Evidence map›Paper›PMID 30048454›Full record

ArticlePloS one2018

The burden of hepatitis C virus infection in Punjab, India: A population-based serosurvey.

Ajit Sood, A Suryaprasad, A Trickey, S Kanchi, V Midha, M A Foster, E Bennett, S Kamili, F Alvarez-Bognar, S Shadaker and 7 more

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Hepatitis C elimination: a Public Health Perspective.Current treatment options in gastroenterology · 2019
    Review
  18. Article
  19. Who to Screen for Hepatitis C: That is the Question.Journal of clinical and experimental hepatology
    Article
  20. 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

17 authors.

Ajit SoodDayanand Medical College, Ludhiana, Punjab, India.
A SuryaprasadDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
A TrickeyPopulation Health Sciences, University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-3462-2898
S KanchiMSD India Pvt. Ltd., Mumbai, India.
V MidhaDayanand Medical College, Ludhiana, Punjab, India.
M A FosterDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
E BennettDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
S KamiliDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
F Alvarez-BognarMerck & Co. Inc., Kenilworth, NJ, United States of America.
S ShadakerCDC Foundation, Atlanta, GA, United States of America.
V SurlikarMSD India Pvt. Ltd., Mumbai, India.
R GargGuru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India.
P MittalMittal Liver and Gastroenterology Centre, Patiala, Punjab, India.
S SharmaCollege of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
M T MayPopulation Health Sciences, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-9733-1003
P VickermanPopulation Health Sciences, University of Bristol, Bristol, United Kingdom.
F AverhoffDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHepatitis C virus (HCV) infection prevalence is believed to be elevated in Punjab, India; however, state-wide prevalence data are not available. An understanding of HCV prevalence, risk factors and genotype distribution can be used to plan control measures in Punjab.

methodsA cross-sectional, state-wide, population-based serosurvey using a multi-stage stratified cluster sampling design was conducted October 2013 to April 2014. Children aged ≥5 years and adults were eligible to participate. Demographic and risk behavior data were collected, and serologic specimens were obtained and tested for anti-HCV antibody, HCV Ribonucleic acid (RNA) on anti-HCV positive samples, and HCV genotype. Prevalence estimates and adjusted odds ratios for risk factors were calculated from weighted data and stratified by urban/rural residence.

results5,543 individuals participated in the study with an overall weighted anti-HCV prevalence of 3.6% (95% Confidence Interval [CI]: 3.0%-4.2%) and chronic infection (HCV Ribonucleic acid test positive) of 2.6% (95% CI: 2.0%-3.1%). Anti-HCV was associated with being male (adjusted odds ratio 1.52; 95% CI: 1.08-2.14), living in a rural area (adjusted odds ratio 2.53; 95% CI: 1.62-3.95) and was most strongly associated with those aged 40-49 (adjusted odds ratio 40-49 vs. 19-29-year-olds 3.41; 95% CI: 1.90-6.11). Anti-HCV prevalence increased with each blood transfusion received (adjusted odds ratio 1.36; 95% CI: 1.10-1.68) and decreased with increasing education, (adjusted odds ratio 0.37 for graduate-level vs. primary school/no education; 95% CI: 0.16-0.82). Genotype 3 (58%) was most common among infected individuals. DISCUSSION: The study findings, including the overall prevalence of chronic HCV infection, associated risk factors and demographic characteristics, and genotype distribution can guide prevention and control efforts, including treatment provision. In addition to high-risk populations, efforts targeting rural areas and adults aged ≥40 would be the most effective for identifying infected individuals.

Indexed as

AdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleGeography, MedicalHepacivirusHepatitis CHepatitis C AntibodiesHumansIndiaMaleMiddle AgedPrevalenceRisk FactorsHepatitis C Antibodies

Identifiers

PMID30048454
PMCPMC6061991

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Registered trials

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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.