Evidence map›Paper›PMID 26562516›Full record

ArticlePloS one2015

The Cascade of Care for an Australian Community-Based Hepatitis C Treatment Service.

Amanda J Wade, Diana M Macdonald, Joseph S Doyle, Adam Gordon, Stuart K Roberts, Alexander J Thompson, Margaret E Hellard

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 75 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Prison-based interventions are key to achieving HCV elimination among people who inject drugs in New South Wales, Australia: A modelling study.Liver international : official journal of the International Association for the Study of the Liver · 2023
    Article
  5. Article
  6. Article
  7. Peer support in small towns: A decentralized mobile Hepatitis C virus clinic for people who inject drugs.Liver international : official journal of the International Association for the Study of the Liver · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Cascade of Care for Alaska Native People With Chronic Hepatitis C Virus Infection: Statewide Program With High Linkage to Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  15. The Elimination of Hepatitis C as a Public Health Threat.Cold Spring Harbor perspectives in medicine · 2020
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Hepatitis C Continuum of Care in a Treatment Center in Sub-Saharan Africa.Journal of clinical and experimental hepatology · 2018
    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

7 authors at 3 institutions in 1 country.

Amanda J WadeCentre for Population Health, Burnet Institute, Melbourne, Victoria, Australia.
Diana M MacdonaldDepartment of Infectious Diseases, The Alfred, Melbourne, Victoria, Australia.
Joseph S DoyleCentre for Population Health, Burnet Institute, Melbourne, Victoria, Australia.
Adam GordonDepartment of Gastroenterology, The Alfred, Melbourne, Victoria, Australia.
Stuart K RobertsDepartment of Gastroenterology, The Alfred, Melbourne, Victoria, Australia.
Alexander J ThompsonDepartment of Gastroenterology, St Vincent's Hospital, Melbourne, Victoria, Australia.
Margaret E HellardCentre for Population Health, Burnet Institute, Melbourne, Victoria, Australia.
Monash University · AUThe Alfred Hospital · AUBurnet Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis C treatment uptake in Australia is low. To increase access to hepatitis C virus treatment for people who inject drugs, we developed a community-based, nurse-led service that linked a viral hepatitis service in a tertiary hospital to primary care clinics, and resulted in hepatitis C treatment provision in the community.

methodsA retrospective cohort study of patients referred to the community hepatitis service was undertaken to determine the cascade of care. Logistic regression analyses were used to identify predictors of hepatitis C treatment uptake.

resultsFour hundred and sixty-two patients were referred to the community hepatitis service; 344 attended. Among the 279 attendees with confirmed chronic hepatitis C, 257 (99%) reported ever injecting drugs, and 124 (48%) injected in the last month. Of 201 (72%) patients who had their fibrosis staged, 63 (31%) had F3-F4 fibrosis. Fifty-five patients commenced hepatitis C treatment; 26 (47%) were current injectors and 25 (45%) had F3-F4 fibrosis. Nineteen of the 27 (70%) genotype 1 patients and 14 of the 26 (54%) genotype 3 patients eligible for assessment achieved a sustained virologic response. Advanced fibrosis was a significant predictor of treatment uptake in adjusted analysis (AOR 2.56, CI 1.30-5.00, p = 0.006).

conclusionsOur community hepatitis service produced relatively high rates of fibrosis assessment, hepatitis C treatment uptake and cure, among people who inject drugs. These findings highlight the potential benefits of providing community-based hepatitis C care to people who inject drugs in Australia-benefits that should be realised as direct-acting antiviral agents become available.

Indexed as

Community Health ServicesMedication AdherenceAdultAntiviral AgentsAustraliaFemaleHepacivirusHepatitis CHumansLiver CirrhosisMaleRetrospective StudiesSubstance Abuse, IntravenousAntiviral Agents

Identifiers

PMID26562516
PMCPMC4642931
OpenAlexW2280719849

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.