Evidence map›Paper›PMID 31782499›Full record

ArticleThe Journal of antimicrobial chemotherapy2019

HepCare Europe: a service innovation project. HepCheck: enhancing HCV identification and linkage to care for vulnerable populations through intensified outreach screening. A prospective multisite feasibility study.

Suzanne Barror, Gordana Avramovic, Cristiana Oprea, Julian Surey, Alistair Story, Juan Macías, Walter Cullen, Des Crowley, Aidan Horan, Anna Marie Naughton and 8 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Hepatitis C Virus Infection in Europe.Pathogens (Basel, Switzerland) · 2024
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. HepCare Ireland-a service innovation project.Irish journal of medical science · 2021
    Review
  15. Article
  16. 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

18 authors at 6 institutions in 4 countries.

Suzanne BarrorMater Misericordiae University Hospital, Dublin, Ireland.
Gordana AvramovicMater Misericordiae University Hospital, Dublin, Ireland.
Cristiana OpreaVictor Babes Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania.
Julian SureyUniversity College London, London, UK.
Alistair StoryUniversity College London Hospital, London, UK.
Juan MacíasHospital Universitario de Valme, Seville, Spain.
Walter CullenMater Misericordiae University Hospital, Dublin, Ireland.
Des CrowleyHSE, Cork, Ireland.
Aidan HoranHSE, Cork, Ireland.
Anna Marie NaughtonHSE, Cork, Ireland.
Maria IglesiasHospital Universitario de Valme, Seville, Spain.
Irina IanacheUniversity College London Hospital, London, UK.
Stefan LazarUniversity College London Hospital, London, UK.
Ionut PopaUniversity College London Hospital, London, UK.
Tina McHughMater Misericordiae University Hospital, Dublin, Ireland.
Dee MenezesUniversity College London, London, UK.
Willard TinagoUniversity College Dublin, Dublin, Ireland.
John S LambertMater Misericordiae University Hospital, Dublin, Ireland.
Mater Misericordiae University Hospital · IEUniversity College Hospital · GBUniversity College London · GBHospital Universitario de Valme · ESUniversity College Dublin · IESpitalul Clinic Dr. Victor Babes · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHepatitis C is one of the main causes of chronic liver diseases worldwide. One of the major barriers to effecting EU- and WHO-mandated HCV elimination by 2030 is underdiagnosis. Community-based screening strategies have been identified as important components of HCV models of care. HepCheck Europe is a large-scale intensified screening initiative aimed at enhancing identification of HCV infection among vulnerable populations and linkage to care.

methodsResearch teams across four European countries were engaged in the study and rolled out screening to high-risk populations in community addiction, homeless and prison services. Screening was offered to 2822 individuals and included a self-administered questionnaire, HCV antibody and RNA testing, liver fibrosis assessment and referral to specialist services.

resultsThere was a 74% (n=2079) uptake of screening. The majority (85.8%, n=1783) were male. In total 44.6% (n=927) of the sample reported ever injecting drugs, 38.4% (n=799) reported ever being homeless and 27.9% (n=581) were prisoners. In total 397 (19%) active HCV infections were identified and 136 (7% of total sample and 34% of identified active infections) were new cases. Of those identified with active HCV infection, 80% were linked to care, which included liver fibrosis assessment and referral to specialist services.

conclusionsHepCheck's screening and linkage to care is a clear strategy for reaching high-risk populations, including those at highest risk of transmission who are not accessing any type of care in the community. Elimination of HCV in the EU will only be achieved by such innovative, patient-centred approaches.

Indexed as

AdultDelivery of Health CareDrug UsersEuropeFeasibility StudiesFemaleHepatitis CHepatitis C AntibodiesHumansIll-Housed PersonsMaleMass ScreeningMiddle AgedPrisonersProspective StudiesSocial MarginalizationHepatitis C Antibodies

Identifiers

PMID31782499
PMCPMC6883392
OpenAlexW2991619824

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.