Evidence map›Paper›PMID 31375104›Full record

ArticleBMC public health2019

Community screening for hepatitis C virus infection in a low-prevalence population.

Karen K Kyuregyan, Elena Yu Malinnikova, Natalia V Soboleva, Olga V Isaeva, Anastasia A Karlsen, Vera S Kichatova, Ilya A Potemkin, Elena V Schibrik, Olga A Gadjieva, Boris A Bashiryan and 5 more

Abstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
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

15 authors.

Karen K KyuregyanDepartment of Viral Hepatitis, Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russia. karen-kyuregyan@yandex.ru.ORCID http://orcid.org/0000-0002-3599-117X
Elena Yu MalinnikovaDepartment of Viral Hepatitis, Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russia.
Natalia V SobolevaMechnikov Research Institute for Vaccines and Sera, 105064, Moscow, Russia.
Olga V IsaevaDepartment of Viral Hepatitis, Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russia.
Anastasia A KarlsenDepartment of Viral Hepatitis, Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russia.
Vera S KichatovaDepartment of Viral Hepatitis, Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russia.
Ilya A PotemkinDepartment of Viral Hepatitis, Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russia.
Elena V SchibrikBelgorod regional center for disease control and prevention, 308023, Belgorod, Russia.
Olga A GadjievaBurdenkoNational Medical Research Center of Neurosurgery, 125047, Moscow, Russia.
Boris A BashiryanBurdenkoNational Medical Research Center of Neurosurgery, 125047, Moscow, Russia.
Natalya N LebedevaMoscow Regional Center for the Prevention and Control of AIDS and Infectious Diseases, 129110, Moscow, Russia.
Igor L SerkovMoscow Regional Center for the Prevention and Control of AIDS and Infectious Diseases, 129110, Moscow, Russia.
Anna YankinaMedical Communications, Abbott Diagnostics, 125171, Moscow, Russia.
Claudio GalliMedical Affairs Infectious Diseases, Abbott Diagnostics, 00144, Rome, Italy.
Mikhail I MikhailovDepartment of Viral Hepatitis, Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russia.

Funding

Abbott Diagnostics Investigator Initiated Study II-RU-001
6 · The paper itself

Abstract

backgroundAge cohort screening for hepatitis C virus (HCV) might be an effective strategy if the majority of undiagnosed cases are concentrated in a particular age group. The objective of this study was to determine HCV prevalence in different age cohorts of the general population in the Central European part of Russia and second, to assess feasibility of HCV antigen testing for community screening programs.

methodsSera from 2027 volunteers were tested for anti-HCV (Architect Anti-HCV, Abbott Laboratories). All anti-HCV reactive samples were confirmed in an immunoblot and tested for HCV Ag (ARCHITECT HCV Ag, Abbott Laboratories), HCV RNA and HCV viral load.

resultsOut of 31 individuals with anti-HCV reactive result, 22 (71%) were confirmed by immunoblot, six were false positives and three were indeterminate. Active infection was observed in 73% of anti-HCV confirmed positives. Five out of 16 individuals had low HCV-RNA levels (< 10,000 IU/mL) and one of those had a very low level (594 IU/mL). Agreement between HCV Ag and HCV RNA was 100%. Total anti-HCV and active HCV infection rates were 1.09% (22/2027) and 0.79% (16/2027), respectively. The peak rates were observed in people 60 years or older (anti-HCV: 2.84% [95% CI: 1.66-4.74%], 13/319; HCV RNA/HCV Ag: 2.23% [95% CI: 1.20-4.00%], 10/319).

conclusionsOverall HCV prevalence is low, except in people 60 years or older. The latter should be considered as a target group for HCV screening. The high agreement between HCV RNA and HCV Ag suggests the utility of HCV Ag testing to confirm active infection in screening programs.

Indexed as

Community Health ServicesAdolescentAdultAgedChildChild, PreschoolFemaleHepacivirusHepatitis CHepatitis C AntigensHumansInfantMaleMass ScreeningMiddle AgedPrevalenceHepatitis C AntigensRNA, ViralAge cohortsHCV antigen testHepatitis CScreening

Identifiers

PMID31375104
PMCPMC6679455

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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.