Evidence map›Paper›PMID 25032989›Full record

ArticlePloS one2014

Hepatitis C virus testing in adults living with HIV: a need for improved screening efforts.

Baligh R Yehia, Ramin S Herati, John A Fleishman, Joel E Gallant, Allison L Agwu, Stephen A Berry, P Todd Korthuis, Richard D Moore, Joshua P Metlay, Kelly A Gebo and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Deaths Attributable to Cancer in the US Human Immunodeficiency Virus Population During 2001-2015.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. 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

11 authors at 7 institutions in 1 country.

Baligh R YehiaDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Ramin S HeratiDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States of America.
John A FleishmanCenter for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland, United States of America.
Joel E GallantSouthwest Care Center, Santa Fe, New Mexico, United States of America.
Allison L AgwuDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Stephen A BerryDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
P Todd KorthuisDepartment of Medicine, Oregon Health and Sciences University, Portland, Oregon, United States of America.
Richard D MooreDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Joshua P MetlayGeneral Medicine Division, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Kelly A GeboDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
HIV Research Network
Johns Hopkins University · USUniversity of Pennsylvania · USAgency for Healthcare Research and Quality · USJohns Hopkins Medicine · USMassachusetts General Hospital · USOregon Health & Science University · USSouthwest Regional Wound Care Center · US

Funding

North American AIDS Cohorts on Collaboration and Design (NAACCORD)U01AI069918 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Keri Nicole Althoff, RICHARD Douglas MOORE · 2006 to 2026
$65.2M
Johns Hopkins HIV Clinical CohortU01DA036935 · NIDA · JOHNS HOPKINS UNIVERSITY · PI MOORE, RICHARD DOUGLAS · 2014 to 2024
$14.9M
Universal Screening of HIV-Infected Persons for Gonorrhea and ChlamydiaK23AI084854 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BERRY, STEPHEN ARTHUR · 2010 to 2014
$671k
Evaluating Patient Retention in HIV CareK23MH097647 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI YEHIA, BALIGH RAMZI · 2012 to 2013
$361k
NIAID NIH HHS K23 AI084854NIAID NIH HHS K23AI084854NIAID NIH HHS U01 AI069918NIDA NIH HHS U01 DA036935NIMH NIH HHS K23 MH097647NIMH NIH HHS K23-MH097647-01A1PHS HHS HHSA290201100007C]
6 · The paper itself

Abstract

objectivesGuidelines recommend hepatitis C virus (HCV) screening for all people living with HIV (PLWH). Understanding HCV testing practices may improve compliance with guidelines and can help identify areas for future intervention.

methodsWe evaluated HCV screening and unnecessary repeat HCV testing in 8,590 PLWH initiating care at 12 U.S. HIV clinics between 2006 and 2010, with follow-up through 2011. Multivariable logistic regression examined the association between patient factors and the outcomes: HCV screening (≥1 HCV antibody tests during the study period) and unnecessary repeat HCV testing (≥1 HCV antibody tests in patients with a prior positive test result).

resultsOverall, 82% of patients were screened for HCV, 18% of those screened were HCV antibody-positive, and 40% of HCV antibody-positive patients had unnecessary repeat HCV testing. The likelihood of being screened for HCV increased as the number of outpatient visits rose (adjusted odds ratio 1.02, 95% confidence interval 1.01-1.03). Compared to men who have sex with men (MSM), patients with injection drug use (IDU) were less likely to be screened for HCV (0.63, 0.52-0.78); while individuals with Medicaid were more likely to be screened than those with private insurance (1.30, 1.04-1.62). Patients with heterosexual (1.78, 1.20-2.65) and IDU (1.58, 1.06-2.34) risk compared to MSM, and those with higher numbers of outpatient (1.03, 1.01-1.04) and inpatient (1.09, 1.01-1.19) visits were at greatest risk of unnecessary HCV testing.

conclusionsAdditional efforts to improve compliance with HCV testing guidelines are needed. Leveraging health information technology may increase HCV screening and reduce unnecessary testing.

Indexed as

AdolescentAdultFemaleHealth Services Needs and DemandHepacivirusHepatitis CHepatitis C AntibodiesHIV InfectionsHumansLogistic ModelsMaleMass ScreeningMiddle AgedRiskRisk FactorsSubstance Abuse, IntravenousHepatitis C Antibodies

Identifiers

PMID25032989
PMCPMC4102540
OpenAlexW2106036005

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.