Evidence map›Paper›PMID 30921649›Full record

ArticleDrug and alcohol dependence2019

Treatment cascade for hepatitis C virus in young adult people who inject drugs in San Francisco: Low number treated.

Meghan D Morris, Ali Mirzazadeh, Jennifer L Evans, Alya Briceno, Phillip Coffin, Judith A Hahn, Kimberly A Page

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

39 citing papers in PubMed, 48 citations in OpenAlex.

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  20. Barriers and Facilitators of Hepatitis C Care in Persons Coinfected with Human Immunodeficiency Virus.International journal of environmental research and public health · 2022
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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 2 institutions in 1 country.

Meghan D MorrisDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA; Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA. Electronic address: Meghan.Morris@ucsf.edu.
Ali MirzazadehDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA; Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA.
Jennifer L EvansInstitute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA.
Alya BricenoInstitute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA.
Phillip CoffinSan Francisco Department of Public Health, San Francisco, CA, USA; Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Judith A HahnDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA; Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Kimberly A PageDepartment of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
University of California, San Francisco · USUniversity of New Mexico · US

Funding

Acute Hepatitis C Infection in Young InjectorsR01DA016017 · NIDA · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI PAGE, KIMBERLY · 2002 to 2018
$14.0M
Understanding the interpersonal context of HIV/HCV risk within injecting dyadsK01DA037802 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MORRIS, MEGHAN D · 2014 to 2018
$913k
Hepatitis C Treatment As Prevention Pilot Study with Ledipasvir-Sofosbuvir Among People Actively Injecting Drugs (TasP-C Pilot)R34DA039333 · NIDA · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI COFFIN, PHILLIP O · 2015 to 2017
$500k
Informing hepatitis C virus elimination strategies with epidemiological data from highest need populationsR21DA046809 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MORRIS, MEGHAN D · 2019 to 2020
$385k
NIDA NIH HHS K01 DA037802NIDA NIH HHS R01 DA016017NIDA NIH HHS R21 DA046809NIDA NIH HHS R34 DA039333
6 · The paper itself

Abstract

objectiveTo understand the number of young adult people who inject drugs (PWID) with hepatitis C virus (HCV) infection accessing direct-acting antiviral (DAA) treatment and their barriers and facilitators to treatment uptake.

methodsUsing prospective cohort data from young adult PWID in San Francisco with newly identified HCV infection, we calculated the number who: (i) accepted referral to DAA therapy, (ii) initiated DAA therapy, (iii) completed DAA therapy, and (iv) achieved sustained virologic response (SVR) or cure. Behavioral survey data identified possible barriers and facilitators to DAA therapy.

resultsOf 60 young adult PWID with new HCV infection identified between February 2015 and January 2018, thirty accepted a referral to HCV care; five initiated and completed HCV treatment and achieved cure. Barriers to DAA uptake included fear of medical establishments, competing basic needs, and delaying care because they were feeling well.

conclusionWhile few HCV-positive young adult PWID engaged in DAA therapy, all those who did achieved cure. Youth-tailored services that overcome the stigma and marginalization related to injection drug use are needed to improve treatment uptake.

Indexed as

HepacivirusAntiviral AgentsDrug UsersFemaleHepatitis CHumansMaleProspective StudiesSan FranciscoSubstance Abuse, IntravenousSurveys and QuestionnairesSustained Virologic ResponseYoung AdultAntiviral AgentsHCV treatmentHepatitis C virus (HCV)Injection drug use

Identifiers

PMID30921649
PMCPMC6482851
OpenAlexW2917355127

What OpenQuestion holds

Textmetadata
LicenceTDM
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.