Evidence map›Paper›PMID 25377240›Full record

ArticleBMC infectious diseases2014

Bridging the data gaps in the epidemiology of hepatitis C virus infection in Malaysia using multi-parameter evidence synthesis.

Scott A McDonald, Rosmawati Mohamed, Maznah Dahlui, Herlianna Naning, Adeeba Kamarulzaman

Abstract read
In one paragraph

Article in BMC infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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.

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

14 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Hepatitis in Malaysia: Past, Present, and Future.Euroasian journal of hepato-gastroenterology
    Review
  13. Article
  14. Chronic Viral Hepatitis in Malaysia: "Where are we now?"Euroasian journal of hepato-gastroenterology
    Review
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

5 authors.

Scott A McDonaldCentre of Excellence for Research in AIDS (CERiA), University of Malaya, Kuala Lumpur, Malaysia. scott.mcdonald@rivm.nl.
Rosmawati MohamedFaculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. ros@ummc.edu.my.
Maznah DahluiJulius Centre, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. maznahd@ummc.edu.my.
Herlianna NaningCentre of Excellence for Research in AIDS (CERiA), University of Malaya, Kuala Lumpur, Malaysia. dobie.herlianna@gmail.com.
Adeeba KamarulzamanCentre of Excellence for Research in AIDS (CERiA), University of Malaya, Kuala Lumpur, Malaysia. adeeba@ummc.edu.my.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCollecting adequate information on key epidemiological indicators is a prerequisite to informing a public health response to reduce the impact of hepatitis C virus (HCV) infection in Malaysia. Our goal was to overcome the acute data shortage typical of low/middle income countries using statistical modelling to estimate the national HCV prevalence and the distribution over transmission pathways as of the end of 2009.

methodsMulti-parameter evidence synthesis methods were applied to combine all available relevant data sources - both direct and indirect - that inform the epidemiological parameters of interest.

resultsAn estimated 454,000 (95% credible interval [CrI]: 392,000 to 535,000) HCV antibody-positive individuals were living in Malaysia in 2009; this represents 2.5% (95% CrI: 2.2-3.0%) of the population aged 15-64 years. Among males of Malay ethnicity, for 77% (95% CrI: 69-85%) the route of probable transmission was active or a previous history of injecting drugs. The corresponding proportions were smaller for male Chinese and Indian/other ethnic groups (40% and 71%, respectively). The estimated prevalence in females of all ethnicities was 1% (95% CrI: 0.6 to 1.4%); 92% (95% CrI: 88 to 95%) of infections were attributable to non-drug injecting routes of transmission.

conclusionsThe prevalent number of persons living with HCV infection in Malaysia is estimated to be very high. Low/middle income countries often lack a comprehensive evidence base; however, evidence synthesis methods can assist in filling the data gaps required for the development of effective policy to address the future public health and economic burden due to HCV.

Indexed as

AdolescentAdultEthnicityFemaleHepatitis CHumansMalaysiaMaleMiddle AgedModels, StatisticalPrevalenceRisk FactorsSubstance Abuse, Intravenous

Identifiers

PMID25377240
PMCPMC4229598

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