Evidence map›Paper›PMID 27084385›Full record

Observational studyDigestive diseases and sciences2016

Chronic Hepatitis B Is Associated with Higher Inpatient Resource Utilization and Mortality Versus Chronic Hepatitis C.

George Cholankeril, Ryan B Perumpail, Menghan Hu, Gail Skowron, Zobair M Younossi, Aijaz Ahmed

Abstract readComparative StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Digestive diseases and sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Hepatitis C Virus Infection and Hospital-Related Outcomes: A Systematic Review.Canadian journal of gastroenterology & hepatology · 2024
    Pooled it
  2. Review
  3. Observational
  4. 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 5 institutions in 1 country.

George CholankerilDepartment of Internal Medicine, Roger Williams Medical Center, Boston University School of Medicine, 825 Chalkstone Avenue, Providence, RI, 02908, USA. gcholankeril@gmail.com.
Ryan B PerumpailDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, 300 Pasteur Drive, Grant S101, Stanford, CA, 94305, USA.
Menghan HuDepartment of Biostatistics, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02903, USA.
Gail SkowronDepartment of Infectious Disease, Roger Williams Medical Center, Boston University School of Medicine, 825 Chalkstone Avenue, Providence, RI, 02908, USA.
Zobair M YounossiDepartment of Medicine, Center for Liver Diseases, Inova Fairfax Hospital, 3rd Floor Claude Moore Building, 3300 Gallows Road, Falls Church, VA, 22042, USA.
Aijaz AhmedDepartment of Gastroenterology and Hepatology, Stanford University of School Medicine, 750 Welch Rd 210, Palo Alto, CA, 94304, USA.
Stanford University · USBoston University · USBrown University · USInova Fairfax Hospital · USProvidence College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic hepatitis B virus (HBV) and chronic hepatitis C virus (HCV) infections remain one of the leading causes of chronic liver disease and hepatocellular carcinoma. Healthcare initiatives for chronic viral hepatitis to facilitate early diagnosis and linkage to care in an effort to reduce inpatient resource utilization associated with late diagnosis and end-stage liver disease have been partially successful.

aimsOur objective was to determine the impact of liver-related complications from chronic HBV and HCV infections on inpatient cost of care, length of stay, and mortality.

methodsUsing the Healthcare Cost and Utilization Project, National Inpatient Sample (HCUP-NIS), we studied the impact of chronic HBV and HCV infections on inpatient healthcare system following hospitalizations from 2003 to 2012.

resultsOf the 79,185,729 million hospitalizations among adult patients in the USA from 2003 to 2012, 143,896 (0.18 %) hospitalizations were HBV related and 1,073,269 (1.36 %) hospitalizations HCV related. HBV hospitalizations had a higher inpatient mortality (OR 1.34; 95 % CI 1.30, 1.38), median cost of care per hospitalization (+$2100.33; 95 % CI 1982.53, 2217.53), and increased length of hospitalization stay (+0.64 days; 95 % CI 0.60, 0.68; p < 0.01) compared to HCV.

conclusionsDespite higher per case resource utilization following hospitalization, HBV-infected patients demonstrate a lower inpatient survival in comparison with chronic HCV infection. These disparate observations underscore the need for early diagnosis of chronic HBV infection in at-risk population and prompt linkage to care.

Indexed as

Hospital CostsHospital MortalityAdultAgedAged, 80 and overDatabases, FactualEnd Stage Liver DiseaseFemaleHealth ResourcesHepatitis B, ChronicHepatitis C, ChronicHospitalizationHumansInsurance, HealthLength of StayMaleChronic hepatitis BChronic hepatitis CHealthcare utilizationLinkage to care

Identifiers

PMID27084385
OpenAlexW2339132455

What OpenQuestion holds

Textmetadata
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.