Evidence map›Paper›PMID 27267370›Full record

ArticleBMC infectious diseases2016

HIV infection, viral hepatitis and liver fibrosis among prison inmates in West Africa.

Antoine Jaquet, Gilles Wandeler, Judicaël Tine, Claver A Dagnra, Alain Attia, Akouda Patassi, Abdoulaye Ndiaye, Victor de Ledinghen, Didier K Ekouevi, Moussa Seydi and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
4.1field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 42 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

11 authors at 10 institutions in 5 countries.

Antoine JaquetUniversité Bordeaux, ISPED, Centre INSERM U897- Epidémiologie-Biostatistique, F-33000, Bordeaux, France. antoine.jaquet@isped.u-bordeaux2.fr.
Gilles WandelerService de maladies infectieuses et tropicales, CRCF, CHU de Fann, Dakar, Sénégal.
Judicaël TineService de maladies infectieuses et tropicales, CRCF, CHU de Fann, Dakar, Sénégal.
Claver A DagnraService de virologie, BIOLIM, Université de Lomé, Lomé, Togo.
Alain AttiaService de hépato-gastroentérologie, CHU de Yopougon, Abidjan, Côte d'Ivoire.
Akouda PatassiService de maladies infectieuses et tropicales, CHU Sylvanus Olympio, Lomé, Togo.
Abdoulaye NdiayePavillon Spécial, Hôpital Aristide Le Dantec, Dakar, Sénégal.
Victor de LedinghenCentre d'investigation de la fibrose hepatique, Hopital Haut-Leveque, CHU de Bordeaux & INSERM U1053, Université de Bordeaux, Bordeaux, France.
Didier K EkoueviUniversité Bordeaux, ISPED, Centre INSERM U897- Epidémiologie-Biostatistique, F-33000, Bordeaux, France.
Moussa SeydiService de maladies infectieuses et tropicales, CRCF, CHU de Fann, Dakar, Sénégal.
François DabisUniversité Bordeaux, ISPED, Centre INSERM U897- Epidémiologie-Biostatistique, F-33000, Bordeaux, France.
Centre Hospitalier National Universitaire de Fann · SNBordeaux Population Health · FRCentre Africain de Recherche en Epidémiologie et en Santé Publique · TGCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Tokoin · TGCentre Hospitalier Universitaire de Yopougon · CIHôpital Aristide Le Dantec · SNInserm · FRInstitute of Social and Preventive Medicine · CHUniversity of Lomé · TG

Funding

WADA (West Africa Database on Antiretroviral Therapy) CollaborationU01AI069919 · NIAID · UNIVERSITY OF BORDEAUX II · PI Didier Koumavi Ekouevi, Antoine Jaquet · 2006 to 2026
$29.9M
NIAID NIH HHS U01 AI069919
6 · The paper itself

Abstract

backgroundPrisoners represent a vulnerable population for blood-borne and sexually transmitted infections which can potentially lead to liver fibrosis and ultimately cirrhosis. However, little is known about the prevalence of liver fibrosis and associated risk factors among inmates in sub-Saharan Africa.

methodsScreening of liver fibrosis was undertaken in a randomly selected sample of male inmates incarcerated in Lome, Togo and in Dakar, Senegal using transient elastography. A liver stiffness measurement ≥9.5 KPa was retained to define the presence of a severe liver fibrosis. All included inmates were also screened for HIV, Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) infection. Substances abuse including alcohol, tobacco and cannabis use were assessed during face-to-face interviews. Odds Ratio (OR) estimates were computed with their 95 % Confidence Interval (CI) to identify factors associated with severe liver fibrosis.

resultsOverall, 680 inmates were included with a median age of 30 years [interquartile range: 24-35]. The prevalence of severe fibrosis was 3.1 % (4.9 % in Lome and 1.2 % in Dakar). Infections with HIV, HBV and HCV were identified in 2.6 %, 12.5 % and 0.5 % of inmates, respectively. Factors associated with a severe liver fibrosis were HIV infection (OR = 7.6; CI 1.8-32.1), HBV infection (OR = 4.8; CI 1.8-12.8), HCV infection (OR = 52.6; CI 4.1-673.8), use of traditional medicines (OR = 3.7; CI 1.4-10.1) and being incarcerated in Lome (OR = 3.3; CI 1.1-9.8) compared to Dakar.

conclusionsHIV infection and viral hepatitis infections were identified as important and independent determinants of severe liver fibrosis. While access to active antiviral therapies against HIV and viral hepatitis expands in Africa, adapted strategies for the monitoring of liver disease need to be explored, especially in vulnerable populations such as inmates.

Indexed as

AdultAfrica, WesternAlanine TransaminaseAspartate AminotransferasesCoinfectionComorbidityDNA, ViralElasticity Imaging TechniquesHepatitis BHepatitis B Surface AntigensHepatitis B virusHepatitis CHepatitis C AntibodiesHIV InfectionsHumansLiverAlanine TransaminaseAspartate AminotransferasesDNA, ViralHepatitis B Surface AntigensHepatitis C AntibodiesAfricaHepatitis BHepatitis CHIVLiver fibrosis

Identifiers

PMID27267370
PMCPMC4895802
OpenAlexW2418109580

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.