Evidence map›Paper›PMID 21924674›Full record

ArticleJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2011

Clinical variables identify seronegative HCV co-infection in HIV-infected individuals.

Ajay R Bharti, Scott L Letendre, Tanya Wolfson, David Clifford, Ann C Collier, Benjamin Gelman, Justin McArthur, Christina Marra, Allen McCutchan, Susan Morgello and 3 more

Abstract read
In one paragraph

Article in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Development and validation of the HCV-MOSAIC risk score to assist testing for acute hepatitis C virus (HCV) infection in HIV-infected men who have sex with men (MSM).Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2017
    Article
  6. Review
  7. Review
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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

13 authors at 6 institutions in 1 country.

Ajay R BhartiUniversity of California, San Diego, La Jolla, CA 92093, USA. abharti@ucsd.edu
Scott L Letendre
Tanya Wolfson
David Clifford
Ann C Collier
Benjamin Gelman
Justin McArthur
Christina Marra
Allen McCutchan
Susan Morgello
David Simpson
Ron J Ellis
Igor Grant
University of California, San Diego · USIcahn School of Medicine at Mount Sinai · USUniversity of Washington · USJohns Hopkins University · USThe University of Texas Medical Branch at Galveston · USWashington University in St. Louis · US

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jessica Lynette Montoya · 2001 to 2026
$50.4M
CNS HIV ANTI-RETROVIRAL THERAPY EFFECTS RESEARCH (CHARTER)N01MH22005 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GRANT, IGOR · 2007 to 2009
$12.0M
Interdisciplinary Research Fellowship in NeuroAIDSR25MH081482 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MARIANA CHERNER · 2007 to 2026
$5.2M
Impact of HCV Therapy on CNS OutcomesR01DA039775 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BHARTI, AJAY R · 2015 to 2019
$3.0M
Impact of Malaria Co-Infection on HIV-Associated Neurocognitive DisordersK23MH085512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BHARTI, AJAY R · 2010 to 2013
$675k
CNS HIV ANTI-RETROVIRAL THERAPY EFFECTS RESEARCH /CHARTER/ -278022005-278022005N01MH022005 · NIMH · UNIVERSITY OF CA -SAN DIEGO · PI GRANT, IGOR · 2003 to 2006
–
NIDA NIH HHS R01 DA039775NIMH NIH HHS 1K23MH085512-01A2NIMH NIH HHS K23 MH085512NIMH NIH HHS N01 MH022005NIMH NIH HHS N01MH22005NIMH NIH HHS R25 MH081482NIMH NIH HHS R25 MH81482
6 · The paper itself

Abstract

backgroundA substantial number of people living with HIV (PLWH) are co-infected with Hepatitis C Virus (HCV) but have a negative screening HCV antibody test (seronegative HCV infection, or SN-HCV).

objectiveTo identify a concise set of clinical variables that could be used to improve case finding for SN-HCV co-infection among PLWH. STUDY

designTwo hundred HIV-infected participants of the CHARTER study were selected based on 7 clinical variables associated with HCV infection but were HCV seronegative. Data were analyzed using Fisher's exact tests, receiver-operating characteristic (ROC) curves, and logistic regression.

resultsTwenty-six (13%) participants had detectable HCV RNA. SN-HCV was associated with a history of IDU, elevated ALT and AST, low platelets, black ethnicity, and undetectable HIV RNA in plasma. Each of these clinical variables, except for abnormal AST, remained independently associated with SN-HCV in a multivariate logistic regression analysis. A composite risk score correctly identified SN-HCV with sensitivity up to 85% and specificity up to 88%.

conclusionsIn a substantial minority of PLWH, seronegative HCV viremia can be predicted by a small number of clinical variables. These findings, after validation in an unselected cohort, could help focus screening in those at highest risk.

Indexed as

BiomarkersAdultAlanine TransaminaseAspartate AminotransferasesBlack PeopleCoinfectionFemaleHepatitis CHepatitis C AntibodiesHIV InfectionsHumansMaleMiddle AgedRisk FactorsRNA, ViralSubstance Abuse, IntravenousAlanine TransaminaseAspartate AminotransferasesBiomarkersHepatitis C AntibodiesRNA, Viral

Identifiers

PMID21924674
PMCPMC3217127
OpenAlexW2092654311

What OpenQuestion holds

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LicenceTDM
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 OpenQuestion graph.