Evidence map›Paper›PMID 31970042›Full record

ArticlePreventive medicine reports2020

Electronic medical record alert activation increase hepatitis C and HIV screening rates in primary care practices within a large healthcare system.

Hazel Tapp, Thomas Ludden, Lindsay Shade, Jeremy Thomas, Sveta Mohanan, Michael Leonard

Open access · goldAbstract read
In one paragraph

Article in Preventive medicine reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Barriers to Chagas Disease Screening among Primary Care Providers in the United States.The American journal of tropical medicine and hygiene · 2026
    Article
  6. Observational
  7. Improved Diabetes Screening for Women After Gestational Diabetes Mellitus.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Development and Feasibility Testing of a Multilevel Intervention to Increase Hepatitis C Virus Screening Among Baby Boomers in Primary Care.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  14. Article
  15. 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

6 authors at 1 institution in 1 country.

Hazel TappDepartment of Family Medicine, Atrium Health, 2001 Vail Avenue, Suite 400B, Charlotte, NC 28207, United States.
Thomas LuddenDepartment of Family Medicine, Atrium Health, 2001 Vail Avenue, Suite 400B, Charlotte, NC 28207, United States.
Lindsay ShadeDepartment of Family Medicine, Atrium Health, 2001 Vail Avenue, Suite 400B, Charlotte, NC 28207, United States.
Jeremy ThomasDepartment of Family Medicine, Atrium Health, 2001 Vail Avenue, Suite 400B, Charlotte, NC 28207, United States.
Sveta MohananDepartment of Family Medicine, Atrium Health, 2001 Vail Avenue, Suite 400B, Charlotte, NC 28207, United States.
Michael LeonardDepartment of Infectious Diseases, Atrium Health, 4539 Hedgemore Drive, Suite 100, Charlotte, NC 28209, United States.
Atrium Medical Cente · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Societal and economic burdens of hepatitis C virus (HCV) and human immunodeficiency virus (HIV) continue to grow. The Centers for Disease Control and Prevention recommends a one-time HCV screen for individuals in the Baby Boomer population (those born between 1945 and 1965) and a one-time HIV screen for all individuals between ages 13-64 years regardless of risk factors, with more frequent screening for both conditions based on individual risk factors. This study took place at Atrium Health, a healthcare system with approximately 12 million patient encounters per year. The aims of this study were to assess the impact of the HCV and HIV electronic medical record (EMR) alerts recently implemented on screening rates and linkage to care. Data were collected from 12 primary care practices. Implementation of EMR alerts increased HCV and HIV screening from 1,934 of 59,632 (3.2%) to 13,726 of 60,422 (22.7%) and 6,950 of 112,813 (6.2%) to 12,379 of 109,173 (11.3%) respectively. The HCV screening resulted in an increase of patients with antibody positive results having a subsequent RNA test from 68% (122/179) to 98% (430/442). 74 of 81 (91%) of HCV and 15 of 15 (100%) of HIV positive patients were linked into care. The addition of an EMR alert was associated with improved screening for HCV and HIV in primary care practices. Screening all patients decreases testing stigma since there is a lowered risk of disease transmission for those who test positive. However, post-intervention screening rates indicate further opportunities exist for additional interventions to increase screening rates.

Indexed as

Electronic medical record alertHepatitis CHuman immunodeficiency virusLinkage to careScreening

Identifiers

PMID31970042
PMCPMC6965743
OpenAlexW2999737940

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.