Evidence map›Paper›PMID 27482410›Full record

ArticleJournal of virus eradication2015

HCV treatment in children and young adults with HIV/HCV co-infection in Europe.

Anna Turkova, Vania Giacomet, Tessa Goetghebuer, Milana Miloenko, Laura Ambra Nicolini, Antoni Noguera-Julian, Pablo Rojo, Alla Volokha, Giuseppe Indolfi, Carlo Giaquinto and 1 more

Abstract read
In one paragraph

Article in Journal of virus eradication, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Anna TurkovaMedical Research Council Clinical Trials Unit at UCL , London , UK.
Vania GiacometPaediatric Infectious Disease Unit, Department of Paediatrics, Luigi Sacco Hospital , University of Milan , Italy.
Tessa GoetghebuerDepartment of Paediatrics , Hospital St Pierre , Brussels , Belgium.
Milana MiloenkoRepublican Infectious Diseases Hospital for Prevention and Treatment of HIV Infection in Pregnant Women and Children , St Petersburg , Russia.
Laura Ambra NicoliniInfectious Diseases Unite, Department of Health Sciences -DISSAL ; University of Genoa, IRCCS AOU San Martino-IST . Genova , Italy.
Antoni Noguera-JulianInfectious Diseases Unit, Pediatrics Department, Hospital Sant Joan de Déu , Universitat de Barcelona , Spain.
Pablo RojoPediatric Infectious Diseases, Department of Pediatrics, Hospital 12 de Octubre , Universidad Complutense , Madrid , Spain.
Alla VolokhaShupyk National Medical Academy of Postgraduate Education , Kiev , Ukraine.
Giuseppe IndolfiPaediatric and Liver Unit , Meyer Children's University-Hospital of Florence , Italy.
Carlo GiaquintoDepartment of Women and Child Health , University of Padova , Padova , Italy.
Claire ThorneUniversity College London , Institute of Child Health , UK.

Funding

Medical Research Council MC_UU_12023/26
6 · The paper itself

Abstract

objectivesTo describe use of treatment for chronic hepatitis C virus (HCV) infection in HIV/HCV co-infected children and young people living in Europe and to evaluate treatment outcomes.

methodsHCV treatment data on children and young people aged <25 years with HIV/HCV co-infection were collected in a cohort collaboration of 11 European paediatric HIV cohorts. Factors associated with receipt of HCV treatment and with sustained virological response 24 weeks after treatment completion (SVR24) were explored.

resultsOf 229 HIV/HCV co-infected patients, 22% had a history of AIDS and of 55 who were treated for HCV, 47 (85%) were receiving combined antiretroviral therapy. The overall HCV treatment rate was 24% (n=55) but it varied substantially between countries, with the highest rate being in Russia at 61% (30/49). Other factors associated with treatment receipt were older age [adjusted odds ratio (AOR) 5.24, 95% confidence interval (CI) 1.9-14.4, for 18-24-year-olds vs 11-17-year-olds, P=0.001] and advanced fibrosis (AOR 5.5, 95% CI 1.3-23.7; for ≥9.6 vs ≤7.2 kPa, P=0.02). Of 50 patients with known treatment outcomes, 50% attained SVR24. Of these, 16 (80%) had genotype (GT) 2,3 and 8 (29%) had GT 1,4 (P<0.001). After adjusting for genotype (GT 1,4 vs GT 2,3), females (P=0.003), patients with non-vertical HCV acquisition (P=0.002) and those with shorter duration of HCV (P=0.009) were more likely to have successful treatment outcomes.

conclusionOnly half of the HIV/HCV co-infected youth achieved an HCV cure. HCV treatment success appears to be lower in the context of HIV co-infection than in HCV mono-infection, underscoring the urgent need to speed up approvals of new direct-acting antiviral combinations in children.

Indexed as

childrenHCV/HIV co-infectionpegylated interferonribavirinyoung people

Identifiers

PMID27482410
PMCPMC4946737

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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.