Evidence map›Paper›PMID 31418953›Full record

ArticleDrug and alcohol review2019

Characterising the association between positive hepatitis C virus antibody and pain among people who inject drugs.

Michelle Ng, Kanna Hayashi, Pauline Voon, Hennady P Shulha, Kora DeBeck, M-J Milloy, Lianping Ti

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol review, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Impact of a minimal monitoring HCV treatment approach on Health-Related Quality of Life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  2. Article
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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 3 institutions in 1 country.

Michelle NgDepartment of Medicine, University of British Columbia, St. Paul's Hospital, Vancouver, Canada.
Kanna HayashiBritish Columbia Centre on Substance Use, St. Paul's Hospital, Vancouver, Canada.ORCID 0000-0003-3843-2928
Pauline VoonBritish Columbia Centre on Substance Use, St. Paul's Hospital, Vancouver, Canada.
Hennady P ShulhaBritish Columbia Centre on Substance Use, St. Paul's Hospital, Vancouver, Canada.
Kora DeBeckBritish Columbia Centre on Substance Use, St. Paul's Hospital, Vancouver, Canada.ORCID 0000-0003-2045-1653
M-J MilloyDepartment of Medicine, University of British Columbia, St. Paul's Hospital, Vancouver, Canada.
Lianping TiDepartment of Medicine, University of British Columbia, St. Paul's Hospital, Vancouver, Canada.ORCID 0000-0003-2470-438X
University of British Columbia · CASimon Fraser University · CASt. Paul's Hospital · CA

Funding

Vancouver Drug Users Study: The Impacts of Evolving Drug Use Patterns on HIV/AIDSU01DA038886 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI DEBECK, KORA, HAYASHI, KANNA · 2015 to 2024
$12.1M
Impacts of universal access to HIV/AIDS care among HIV+ injection drug usersU01DA021525 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI MILLOY, M-J · 2017 to 2024
$4.3M
CIHR MSH-141971NIDA NIH HHS U01 DA021525NIDA NIH HHS U01 DA038886
6 · The paper itself

Abstract

INTRODUCTION AND

aimsPeople who inject drugs (PWID) are a key group within the hepatitis C virus (HCV) pandemic. Chronic pain is a common condition among PWID as these individuals are often exposed to soft tissue infections due to injections and violence. This study aims to characterise the relationship between HCV exposure and pain among PWID. DESIGN AND

methodsData were derived from three prospective cohorts of PWID in Vancouver, Canada, between December 2011 and November 2016. The primary outcome was pain severity, which was defined based on the Euroqol EQ-5D-3L pain subscale. A bivariable and multivariable ordinal generalised estimating equations model was used to quantify the association between HCV exposure and pain among participants.

resultsOne thousand and twelve of 2038 participants (50%) reported moderate/extreme pain at baseline. In total, 1473 (72%) participants were HCV-antibody positive. In unadjusted analyses, HCV exposure was positively associated with increased pain [odds ratio (OR) = 1.47; 95% confidence interval (CI): 1.20-1.81]. However, once adjusted for known confounders in multivariable analyses, HCV exposure did not remain significantly associated with increased pain (adjusted OR = 1.00; 95%CI: 0.78-1.28). DISCUSSION AND

conclusionsIn this sample of PWID, HCV exposure was not significantly associated with pain once other factors were considered. These various factors may explain the elevated risk of pain among PWID and should be addressed in future initiatives when managing pain among PWID with HCV exposure. Future studies should also examine whether pain changes with changes in HCV status (i.e. active vs. cleared infection).

Indexed as

AdultCanadaFemaleHepatitis CHumansMaleMiddle AgedPainProspective StudiesSubstance Abuse, IntravenousCanadahepatitis Cinjection drug usepainsubstance use

Identifiers

PMID31418953
PMCPMC7032566
OpenAlexW2969014701

What OpenQuestion holds

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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.