Evidence map›Paper›PMID 31756116›Full record

ArticlePublic health reports (Washington, D.C. : 1974)2020

Improved Hepatitis C Cure Cascade Outcomes Among Urban Baby Boomers in the Direct-Acting Antiviral Era.

Sarah C Dupont, Shelly-Ann Fluker, Kristi M Quairoli, Cameron Body, Ike Okosun, Jennifer Lom, Lesley S Miller

Open access · bronzeAbstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974), 2020. 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
0.6field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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 at 3 institutions in 1 country.

Sarah C DupontSchool of Medicine and Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Shelly-Ann FlukerDivision of General Medicine and Geriatrics, Emory University, Atlanta, GA, USA.
Kristi M QuairoliDepartment of Pharmacy, Grady Health System, Atlanta, GA, USA.
Cameron BodyDepartment of Medicine, School of Medicine, Emory University, Atlanta, GA, USA.
Ike OkosunDepartment of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA.
Jennifer LomDivision of General Medicine and Geriatrics, Emory University, Atlanta, GA, USA.
Lesley S MillerDivision of General Medicine and Geriatrics, Emory University, Atlanta, GA, USA.ORCID 0000-0002-8660-8732
Emory University · USGeorgia State University · USGrady Health System · US

Funding

NCHHSTP CDC HHS U51 PS003909
6 · The paper itself

Abstract

objectivesWe compared outcomes of the hepatitis C virus (HCV) cure cascade (ie, the path a patient follows from diagnosis to cure), including antiviral treatment outcomes, from 2 HCV screening programs. Our objective was to assess whether treatment uptake and HCV cure rates improved in the cohort screened after the release of all-oral HCV direct-acting antiviral therapies.

methodsWe retrospectively compared outcomes of the HCV cure cascade from a cohort of newly diagnosed patients screened during 2012-2014 (period 1) with outcomes from a cohort of newly diagnosed patients screened during 2015-2016 (period 2) at Grady Health System in Atlanta, Georgia. Cure cascade outcomes included HCV antibody (anti-HCV) and RNA testing, linkage to care, antiviral treatment, and sustained virologic response.

resultsDuring period 1, 412 of 5274 (7.8%) persons screened were anti-HCV positive, and 264 (69.3%) of those tested were RNA positive. During period 2, 462 of 7137 (6.5%) persons screened were anti-HCV positive, and 240 (59.3%) of those tested were RNA positive (

conclusionsOver time, the prevalence of anti-HCV and HCV RNA positivity declined substantially, and linkage-to-care and cure rates remained high. Treatment uptake increased significantly after the introduction of all-oral direct-acting antiviral therapy. These findings suggest that combining large-scale screening initiatives with treatment programs can speed progress toward HCV elimination.

Indexed as

AgedAntiviral AgentsFemaleGeorgiaHepatitis CHepatitis C AntibodiesHumansMaleMass ScreeningMiddle AgedRacial GroupsRetrospective StudiesRNA, ViralSustained Virologic ResponseAntiviral AgentsHepatitis C AntibodiesRNA, Viralbaby boomer screeningdirect-acting antiviral treatmenthepatitis Clinkage to care

Identifiers

PMID31756116
PMCPMC7119255
OpenAlexW2991137525

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.