Evidence map›Paper›PMID 30429941›Full record

Trial reportThe western journal of emergency medicine2018

Bundled HIV and Hepatitis C Testing in the Emergency Department: A Randomized Controlled Trial.

Ethan Cowan, Heather S Herman, Sara Rahman, Jennifer Zahn, Jason Leider, Yvette Calderon

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The western journal of emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Article
  13. How to best conduct universal HIV screening in emergency departments is far from settled.Journal of the American College of Emergency Physicians open · 2021
    Article
  14. Article
  15. 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

6 authors at 3 institutions in 1 country.

Ethan CowanMount Sinai Beth Israel, Department of Emergency Medicine, New York, New York.
Heather S HermanCornell University, Division of Nutritional Sciences, Ithaca, New York.
Sara RahmanJacobi Medical Center, Department of Internal Medicine, Bronx, New York.
Jennifer ZahnJacobi Medical Center, Department of Internal Medicine, Bronx, New York.
Jason LeiderJacobi Medical Center, Department of Internal Medicine, Bronx, New York.
Yvette CalderonMount Sinai Beth Israel, Department of Emergency Medicine, New York, New York.
Jacobi Medical Center · USMount Sinai Beth Israel · USCornell University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: An estimated 25% of the 1.2 million individuals living with human immunodeficiency virus (HIV) in the U.S. are co-infected with hepatitis C (HCV). The Centers for Disease Control and Prevention recommends HCV testing for high-risk groups. Our goal was to measure the impact of bundled HIV and HCV testing vs. HIV testing alone on test acceptance and identification of HCV and HIV. Methods: We conducted a two-armed, randomized controlled trial on a convenience sample of 478 adult patients in the Jacobi Medical Center emergency department from December 2012 to May 2013. Participants were randomized to receive either an offer of bundled HIV/HCV testing or HIV testing alone. We compared the primary outcome, HIV test acceptance, between the two groups. Secondary outcomes included HIV and HCV prevalence, and HCV test acceptance, refusal, risk, and knowledge. Results: We found no significant difference in HIV test acceptance between the bundled HCV/HIV (91.8%) and HIV-only (90.6%) groups (p=0.642). There were also no significant differences in test acceptance based on gender, race, or ethnicity. A majority of participants (76.6%) reported at least one HCV risk factor. No participants tested positive for HIV, and one (0.5%) tested positive for HCV. Conclusion: Integrating bundled, rapid HCV/HIV testing into an established HIV testing program did not significantly impact HIV test acceptance. Future screening efforts for HCV could be integrated into current HIV testing models to target high-risk cohorts.

Indexed as

Delivery of Health Care, IntegratedAdultCoinfectionEmergency Service, HospitalFemaleHepatitis CHIV InfectionsHumansMaleMass ScreeningMiddle AgedNew YorkPatient ParticipationRisk FactorsYoung Adult

Identifiers

PMID30429941
PMCPMC6225938
OpenAlexW2890106607

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.