Evidence map›Paper›PMID 32742939›Full record

ArticleAnnals of global health2020

Point-of-Care Tests for Hepatitis B Are Associated with A Higher Linkage to Care and Lower Cost Compared to Venepuncture Sampling During Outreach Screenings in an Asian Migrant Population.

Erwin Ho, Peter Michielsen, Pierre Van Damme, Margareta Ieven, Irene Veldhuijzen, Thomas Vanwolleghem

Open access · goldAbstract read
In one paragraph

Article in Annals of global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
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  11. Review
  12. Article
  13. Clinical management of chronic hepatitis B: A concise overview.United European gastroenterology journal · 2022
    Review
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 5 institutions in 3 countries.

Erwin HoDepartment of Gastroenterology and Hepatology, Antwerp University Hospital, Antwerp, BE.
Peter MichielsenDepartment of Gastroenterology and Hepatology, Antwerp University Hospital, Antwerp, BE.
Pierre Van DammeVAXINFECTIO, Vaccine and Infectious Diseases Institute, University of Antwerp, Antwerp, BE.
Margareta IevenVAXINFECTIO, Vaccine and Infectious Diseases Institute, University of Antwerp, Antwerp, BE.
Irene VeldhuijzenDivision of Infectious Disease Control, Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, NL.
Thomas VanwolleghemDepartment of Gastroenterology and Hepatology, Antwerp University Hospital, Antwerp, BE.
Antwerp University Hospital · BEErasmus University Rotterdam · NLGGD Rotterdam-Rijnmond · NLInfectious Diseases Institute · UGUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study compares venepuncture versus point-of-care (POC) HBsAg tests on screening cost and linkage to care in prospective outreach screenings in an Asian population in three major cities in Belgium between 10/2014 and 5/2018. Methods: Two community outreach screening programs were organised between 10/2014 and 5/2018. The first screening program used venepuncture and serologic testing for HBsAg. In the second program, HBsAg was tested in finger stick blood POC tests. Positive results were confirmed during outpatient visits with serologic testing. Linkage to care was defined as having received specialist care follow-up with at least one abdominal ultrasound within three months of screening. Results: For 575 participating individuals, 571 valid results were obtained, 456 with venepuncture, and 115 using POC testing. Overall HBsAg seroprevalence was 6.8%. Linkage to care was higher when using POC testing compared to venepuncture (86% or n = 6/7 versus 34% or n = 11/32; p = 0.020). The POC screening program was economically more attractive with a total cost of € 1,461.8 or € 12.7 per person screened compared to € 24,819 or € 54.0 per person screened when using venepuncture testing. Results and an appointment for specialist care follow-up were given onsite with POC testing, while with venepuncture testing; results were sent within 20-45 days. Conclusion: In an Asian migrant population in Belgium with an HBsAg seroprevalence of 6.8%, HBV screening based on POC tests resulted in lower costs per person screened (76.5% lower), and higher linkage to care (2.5 times).

Indexed as

Health Care CostsPoint-of-Care TestingBelgiumChinaContinuity of Patient CareEmigrants and ImmigrantsFemaleHepatitis B, ChronicHepatitis B Surface AntigensHumansMaleMass ScreeningMiddle AgedSeroepidemiologic StudiesSerologic TestsHepatitis B Surface Antigens

Identifiers

PMID32742939
PMCPMC7366862
OpenAlexW3043070501

What OpenQuestion holds

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LicenceCC BY
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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.