Evidence map›Paper›PMID 32704227›Full record

ArticleFederal practitioner : for the health care professionals of the VA, DoD, and PHS2020

Outcomes Comparison of the Veterans' Choice Program With the Veterans Affairs Health Care System for Hepatitis C Treatment.

Daniel Chao, Hema Buddha, Chitra Damodaran, Linda Tran, Richard Strong, Christian S Jackson

Open access · bronzeAbstract read
PubMed Full text at PMC
In one paragraph

Article in Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 52% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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.

Daniel Chao, and are Physicians; and is a Pharmacist; all in the Gastroenterology Section at VA Loma Linda Healthcare System in California. is a Clinical Research Program Administrator at the University of California, Riverside. Daniel Chao, Chitra Damodaran, and Christian Jackson are Assistant Professors of Medicine and Richard Strong is an Associate Professor of Medicine, at Loma Linda University in California.
Hema Buddha, and are Physicians; and is a Pharmacist; all in the Gastroenterology Section at VA Loma Linda Healthcare System in California. is a Clinical Research Program Administrator at the University of California, Riverside. Daniel Chao, Chitra Damodaran, and Christian Jackson are Assistant Professors of Medicine and Richard Strong is an Associate Professor of Medicine, at Loma Linda University in California.
Chitra Damodaran, and are Physicians; and is a Pharmacist; all in the Gastroenterology Section at VA Loma Linda Healthcare System in California. is a Clinical Research Program Administrator at the University of California, Riverside. Daniel Chao, Chitra Damodaran, and Christian Jackson are Assistant Professors of Medicine and Richard Strong is an Associate Professor of Medicine, at Loma Linda University in California.
Linda Tran, and are Physicians; and is a Pharmacist; all in the Gastroenterology Section at VA Loma Linda Healthcare System in California. is a Clinical Research Program Administrator at the University of California, Riverside. Daniel Chao, Chitra Damodaran, and Christian Jackson are Assistant Professors of Medicine and Richard Strong is an Associate Professor of Medicine, at Loma Linda University in California.
Richard Strong, and are Physicians; and is a Pharmacist; all in the Gastroenterology Section at VA Loma Linda Healthcare System in California. is a Clinical Research Program Administrator at the University of California, Riverside. Daniel Chao, Chitra Damodaran, and Christian Jackson are Assistant Professors of Medicine and Richard Strong is an Associate Professor of Medicine, at Loma Linda University in California.
Christian S Jackson, and are Physicians; and is a Pharmacist; all in the Gastroenterology Section at VA Loma Linda Healthcare System in California. is a Clinical Research Program Administrator at the University of California, Riverside. Daniel Chao, Chitra Damodaran, and Christian Jackson are Assistant Professors of Medicine and Richard Strong is an Associate Professor of Medicine, at Loma Linda University in California.
VA Loma Linda Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe US Department of Veterans Affairs (VA) has been stressed by the large number of veterans requiring direct-acting antiviral (DAA) medications for hepatitis C virus (HCV) treatment. The Veterans Choice Program provides VA patients more options to receive treatment. This study compared the experience of veterans who received HCV treatment through the Veterans Choice Program and those that received treatment at the VA Loma Linda Healthcare System (VALLHCS) in fiscal year (FY) 2016.

methodsA chart review was performed on all veterans referred by VALLHCS to Choice for HCV treatment during FY 2016, and matched to veterans who received treatment at VALLHCS. Data collected included Fibrosis-4 score (Fib-4), platelet count, days elapsed between time of referral and time of appointment (wait time), rate of sustained virologic response at 12 weeks (SVR12), reason for treatment failure, and cost effectiveness.

resultsOne hundred veterans were referred to Choice; 71 were seen at least once by a Choice provider, and 61 completed a treatment course. Mean Fib-4 and platelet count was 1.9 and 228,000 for the Choice population and 3.4 and 158,000 for the VALLHCS population, respectively. There was no difference in SVR12 rate. Mean wait time was 42 days for Choice vs 29 days for VALLHCS (

conclusionsWhile treatment success rates were similar between Choice and VALLHCS, the degree of liver fibrosis was more advanced in the VALLHCS population. The wait time for care was longer with Choice compared with a direct referral within the VA. While Choice offers a potential solution to providing care for veterans, the current program has unique problems that must be considered.

Identifiers

PMID32704227
PMCPMC7373074
OpenAlexW3045517727

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.