Evidence map›Paper›PMID 26908799›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

Prevalence of Diagnosed and Undiagnosed Hepatitis C in a Midwestern Urban Emergency Department.

Michael S Lyons, Vidhya A Kunnathur, Susan D Rouster, Kimberly W Hart, Matthew I Sperling, Carl J Fichtenbaum, Kenneth E Sherman

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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.

NCT03767231 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Emergency Department Patient's Perceptions and Acceptability Toward a Novel Point-of-Care Hepatitis C Virus Viral Load Testing

TypeinterventionalSponsorJohns Hopkins UniversityRan2026 to 2027Enrolled200ConditionsHepatitis CArmsXpert HCV Viral Load Finger-stick Point-of-Care test (Cepheid)
NCT07210242 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Study on Monitoring Cytomegalovirus (HCMV) Reactivation After Allogeneic Hematopoietic Stem Cell Transplantation Using High-Performance miRNA Quantification Technology (PSTM-qPCR)

Typeobservational_patient_registrySponsorTing YANGRan2025 to 2028Enrolled300ConditionsCytomegalovirus Infections, Hematopoietic Stem Cell Transplantation, Virus Reactivation, Graft vs Host Disease
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Guideline
  2. Recommendations on hepatitis C screening for adults.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
    Guideline
  3. Trial
  4. Trial
  5. Article
  6. Malignancy and viral infections in Sub-Saharan Africa: A review.Frontiers in virology (Lausanne, Switzerland) · 2023
    Article
  7. Article
  8. Routine screening of emergency admissions at risk of chronic hepatitis (SEARCH) identifies and links hepatitis B cases to care.Liver international : official journal of the International Association for the Study of the Liver · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Strategies to identify hepatitis C virus infection in patients receiving anticancer therapy: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  14. Article
  15. Review
  16. Hepatitis C Virus Screening of High-Risk Patients in a Canadian Emergency Department.Canadian journal of gastroenterology & hepatology · 2020
    Observational
  17. Article
  18. Article
  19. Article
  20. Implementation and Preliminary Results of an Emergency Department Nontargeted, Opt-out Hepatitis C Virus Screening Program.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 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 2 institutions in 2 countries.

Michael S LyonsDepartment of Emergency Medicine.
Vidhya A KunnathurDivision of Digestive Diseases.
Susan D RousterDivision of Digestive Diseases.
Kimberly W HartDepartment of Emergency Medicine.
Matthew I SperlingDepartment of Emergency Medicine.
Carl J FichtenbaumDivision of Infectious Diseases, University of Cincinnati, Ohio.
Kenneth E ShermanDivision of Digestive Diseases.
Centre For Digestive Diseases · AUUniversity of Cincinnati · US

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
NCATS NIH HHS 8UL1-TR000077NCATS NIH HHS UL1 TR000077
6 · The paper itself

Abstract

backgroundTargeted hepatitis C virus (HCV) screening is recommended. Implementation of screening in emergency department (ED) settings is challenging and controversial. Understanding HCV epidemiology in EDs could motivate and guide screening efforts. We characterized the prevalence of diagnosed and undiagnosed HCV in a Midwestern, urban ED.

methodsThis was a cross-sectional seroprevalence study using de-identified blood samples and self-reported health information obtained from consecutively approached ED patients aged 18-64 years. Subjects consented to a "study of diseases of public health importance" and were compensated for participation. The Biochain ELISA kit for Human Hepatitis C Virus was used for antibody assay. Viral RNA was isolated using the Qiagen QIAamp UltraSens Virus kit, followed by real-time reverse transcription polymerase chain reaction using a Bio-Rad CFX96 SYBR Green UltraFast program with melt-curve analysis.

resultsHCV antibody was detected in 128 of 924 (14%; 95% confidence interval [CI], 12%-16%) samples. Of these, 44 (34%) self-reported a history of HCV or hepatitis of unknown type and 103 (81%; 95% CI, 73%-87%) were RNA positive. Two additional patients were antibody negative but RNA positive. Fully implemented birth cohort screening for HCV antibody would have missed 36 of 128 (28%) of cases with detectable antibody and 26 of 105 (25%) of those with replicative HCV infection.

conclusionsHCV infection is highly prevalent in EDs. Emergency departments are likely to be uniquely important for HCV screening, and logistical challenges to ED screening should be overcome. Birth cohort screening would have missed many patients, suggesting the need for complementary screening strategies applied to an expanded age range.

Indexed as

Emergency Service, HospitalHospitals, UrbanMass ScreeningAdolescentAdultCross-Sectional StudiesFemaleHepacivirusHepatitis CHepatitis C AntibodiesHumansMaleMiddle AgedMidwestern United StatesPrevalenceRNA, ViralHepatitis C AntibodiesRNA, Viraldisease prevalenceemergency medicineepidemiologyhepatitis Cmass screening

Identifiers

PMID26908799
PMCPMC4826454
OpenAlexW2290448828

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.