.76) and for patients infected with syphilis, gonorrhoea or co-infection(s) (OR 1.71; 95% CI 1.03 to 2.83).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Incompleteness of reports about patients with STI sexual risk histories is important from the perspective of quality of data and of quality of care. Together with the low rates of both HIV testing and discussion of partner notification, this suggests that a general practice guideline is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-012118","type":"journal-article","created":{"date-parts":[[2017,1,28]],"date-time":"2017-01-28T20:10:31Z","timestamp":1485634231000},"page":"e012118","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Four sexually transmitted infections (STIs) in Belgian general practice: first results (2013\u20132014) of a nationwide continuing surveillance study"],"prefix":"10.1136","volume":"7","author":[{"given":"N","family":"Boffin","sequence":"first","affiliation":[{"name":"Department of Health Services Research, Scientific Institute of Public Health, Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Moreels","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, Scientific Institute of Public Health, Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Deblonde","sequence":"additional","affiliation":[{"name":"Department of Epidemiology of Infectious Diseases, Scientific Institute of Public Health, Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Van Casteren","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, Scientific Institute of Public Health, Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,1,27]]},"reference":[{"key":"2025121513511110000_7.1.e012118.1","unstructured":"European Centre for Disease Prevention and Control. Sexually transmitted infections in Europe 2013. Stockholm: ECDC, 2015."},{"key":"2025121513511110000_7.1.e012118.2","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2004.010389"},{"key":"2025121513511110000_7.1.e012118.3","unstructured":"Belgian Health Interview Survey\u2014interactive analysis HISIA. Brussels: Scientific Institute of Public Health. https:\/\/hisia.wiv-isp.be\/SitePages\/Home.aspx (accessed 17 Feb 2016)."},{"key":"2025121513511110000_7.1.e012118.4","unstructured":"Meeus P . Performantie van de huisartsgeneeskunde. Een check-up [General practice performance. A check up]. Brussel: RIZIV, 2012."},{"key":"2025121513511110000_7.1.e012118.5","first-page":"261","article-title":"Richtlijn Zwangerschapsbegeleiding [Guideline prenatal care]","volume":"35","author":"Seuntjens","year":"2006","journal-title":"Huisarts Nu"},{"key":"2025121513511110000_7.1.e012118.6","first-page":"182","article-title":"Richtlijn Actieve opsporing van chlamydia trachomatis in de huisartsenpraktijk. [Guideline active detection of chlamydia trachomatis in general practice]","volume":"33","author":"Verhoeven","year":"2004","journal-title":"Huisarts Nu"},{"key":"2025121513511110000_7.1.e012118.7","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2011-000681"},{"issue":"I","key":"2025121513511110000_7.1.e012118.8","first-page":"S65","article-title":"A lot of barriers for STD-registration in primary care","volume":"8","author":"Coenen","year":"2004","journal-title":"Int J Infect Dis"},{"key":"2025121513511110000_7.1.e012118.9","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1186\/1472-6963-7-149","article-title":"Collecting data for sexually transmitted infections (STI) surveillance: what do patients prefer in Flanders?","volume":"7","author":"Verhoeven","year":"2007","journal-title":"BMC Health Serv Res"},{"key":"2025121513511110000_7.1.e012118.10","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1017\/S1463423615000456","article-title":"Collecting and registering sexual health information in the context of HIV risk in the electronic medical record of general practitioners: a qualitative exploration of the preference of general practitioners in urban communities in Flanders (Belgium)","volume":"17","author":"Vos","year":"2016","journal-title":"Prim Health Care Res Dev"},{"key":"2025121513511110000_7.1.e012118.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38977.682025.2C"},{"issue":"2","key":"2025121513511110000_7.1.e012118.12","first-page":"3","article-title":"Thirty years Registration Network of Sentinel General Practitioners","volume":"67","author":"Van Casteren","year":"2009","journal-title":"Arch Public Health"},{"key":"2025121513511110000_7.1.e012118.13","unstructured":"Boffin N , Moreels S , Van Casteren V . The Belgian network of Sentinel General Practices between 2007 and 2012: a short report . Brussels: Scientific Institute of Public Health, OD Public Health and Surveillance, Health Services Research, 2013."},{"key":"2025121513511110000_7.1.e012118.14","doi-asserted-by":"publisher","DOI":"10.2307\/2531734"},{"key":"2025121513511110000_7.1.e012118.15","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001885"},{"key":"2025121513511110000_7.1.e012118.16","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-007776"},{"key":"2025121513511110000_7.1.e012118.17","first-page":"450","article-title":"NHG-Standaard Het SOA consult (eerste herziening). [NHG-Standard the STI consult (first revision)]","volume":"56","author":"van Bergen","year":"2013","journal-title":"Huisarts Wetenschap"},{"key":"2025121513511110000_7.1.e012118.18","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-11-39"},{"key":"2025121513511110000_7.1.e012118.19","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-13-39"},{"key":"2025121513511110000_7.1.e012118.20","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003687"},{"key":"2025121513511110000_7.1.e012118.21","unstructured":"Anonymous. Seksueel overdraagbare infecties [Sexually transmitted infections]. Antwerpen: Domus Medica, 2015. http:\/\/www.domusmedica.be\/vorming\/vorming-voor-lok-s\/736-diensten\/handleidingen-voor-lok-s-new\/doe-het-zelf-lok-paketten\/6190-seksueel-overdraagbare-infecties.html (accessed 19 Feb 2016)."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2016-012118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T21:51:19Z","timestamp":1765835479000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2016-012118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2017,1,27]]},"published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1136\/bmjopen-2016-012118"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2016-012118","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}