Evidence map›Paper›PMID 31513710›Full record

SynthesisClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Efficacy of Direct-acting Antivirals for Chronic Hepatitis C Virus Infection in People Who Inject Drugs or Receive Opioid Substitution Therapy: A Systematic Review and Meta-analysis.

Christiana Graf, Marcus M Mücke, Georg Dultz, Kai-Henrik Peiffer, Alica Kubesch, Patrick Ingiliz, Stefan Zeuzem, Eva Herrmann, Johannes Vermehren

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Christiana GrafDepartment of Internal Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Marcus M MückeDepartment of Internal Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Georg DultzDepartment of Internal Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Kai-Henrik PeifferDepartment of Internal Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Alica KubeschDepartment of Internal Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Patrick IngilizCenter for Infectiology, Berlin, Germany.
Stefan ZeuzemDepartment of Internal Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Eva HerrmannInstitute of Biostatistics and Mathematical Modeling, Goethe University Frankfurt, Frankfurt am Main, Germany.
Johannes VermehrenDepartment of Internal Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Goethe University Frankfurt · DEUniversity Hospital Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment uptake for hepatitis C virus (HCV) infection in people who inject drugs (PWID) and patients on opioid substitution therapy (OST) is still low despite treatment guidelines that advocate the use of direct-acting antivirals (DAAs) in all patients. Our aim in this review was to investigate treatment outcomes among PWID and patients on OST in comparison to control cohorts.

methodsA search of Embase, Medline, PubMed, and Web of Science (from October 2010 to March 2018) was conducted to assess sustained virologic response (SVR), discontinuation rates, adherence, and HCV reinfection in PWID and patients on OST.

resultsWe identified 11 primary articles and 12 conference abstracts comprising 1702 patients on OST, 538 PWID, and 19 723 patients who served as controls. Among patients on OST, the pooled SVR was 90% (95% confidence interval [CI], 87% to 93%) and pooled treatment discontinuation rate was 7% (95% CI, 4% to 11%). Similarly, the pooled SVR was 88% (95% CI, 80% to 93%) in PWID and the pooled treatment discontinuation rate was 9% (95% CI, 5% to 15%). There was no significant difference regarding pooled rates of SVR, adherence, and discontinuation between patients on OST and controls as well as between PWID and controls. HCV reinfection rates among patients on OST ranged from 0.0 to 12.5 per 100 person-years.

conclusionsHCV treatment outcomes in PWID and patients on OST are similar to those in patients without a history of injecting drugs, supporting current guideline recommendations to treat HCV in these patient populations.

Indexed as

Antiviral AgentsHepatitis CHepatitis C, ChronicPharmaceutical PreparationsSubstance Abuse, IntravenousHumansOpiate Substitution TreatmentAntiviral AgentsPharmaceutical Preparationsdirect-acting antiviralshepatitis Copioid substitution therapypeople who inject drugssustained virologic response

Identifiers

PMID31513710
OpenAlexW2972668570

What OpenQuestion holds

Textmetadata
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.