Evidence map›Paper›PMID 28590325›Full record

Observational studyJournal of clinical gastroenterology2018

Uptake of and Factors Associated With Direct-acting Antiviral Therapy Among Patients in the Chronic Hepatitis Cohort Study, 2014 to 2015.

Philip R Spradling, Jian Xing, Loralee B Rupp, Anne C Moorman, Stuart C Gordon, Mei Lu, Eyasu H Teshale, Joseph A Boscarino, Mark A Schmidt, Yihe G Daida and 2 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of clinical gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.8field-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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Outcomes of Low Barrier Hepatitis C Treatment in High Risk Populations From Primary Care.Journal of community hospital internal medicine perspectives · 2024
    Article
  6. Temporal Trends in Hepatitis C-Related Hospitalizations, United States, 2000-2019.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
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  12. Observational
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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

12 authors at 4 institutions in 1 country.

Philip R SpradlingNational Centers for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), Division of Viral Hepatitis, Atlanta, GA.
Jian XingNational Centers for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), Division of Viral Hepatitis, Atlanta, GA.
Loralee B RuppHenry Ford Health System, Detroit, MI.
Anne C MoormanNational Centers for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), Division of Viral Hepatitis, Atlanta, GA.
Stuart C GordonHenry Ford Health System, Detroit, MI.
Mei LuHenry Ford Health System, Detroit, MI.
Eyasu H TeshaleNational Centers for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), Division of Viral Hepatitis, Atlanta, GA.
Joseph A BoscarinoCenter for Health Research, Geisinger Health System, Danville, PA.
Mark A SchmidtThe Center for Health Research, Kaiser Permanente-Northwest, Portland, OR.
Yihe G DaidaThe Center for Health Research, Kaiser Permanente-Hawaii, Honolulu, HI.
Scott D HolmbergNational Centers for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), Division of Viral Hepatitis, Atlanta, GA.
Chronic Hepatitis Cohort Study (CHeCS) Investigators
Centers for Disease Control and Prevention · USGeisinger Health System · USHenry Ford Health System · USNational Center for HIV/AIDS Viral Hepatitis STD and TB Prevention · US

Funding

Chronic Hepatitis Cohort Study–II (CHeCS–II)U18PS005154 · PS · HENRY FORD HEALTH SYSTEM · PI GORDON, STUART · 2016 to 2019
$1.4M
Intramural CDC HHS CC999999NCHHSTP CDC HHS U18 PS005154
6 · The paper itself

Abstract

backgroundLimited information is available describing the uptake of direct-acting antiviral (DAA) therapy for hepatitis C virus (HCV) infection among patients in general US health care settings. We determined the proportion of HCV-infected patients in the Chronic Hepatitis Cohort Study prescribed DAAs in 2014, who initiated treatment and identified characteristics associated with treatment initiation.

methodsUptake was defined as the proportion of HCV-infected patients with at least 1 clinical encounter in 2013 who were prescribed a DAA regimen during 2014 and initiated the regimen by August 2015. Using multivariable analysis, we examined demographic and clinical characteristics associated with receipt of DAAs.

resultsThe cohort comprised 9508 patients; 544 (5.7%) started a DAA regimen. Higher annual income [adjusted odds ratios (aOR) 2.3 for income>$50K vs. <$30K], higher Fibrosis-4 score (aORs, 2.1, 2.0, and 1.4 for Fibrosis-4, >5.88, 3.25 to 5.88, 2.0 to 3.25, respectively, vs. <2.0), genotype 2 infection (aOR 2.2 vs. genotype 1), pre-2014 treatment failure (aOR 2.0 vs. treatment-naive), and human immunodeficiency virus (HIV) coinfection (aOR 1.8 vs. HCV monoinfection) were associated with DAA initiation. Black race/ethnicity (aOR 0.7 vs. whites) and Medicaid coverage (aOR 0.5 vs. private insurance) were associated with noninitiation. Sex, age, comorbidity, previous liver transplant, and duration of follow-up were not associated with receipt of DAAs.

conclusionsAmong patients in these general US health care settings, uptake of DAA therapy was low in 2014, and especially so among minority and Medicaid patients. Systemic efforts to improve access to DAAs for all patients are essential to reduce morbidity and mortality from HCV infection.

Indexed as

Health Services AccessibilityPatient Acceptance of Health CareAdultAgedAntiviral AgentsBlack or African AmericanCoinfectionDrug Therapy, CombinationFemaleGenotypeHepacivirusHepatitis C, ChronicHIV InfectionsHumansIncomeLiver CirrhosisAntiviral Agents

Identifiers

PMID28590325
PMCPMC6427915
OpenAlexW2621758394

What OpenQuestion holds

Textmetadata
LicenceTDM
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.