Evidence map›Paper›PMID 24204126›Full record

ReviewPatient preference and adherence2013

Factors associated with uptake, adherence, and efficacy of hepatitis C treatment in people who inject drugs: a literature review.

Viktor Mravčík, Lisa Strada, Josef Stolfa, Vladimir Bencko, Teodora Groshkova, Jens Reimer, Bernd Schulte

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Patient preference and adherence, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03155906 (Integrated Treatment of Hepatitis C Virus Infection Among Patients With Injecting Drug Abuse), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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.

NCT03155906 nacompletednot on this mapstarted 2017, after this paper: background citation

Integrated Treatment of Hepatitis C Virus Infection Among Patients With Injecting Drug Abuse:a Randomised Controlled Trial (INTRO-HCV)

TypeinterventionalSponsorHaukeland University HospitalRan2017 to 2025Enrolled298ConditionsHepatitis C, Chronic, Opioid Dependence, on Agonist TherapyArmsHealth care delivery
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Trial
  7. Article
  8. Pilot Outreach Program in Remedis-The Promising Step toward HCV Elimination among People Who Inject Drugs.International journal of environmental research and public health · 2022
    Article
  9. Experiences of Hope after Treatment of Hepatitis C Infection-A Qualitative Study.International journal of environmental research and public health · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
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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

7 authors at 4 institutions in 3 countries.

Viktor MravčíkNational Monitoring Centre for Drugs and Drug Addiction, Prague, Czech Republic ; Department of Addictology, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Lisa Strada
Josef Stolfa
Vladimir Bencko
Teodora Groshkova
Jens Reimer
Bernd Schulte
Universität Hamburg · DECharles University · CZEuropean Monitoring Centre for Drugs and Drug Addiction · PTInstitute for Postgraduate Medical Education · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

methodsHepatitis C virus (HCV) infections are highly prevalent amongst people who inject drugs (PWID). Despite well documented evidence of its effectiveness, suggested cost-effectiveness, and potential to reduce HCV prevalence rates, the uptake of antiviral HCV treatment by PWID is low. This nonsystematic literature review describes factors associated with the uptake, adherence, and efficacy of HCV treatment among PWID and discusses strategies to increase their uptake of treatment.

resultsLow HCV treatment uptake among PWID is associated with a number of patient-related and provider-related barriers. Beliefs and fears about low efficacy and adverse effects on the patient's part are common. A substantial number of factors are associated with the chaotic lifestyle and altered social functioning of PWID, which are often associated with decompensation or relapsing into drug addiction. This may lead to perceived low adherence with treatment and low efficacy on the provider's part too, where lack of support, inadequate management of addiction, and other drug-related problems and poor treatment of side effects have been described. Practical issues such as the accessibility of treatment and finances also play a role. Strategies to improve the HCV treatment rate among PWID involve pretreatment management and assessment, a multidisciplinary approach, management of side effects, and enhanced education and counseling.

conclusionSpecific factors are associated with poorer treatment outcomes in PWID on the side of both the patient and the treatment system. However, given that PWID can achieve treatment adherence and sustained virologic response rates comparable with those in nondrug users, drug use per se should not be considered a criterion for exclusion from treatment. Further development of measures leading to higher uptake of treatment and adherence in PWID and appropriate adaptation of HCV treatment guidelines represent important tools in this regard.

Indexed as

adherenceefficacyhepatitis C viruspeople who inject drugstreatment uptake

Identifiers

PMID24204126
PMCPMC3804540
OpenAlexW2065214690

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.