Evidence map›Paper›PMID 31225703›Full record

ArticleCancer medicine2019

Electronic medical record-verified hepatitis C virus screening in a large health system.

Monica L Kasting, Anna R Giuliano, Richard R Reich, Linh M Duong, Julie Rathwell, Richard G Roetzheim, Susan T Vadaparampil

Abstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Development of a Patient Activation Toolkit for Hepatitis C Virus Testing.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  5. Development and Feasibility Testing of a Multilevel Intervention to Increase Hepatitis C Virus Screening Among Baby Boomers in Primary Care.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

7 authors.

Monica L KastingDepartment of Health and Kinesiology, Purdue University, West Lafayette, Indiana.ORCID 0000-0002-9879-7235
Anna R GiulianoDepartment of Cancer Epidemiology, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-5440-8859
Richard R ReichDepartment of Biostatistics and Bioinformatics, Moffitt Cancer Center, Tampa, Florida.
Linh M DuongDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-2569-5326
Julie RathwellDepartment of Cancer Epidemiology, Moffitt Cancer Center, Tampa, Florida.
Richard G RoetzheimDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0003-1871-555X
Susan T VadaparampilCenter for Immunization and Infection Research in Cancer, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-1052-6917

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Christine O'Connell · 1998 to 2026
$93.5M
Behavioral Oncology Education & Career DevelopmentR25CA090314 · NCI · H. LEE MOFFITT CANCER CTR &RES INST · PI BRANDON, THOMAS H · 2003 to 2018
$4.0M
Infection and Cancer Research: A New Frontier in Cancer Prevention and ControlK05CA181320 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI GIULIANO, ANNA R. · 2014 to 2018
$431k
NCI NIH HHS K05 CA181320NCI NIH HHS P30 CA076292NCI NIH HHS R25 CA090314
6 · The paper itself

Abstract

backgroundBaby boomers are at increased risk for hepatitis C virus (HCV) infection and related cancer; therefore, one-time HCV screening is recommended.

methodsTo assess prevalence of, and factors associated with providers ordering HCV screening, we examined a retrospective cohort of electronic medical records for patient visits from 01 August 2015 until 31 July 2017 in a large health system. HCV screening ordered was examined by patient age, gender, race/ethnicity, provider specialty, and number of clinical visits, stratified by birth cohort: born ≤1945, 1945-1965 (baby boomers), 1966-1985, and ≥1985. Multivariable regression identified factors independently associated with HCV screening ordered among average risk baby boomers.

resultsA total of 65 114 patients ages ≥18 years were evaluated. Among baby boomers HCV screening test order increased threefold between the two study years (4.0%-12.9%). Odds of screening test ordered were significantly higher for non-Hispanic Blacks (multivariable adjusted odds ratio [aOR]=1.36; 95% CI = 1.19-1.55), males (aOR = 1.44; 95% CI = 1.33-1.57), and having a clinic visit with a primary care provider alone or with specialty care (aOR = 3.25-4.16). Medicare (aOR = 0.89; 95% CI = 0.80-0.99), Medicaid (aOR 0.89; 95% CI 0.80-0.99), and an unknown provider type (aOR = 0.16; 95% CI = 0.08-0.33), were associated with lower odds of screening tests ordered.

conclusionsWhile the proportion of baby boomers with an HCV screening test ordered increased during the study, the rate of screening remains far below national goals. Data from this study indicate that providers are not ordering HCV screening universally for all of their baby boomer patients. Continued efforts to increase HCV screening are needed to reduce the incidence of HCV-related morbidity and mortality.

Indexed as

Age DistributionElectronic Health RecordsFemaleFloridaHepatitis CHumansMaleMass ScreeningPopulation SurveillancePrevalenceRegression AnalysisRetrospective StudiesRisk Factorscancer screeningelectronic medical recordshealth care utilizationhepatitis Chepatocellular carcinomaviral hepatitis

Identifiers

PMID31225703
PMCPMC6712519

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Registered trials

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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.