Evidence map›Paper›PMID 29633559›Full record

ArticleJournal of the International AIDS Society2018

Linkage and retention in HCV care for HIV-infected populations: early data from the DAA era.

Rachel Sacks-Davis, Joseph S Doyle, Andri Rauch, Charles Beguelin, Alisa E Pedrana, Gail V Matthews, Maria Prins, Marc van der Valk, Marina B Klein, Sahar Saeed and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 5% 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, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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  18. Eliminating Structural Barriers: The Impact of Unrestricted Access on Hepatitis C Treatment Uptake Among People Living With Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
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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

14 authors at 12 institutions in 8 countries.

Rachel Sacks-DavisDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Joseph S DoyleDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Andri RauchDepartment of Infectious Diseases, University Hospital and University of Bern, Bern, Switzerland.
Charles BeguelinDepartment of Infectious Diseases, University Hospital and University of Bern, Bern, Switzerland.
Alisa E PedranaDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Gail V MatthewsThe Kirby Institute, University of New South Wales, Sydney, Australia.
Maria PrinsPublic Health Service Amsterdam, Amsterdam, the Netherlands.
Marc van der ValkInternational Antiviral Therapy Evaluation Center and Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Centre, Amsterdam, the Netherlands.
Marina B KleinDivision of Infectious Diseases and Chronic Viral Illness Service, McGill University Health Centre, Montreal, Canada.
Sahar SaeedDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada.
Karine LacombeInfectious Diseases, AP-HP, Sorbonne Universités and Inserm UMR-S1136, Paris, France.
Nikoloz ChkhartishviliInfectious Diseases, AIDS and Clinical Immunology Research Center, Tbilisi, Georgia.
Frederick L AlticeSection of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA.
Margaret E HellardDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Burnet Institute · AUUniversity of Bern · CHAcademic Medical Center · NLAIDS and Clinical Immunology Research Center · GEGGD Amsterdam · NLMcGill University · CAMcGill University Health Centre · CAMonash University · AUSorbonne Université · FRUniversity of Melbourne · AUUNSW Sydney · AUYale University · US

Funding

CIHR CTN‐222CIHR FDN‐143270
6 · The paper itself

Abstract

introductionThere is currently no published data on the effectiveness of DAA treatment for elimination of HCV infection in HIV-infected populations at a population level. However, a number of relevant studies and initiatives are emerging. This research aims to report cascade of care data for emerging HCV elimination initiatives and studies that are currently being evaluated in HIV/HCV co-infected populations in the context of implementation science theory.

methodsHCV elimination initiatives and studies in HIV co-infected populations that are currently underway were identified. Context, intervention characteristics and cascade of care data were synthesized in the context of implementation science frameworks.

resultsSeven HCV elimination initiatives and studies were identified in HIV co-infected populations, mainly operating in high-income countries. Four were focused mainly on HCV elimination in HIV-infected gay and bisexual men (GBM), and three included a combination of people who inject drugs (PWID), GBM and other HIV-infected populations. None were evaluating treatment delivery in incarcerated populations. Overall, HCV RNA was detected in 4894 HIV-infected participants (range within studies: 297 to 994): 48% of these initiated HCV treatment (range: 21% to 85%; within studies from a period where DAAs were broadly available the total is 57%, range: 36% to 74%). Among studies with treatment completion data, 96% of 1109 initiating treatment completed treatment (range: 94% to 99%). Among those who could be assessed for sustained virological response at 12 weeks (SVR12), 1631 of 1757 attained SVR12 (93%, range: 86% to 98%).

conclusionsEarly results from emerging research on HCV elimination in HIV-infected populations suggest that HCV treatment uptake is higher than reported levels prior to DAA treatment availability, but approximately half of patients remain untreated. These results are among diagnosed populations and additional effort is required to increase diagnosis rates. Among those who have initiated treatment, completion and SVR rates are promising. More data are required in order to evaluate the effectiveness of these elimination programmes in the long term, assess which intervention components are effective, and whether they need to be tailored to particular population groups.

Indexed as

Antiviral AgentsCoinfectionContinuity of Patient CareDelivery of Health CareDisease EradicationHepatitis CHIV InfectionsHumansAntiviral Agentsbarrierscascade of caredisease eliminationhepatitis C virusIDUimplementation scienceMSM

Identifiers

PMID29633559
PMCPMC5978682
OpenAlexW2797306124

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.