Evidence map›Paper›PMID 26569631›Full record

ArticleSubstance abuse2016

Screening and evaluation of hepatitis C virus infection in pregnant women on opioid maintenance therapy: A retrospective cohort study.

Elizabeth E Krans, Susan L Zickmund, Vinod K Rustgi, Seo Young Park, Shannon L Dunn, Eleanor B Schwarz

Open access · bronzeAbstract read
In one paragraph

Article in Substance abuse, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.5field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Hepatitis C virus in childhood and pregnancy.Infectious diseases & immunity · 2025
    Review
  3. Sofosbuvir/Velpatasvir Pharmacokinetics, Safety, and Efficacy in Pregnant People With Hepatitis C Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. Pediatric Primary Care Diagnoses Among Children with Intrauterine Opioid Exposure.Journal of health care for the poor and underserved · 2023
    Article
  8. Cost-effectiveness of Antenatal Rescreening Among Pregnant Women for Hepatitis C in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. CDC Recommendations for Hepatitis C Screening Among Adults - United States, 2020.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2020
    Article
  14. Article
  15. Article
  16. Cost-effectiveness of Universal Hepatitis C Virus Screening of Pregnant Women in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  17. Opioid epidemic and liver disease.JHEP reports : innovation in hepatology · 2019
    Review
  18. Article
  19. Article
  20. 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

6 authors at 3 institutions in 1 country.

Elizabeth E Kransa Department of Obstetrics , Gynecology and Reproductive Sciences , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.
Susan L Zickmundc Center for Health Equity Research and Promotion , Veteran's Administration (VA) Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA.
Vinod K Rustgid Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.
Seo Young Parkd Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.
Shannon L Dunnb Magee-Womens Research Institute , Pittsburgh , Pennsylvania , USA.
Eleanor B Schwarze Department of General Internal Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.
University of Pittsburgh · USMagee-Womens Research Institute · USVA Pittsburgh Healthcare System · US

Funding

University of Pittsburgh Clinical and Translational Science InstitutionKL2TR000146 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$8.7M
Facilitating HCV Treatment through Tailored Prenatal Care for HCV Infected, Substance using Pregnant WomenR21DA039345 · NIDA · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI KRANS, ELIZABETH E · 2015 to 2016
$377k
NCATS NIH HHS KL2 TR000146NCATS NIH HHS KL2TR000146NIDA NIH HHS R21 DA039345
6 · The paper itself

Abstract

backgroundThe purpose of this study was to describe the delivery of prenatal care services to women with opioid use disorder (OUD) on opioid maintenance therapy at high risk for hepatitis C virus (HCV) infection.

methodsWe conducted a retrospective cohort evaluation of 791 pregnant women with OUD from 2009 to 2012. HCV screening was defined as documentation of (a) an anti-HCV antibody test or (b) a provider discussion regarding a known HCV diagnosis during pregnancy. Multivariate logistic regression was used to identify predictors of HCV screening during pregnancy.

resultsAmong 791 pregnant women with OUD, 611 (77.2%) were screened for HCV infection and 369/611 (60.4%) were HCV positive. In multivariable analysis, patients who were married (odds ratio [OR] = 0.52; 95% confidence interval [CI] = 0.29, 0.91), used buprenorphine (OR = 0.45; 95% CI = 0.28, 0.71), and were cared for by private practice providers (OR = 0.29; 95% CI = 0.19, 0.45) were significantly less likely to be screened. In contrast, patients who used benzodiazepines (OR = 1.72; 95% CI = 1.02, 2.92), intravenous (IV) opioids (OR = 6.15; 95% CI = 3.96, 9.56), had legal problems (OR = 2.23; 95% CI = 1.12, 4.45), had children not in their custody (OR = 1.81; 95% CI = 1.01, 3.24), and who had a partner with substance abuse history (OR = 2.38; 95% CI = 1.23, 4.59) were significantly more likely to be screened. Of 369 HCV-positive patients, a new diagnosis of HCV was made during pregnancy for 108 (29.3%) patients. Only 94 (25.5%) had HCV viral load testing, 61 (16.5%) had HCV genotype testing, and 38 (10.4%) received an immunization for hepatitis A. Although 285 (77.2%) patients were referred to hepatology, only 71 (24.9%) attended the consultation. Finally, only 6 (1.6%) patients received HCV treatment 1 year following delivery.

conclusionsPrenatal care approaches to HCV infection remain inconsistent, and the majority of patients diagnosed with HCV infection during pregnancy do not receive treatment after delivery.

Indexed as

Opiate Substitution TreatmentAdultFemaleHepatitis CHumansOpioid-Related DisordersPregnancyPrenatal CareRetrospective StudiesRisk FactorsYoung AdultHepatitis C virusopioid dependencepregnancyprenatal care screening

Identifiers

PMID26569631
PMCPMC4827149
OpenAlexW2223049751

What OpenQuestion holds

Textmetadata
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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.