Evidence map›Paper›PMID 30333396›Full record

ArticleInternal medicine (Tokyo, Japan)2019

No Regional Disparities in Sofosbuvir Plus Ribavirin Therapy for HCV Genotype 2 Infection in Tochigi Prefecture and Its Vicinity.

Takuya Hirosawa, Naoki Morimoto, Kouichi Miura, Toshiyuki Tahara, Toshimitsu Murohisa, Yukishige Okamura, Takashi Sato, Norikatsu Numao, Masato Imai, Shigeo Tano and 11 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2019. 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
0.5field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  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

21 authors at 9 institutions in 1 country.

Takuya HirosawaDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Japan.
Naoki MorimotoDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Japan.
Kouichi MiuraDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Japan.
Toshiyuki TaharaDepartment of Gastroenterology, Saiseikai Utsunomiya Hospital, Japan.
Toshimitsu MurohisaDepartment of Gastroenterology, Dokkyo Medical University, Japan.
Yukishige OkamuraDepartment of Gastroenterology, Sano Kousei General Hospital, Japan.
Takashi SatoDepartment of Gastroenterology, Nasu Red Cross Hospital, Japan.
Norikatsu NumaoDepartment of Gastroenterology, Haga Red Cross Hospital, Japan.
Masato ImaiDepartment of Gastroenterological Surgery, Utsunomiya Memorial Hospital, Japan.
Shigeo TanoDepartment of Gastroenterology, Shin-Oyama City Hospital, Japan.
Kozue MurayamaDepartment of Gastroenterology, Koga Red Cross Hospital, Japan.
Hidekazu KurataDepartment of Gastroenterology, Tochigi Medical Center Shimotsuga, Japan.
Iwao OzawaDepartment of Hepatobiliary Surgery, Tochigi Cancer Center, Japan.
Yukimura FukayaDepartment of Internal Medicine, Nasu Minami Hospital, Japan.
Hiroaki YoshizumiDepartment of Internal Medicine, Kamitsuga General Hospital, Japan.
Shunji WatanabeDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Japan.
Mamiko TsukuiDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Japan.
Yoshinari TakaokaDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Japan.
Hiroaki NomotoDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Japan.
Norio IsodaDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Japan.
Hironori YamamotoDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Japan.
Jichi Medical University · JPSaiseikai Utsunomiya hospital · JPDokkyo Medical University · JPKamituga General Hospital · JPKoga Hospital · JPSapporo Minami Hospital · JPSendai Kousei Hospital · JPTochigi Cancer Center · JPTochigi Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Regional disparities were observed in the outcomes of interferon (IFN)-based therapy for chronic hepatitis C virus (HCV) infection in a Japanese nationwide study. However, whether or not these regional disparities are observed in the outcomes of direct-acting antiviral drugs, including sofosbuvir (SOF) plus ribavirin (RBV) therapy, remains unclear. Methods We conducted a multicenter study to assess the efficacy of SOF plus RBV therapy for HCV genotype 2 infection in Tochigi Prefecture and its vicinity, in which IFN-based therapy yielded a low sustained virologic response (SVR) rate. In addition, we divided Tochigi Prefecture into six regions to examine regional disparities in the SVR. Patients We enrolled patients with chronic HCV genotype 2 infection. Results Of the 583 patients enrolled, 569 (97.6%) completed the treatment, and 566 (97.1%) also complied with post-treatment follow-up for 12 weeks. The overall SVR12 rate was 96.1% by per protocol and 93.7% by intention-to-treat analyses. No marked differences were observed in the SVR12 between subjects ≥65 and <65 years of age. Although large gaps were observed in the characteristics of patients and accessibility to medical resources, there was no significant difference in the SVR12 rate among the six regions in Tochigi Prefecture. Conclusion SOF plus RBV therapy was effective for HCV genotype 2 infection in an area where IFN-based therapy had previously shown unsatisfactory results. In addition, no regional disparities in the SVR12 were observed in Tochigi Prefecture.

Indexed as

Drug Therapy, CombinationAgedAntiviral AgentsFemaleGenotypeGeographyHepacivirusHepatitis C, ChronicHumansInterferonsJapanMaleMiddle AgedRibavirinSofosbuvirSustained Virologic ResponseAntiviral AgentsInterferonsRibavirinSofosbuvirchronic hepatitis C infectiongenotype 2regional disparitiesribavirinsofosbuvir

Identifiers

PMID30333396
PMCPMC6421161
OpenAlexW2897420862

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.