Evidence map›Paper›PMID 30709352›Full record

ArticleBMC health services research2019

Experiences with interferon-free hepatitis C therapies: addressing barriers to adherence and optimizing treatment outcomes.

Avy A Skolnik, Amanda Noska, Vera Yakovchenko, Jack Tsai, Natalie Jones, Allen L Gifford, D Keith McInnes

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Avy A SkolnikCenter for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers VA Medical Center, 200 Springs Road (152), Bedford, MA, 01730, USA.
Amanda NoskaDivision of Infectious Diseases, Providence VA Medical Center, 830 Chalkstone Ave, Providence, RI, 02908, USA.
Vera YakovchenkoCenter for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers VA Medical Center, 200 Springs Road (152), Bedford, MA, 01730, USA.
Jack TsaiVeterans Affairs (VA) New England Mental Illness Research, Education, and Clinical Center (MIRECC), 950 Campbell Ave, West Haven, CT, 06516, USA.
Natalie JonesVeterans Affairs (VA) New England Mental Illness Research, Education, and Clinical Center (MIRECC), 950 Campbell Ave, West Haven, CT, 06516, USA.
Allen L GiffordCenter for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers VA Medical Center, 200 Springs Road (152), Bedford, MA, 01730, USA.
D Keith McInnesCenter for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers VA Medical Center, 200 Springs Road (152), Bedford, MA, 01730, USA. Keith.McInnes@va.gov.ORCID http://orcid.org/0000-0002-9941-5470
Boston University · USYale University · USBrown University · USEdith Nourse Rogers Memorial Veterans Hospital · US

Funding

VA QUERI BridgeQUERI QUE15-284
6 · The paper itself

Abstract

backgroundMillions of Americans are living with hepatitis C, the leading cause of liver disease in the United States. Medication treatment can cure hepatitis C. We sought to understand factors that contribute to hepatitis C treatment completion from the perspectives of patients and providers.

methodsWe conducted semi-structured interviews at three Veterans Affairs Medical Centers. Patients were asked about their experiences with hepatitis C treatments and perspectives on care. Providers were asked about observations regarding patient responses to medications and perspectives about factors resulting in treatment completion. Transcripts were analyzed using a grounded thematic approach-an inductive analysis that lets themes emerge from the data.

resultsContributors to treatment completion included Experience with Older Treatments, Hope for Improvement, Symptom Relief, Tailored Organized Routines, and Positive Patient-Provider Relationship. Corresponding barriers also emerged, including pill burden and skepticism about treatment effectiveness and safety.

conclusionDespite the improved side-effect profile of newer HCV medications, multiple barriers to treatment completion remain. However, providers and patients were able to identify avenues for addressing such barriers.

Indexed as

AdultAgedAntiviral AgentsFemaleHepatitis C, ChronicHumansMaleMedication AdherenceMiddle AgedQualitative ResearchTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsAntiviral AgentsAdherenceHealth behaviorsHepatitis CQualitative methodsVeterans

Identifiers

PMID30709352
PMCPMC6359844
OpenAlexW2947100168

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.