Evidence map›Paper›PMID 27148964›Full record

ArticlePloS one2016

High Proportion of HIV-HCV Coinfected Patients with Advanced Liver Fibrosis Requiring Hepatitis C Treatment in Haiphong, Northern Vietnam (ANRS 12262).

Tam Nguyen Truong, Didier Laureillard, Karine Lacombe, Huong Duong Thi, Phuc Pham Thi Hanh, Lien Truong Thi Xuan, Nga Chu Thi, Anh Luong Que, Vinh Vu Hai, Nicolas Nagot and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03537196 (Towards HCV Elimination), which is not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 22% 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.

NCT03537196 phase4completednot on this mapstarted 2018, after this paper: background citation

Towards HCV Elimination: Evaluation of an Integrated Model of HCV Care Targeting People Who Inject Drugs in Hai Phong, Vietnam

TypeinterventionalSponsorANRS, Emerging Infectious DiseasesRan2018 to 2022Enrolled979ConditionsHepatitis C, Drug Use, Viral Hepatitis CArmsSofosbuvir 400 mg and Daclatasvir 60 mg, Sofosbuvir 400 mg and Daclatasvir 90 mg, Ribavirin, Sofosbuvir and Daclatasvir for 24 weeks
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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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

13 authors at 9 institutions in 3 countries.

Tam Nguyen TruongUniversity of Medicine Pham Ngoc Thach, Ho Chi Minh City, Vietnam.
Didier LaureillardINSERM U1058 "Pathogenesis and Control of Chronic Infections", Montpellier, France.
Karine LacombeDepartment of Infectious and Tropical Diseases, Saint-Antoine Hospital, AP-HP, Paris, France.
Huong Duong ThiDepartment of Public Health, University of Medicine and Pharmacy, Hai Phong, Vietnam.
Phuc Pham Thi HanhDepartment of Infectious and Tropical Diseases, Viet Tiep Hospital, Hai Phong, Vietnam.
Lien Truong Thi XuanPasteur Institute, Ho Chi Minh City, Vietnam.
Nga Chu ThiDepartment of virology, Viet Tiep hospital, Haiphong, Vietnam.
Anh Luong QueDepartment of virology, Viet Tiep hospital, Haiphong, Vietnam.
Vinh Vu HaiDepartment of Infectious and Tropical Diseases, Viet Tiep Hospital, Hai Phong, Vietnam.
Nicolas NagotINSERM U1058 "Pathogenesis and Control of Chronic Infections", Montpellier, France.
Edouard TuaillonINSERM U1058 "Pathogenesis and Control of Chronic Infections", Montpellier, France.
Stéphanie DominguezDepartment of clinical immunology, Henri Mondor Hospital, AP-HP, Créteil, France.
Maud LemoineDepartment of Hepatology, St Mary's Hospital, Imperial College, London, United Kingdom.
Assistance Publique – Hôpitaux de Paris · FRHung Vuong Hospital · VNCentre Hospitalier Universitaire de Montpellier · FRHai phong University Of Medicine and Pharmacy · VNInserm · FRInstitut Pasteur in Ho Chi Minh City · VNPham Ngoc Thach University of Medicine · VNSt Mary's Hospital · GBUniversité de Nîmes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RATIONALE AND

aimsScreening and treatment for chronic hepatitis C are very limited in Vietnam and clinical data on HCV-related liver disease in HIV-coinfected people are almost inexistent. This study aimed to assess the severity of liver fibrosis and its risk factors in HIV-HCV coinfected patients in Haiphong, Northern Vietnam.

methodsA cross-sectional study was conducted at a HIV outpatient clinic. Consecutive HIV treated adults with positive HCV serology completed a standardised epidemiological questionnaire and had a comprehensive liver assessment including hepatic elastography (Fibroscan®, Echosens).

resultsFrom February to March 2014, 104 HIV-HCV coinfected patients receiving antiretroviral therapy (ART) were prospectively enrolled (99 males, median age: 35.8 (32.7-39.6) years, median CD4 count: 504 (361-624) /mm3. Of them, 93 (89.4%) had detectable HCV RNA (median 6.19 (4.95-6.83 Log10 IU/mL). Patients were mainly infected with genotypes 1a/1b (69%) and genotypes 6a/6e (26%). Forty-three patients (41.3%) had fibrosis ≥F2 including 24 patients (23.1%) with extensive fibrosis (F3) and/or cirrhosis (F4). In univariate analysis, excessive alcohol consumption, estimated time duration from HCV infection, nevirapine and lopinavir-based ARV regimen and CD4 nadir were associated factors of extensive fibrosis/cirrhosis. Alcohol abuse was the only independent factor of extensive fibrosis in multivariate analysis. Using Fibroscan® as a gold standard, the high thresholds of AST-to-platelet ratio index (APRI) and fibrosis-4 score (FIB-4) had very good performances for the diagnosis of extensive fibrosis/cirrhosis (Se: 90 and 100%, Sp:84 and 81%, AUROCs = 0.93, 95%CI: 0.86-0.99 and 0.96 (0.92-0.99), respectively).

conclusionIn this study, nearly 25% of HIV-HCV coinfected patients successfully treated with ART have extensive fibrosis or cirrhosis, and therefore require urgently HCV treatment.

Indexed as

AdultAnti-HIV AgentsAntiviral AgentsCoinfectionCross-Sectional StudiesFemaleHepatitis CHIV InfectionsHumansLiver CirrhosisMaleSeverity of Illness IndexSurveys and QuestionnairesVietnamAnti-HIV AgentsAntiviral Agents

Identifiers

PMID27148964
PMCPMC4858210
OpenAlexW2363665168

What OpenQuestion holds

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LicenceCC BY
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.