Evidence map›Paper›PMID 30084012›Full record

ArticleDrugs & aging2018

Effectiveness and Safety of Direct-Acting Antiviral Combination Therapies for Treatment of Hepatitis C Virus in Elderly Patients: Results from the German Hepatitis C Registry.

Georg Dultz, Tobias Müller, Jörg Petersen, Stefan Mauss, Tim Zimmermann, Marion Muche, Karl-Georg Simon, Thomas Berg, Stefan Zeuzem, Dietrich Hüppe and 4 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Drugs & aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Efficacy and Safety of Direct-Acting Antivirals in Elderly Patients with Chronic Hepatitis C: A Nationwide Real-Life, Observational, Multicenter Study from Turkey.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Hepatitis C direct-acting antiviral outcomes in patients 75 years and older.JGH open : an open access journal of gastroenterology and hepatology · 2021
    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

14 authors at 8 institutions in 1 country.

Georg DultzDepartment of Medicine 1, J.W. Goethe University Frankfurt, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany. georg.dultz@kgu.de.ORCID 0000-0003-0775-0907
Tobias MüllerCharité Campus Virchow-Klinikum (CVK), Berlin, Germany.
Jörg Petersenifi-Institute for Interdisciplinary Medicine, Hamburg, Germany.
Stefan MaussCenter for HIV and Hepatogastroenterology, Düsseldorf, Germany.
Tim ZimmermannUniversity Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Marion MucheCharité Campus Virchow-Klinikum (CVK), Berlin, Germany.
Karl-Georg SimonHepatologische Praxis, Leverkusen, Germany.
Thomas BergUniversity Hospital Leipzig, Leipzig, Germany.
Stefan ZeuzemDepartment of Medicine 1, J.W. Goethe University Frankfurt, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Dietrich HüppeHepatologische Schwerpunktpraxis, Herne, Germany.
Klaus BökerHepatologische Praxis, Hannover, Germany.
Heiner WedemeyerDepartment of Gastroenterology and Hepatology, University Hospital Essen, University of Duisburg Essen, Essen, Germany.
Tania M WelzelDepartment of Medicine 1, J.W. Goethe University Frankfurt, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Leberstiftungs-GmbH Deutschland
Charité - Universitätsmedizin Berlin · DEGoethe University Frankfurt · DEInstitute for Interdisciplinary Medicine · DECenter for HIV and Hepatogastroenterology · DEJohannes Gutenberg University Mainz · DEMedizinische Hochschule Hannover · DEPraxis für Hämatologie und Onkologie · DEUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the aging of the hepatitis C virus (HCV)-infected patient cohort and the availability of highly effective and tolerable treatment regimens, an increasing number of elderly patients are now eligible for HCV therapy. This study investigated clinical and epidemiologic characteristics of elderly HCV-infected patients as well as the effectiveness and safety of available therapies.

methodsPatients were enrolled into the German Hepatitis C Registry (DHC-R), a prospective, multicenter, real-world cohort study. Patients were treated at the discretion of the physician, and data were collected by a web-based system.

resultsOf 7133 patients who initiated treatment, 686 (9.6%) were > 70 years of age. In patients > 70 years, intent-to-treat (ITT) SVR12 was 92.6% (514/555) compared to 90.7% (4521/4985) in patients ≤ 70 years of age. Overall, adverse events (AEs) were reported in 374 (54.5%) and 3435 patients (53.3%) > 70 or ≤ 70 years of age; 7.6% (52) and 3.6% (235) in the respective age groups had a serious AE. Twenty-two (3.2%) and 62 (1.0%) of the patients > 70 or ≤ 70 years discontinued treatment due to AEs. Death was reported in 34 patients, of whom eight were > 70 years of age. Frequent comorbidities in patients > 70 years of age were cardiac disease, renal disease and diabetes. Psychiatric disorders, substance abuse and viral co-infection were more frequent in younger patients.

conclusionDirect-acting antiviral therapies were well tolerated in patients older than 70 years. SVR12 rates in the elderly patient group were similar to those observed in younger patients. Differences in the prevalence of comorbidities between age groups warrant individualized attention with respect to drug-drug interactions and therapy adherence. The study was registered in the German Clinical Trials Register, DRKS-ID: DRKS00009717.

Indexed as

RegistriesSafetyAdultAgedAntiviral AgentsDrug Therapy, CombinationFemaleGermanyHepacivirusHepatitis C, ChronicHumansImmunotherapy, AdoptiveMaleMiddle AgedTreatment OutcomeAntiviral Agents

Identifiers

PMID30084012
OpenAlexW2886857547

What OpenQuestion holds

Textmetadata
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.