Evidence map›Paper›PMID 25068274›Full record

SynthesisPloS one2014

Hepatitis C virus infection epidemiology among people who inject drugs in Europe: a systematic review of data for scaling up treatment and prevention.

Lucas Wiessing, Marica Ferri, Bart Grady, Maria Kantzanou, Ida Sperle, Katelyn J Cullen, EMCDDA DRID group, Angelos Hatzakis, Maria Prins, Peter Vickerman and 3 more

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03923595 (The Puglia HCV Micro-elimination in People With Substance Use Disorders), which is not on this map. Cited by 102 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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.

NCT03923595 completednot on this mapstarted 2019, after this paper: background citation

The Puglia HCV Micro-elimination in People With Substance Use Disorders

TypeobservationalSponsorAlessandra MangiaRan2019 to 2021Enrolled231ConditionsHepatitis CArmsAdherence intervention research
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Community viral load and hepatitis C virus infection: Community viral load measures to aid public health treatment efforts and program evaluation.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2020
    Pooled it
  2. Pooled it
  3. Pooled it
  4. High hepatitis C virus prevalence among drug users in Iran: systematic review and meta-analysis of epidemiological evidence (2001-2012).International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2015
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Guideline
  8. Pooled it
  9. Trial
  10. Trial
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

42 more citing papers are in PubMed but not listed here.

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.

Lucas WiessingEuropean Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Lisbon, Portugal.
Marica FerriEuropean Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Lisbon, Portugal.
Bart GradyCluster Infectious Diseases, Department of Research, Public Health Service, Amsterdam, The Netherlands; Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, The Netherlands.
Maria KantzanouNational Reference Centre for Retroviruses, Laboratory of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Athens, Greece.
Ida SperleCopenhagen HIV Programme (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Katelyn J CullenHIV & STI Department, Centre for Infectious Disease Surveillance and Control, Public Health England, London, United Kingdom.
EMCDDA DRID group
Angelos HatzakisNational Reference Centre for Retroviruses, Laboratory of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Athens, Greece.
Maria PrinsCluster Infectious Diseases, Department of Research, Public Health Service, Amsterdam, The Netherlands; Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, The Netherlands.
Peter VickermanLondon School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom; School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom.
Jeffrey V LazarusCopenhagen HIV Programme (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Vivian D HopeHIV & STI Department, Centre for Infectious Disease Surveillance and Control, Public Health England, London, United Kingdom; London School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom.
Catharina MatheïDepartment of Public Health and Primary Care, KULeuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople who inject drugs (PWID) are a key population affected by hepatitis C virus (HCV). Treatment options are improving and may enhance prevention; however access for PWID may be poor. The availability in the literature of information on seven main topic areas (incidence, chronicity, genotypes, HIV co-infection, diagnosis and treatment uptake, and burden of disease) to guide HCV treatment and prevention scale-up for PWID in the 27 countries of the European Union is systematically reviewed. METHODS AND

findingsWe searched MEDLINE, EMBASE and Cochrane Library for publications between 1 January 2000 and 31 December 2012, with a search strategy of general keywords regarding viral hepatitis, substance abuse and geographic scope, as well as topic-specific keywords. Additional articles were found through structured email consultations with a large European expert network. Data availability was highly variable and important limitations existed in comparability and representativeness. Nine of 27 countries had data on HCV incidence among PWID, which was often high (2.7-66/100 person-years, median 13, Interquartile range (IQR) 8.7-28). Most common HCV genotypes were G1 and G3; however, G4 may be increasing, while the proportion of traditionally 'difficult to treat' genotypes (G1+G4) showed large variation (median 53, IQR 43-62). Twelve countries reported on HCV chronicity (median 72, IQR 64-81) and 22 on HIV prevalence in HCV-infected PWID (median 3.9%, IQR 0.2-28). Undiagnosed infection, assessed in five countries, was high (median 49%, IQR 38-64), while of those diagnosed, the proportion entering treatment was low (median 9.5%, IQR 3.5-15). Burden of disease, where assessed, was high and will rise in the next decade.

conclusionKey data on HCV epidemiology, care and disease burden among PWID in Europe are sparse but suggest many undiagnosed infections and poor treatment uptake. Stronger efforts are needed to improve data availability to guide an increase in HCV treatment among PWID.

Indexed as

ComorbidityEuropeEuropean UnionHepatitis CHIV InfectionsHumansIncidencePrevalenceSubstance Abuse, Intravenous

Identifiers

PMID25068274
PMCPMC4113410

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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.