Evidence map›Paper›PMID 32877544›Full record

ArticleThe Journal of infectious diseases2020

Psychosocial Factors and the Care Cascade for Hepatitis C Treatment Colocated at a Syringe Service Program.

Daniel Winetsky, Daniel Burack, Pantelis Antoniou, Bill Garcia, Peter Gordon, Matthew Scherer

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  4. Observational
  5. Article
  6. Therapeutic, preventive, and pathogenetic advances in viral hepatitis.Frontiers in cellular and infection microbiology · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Hepatitis C Cascades: Data to Inform Hepatitis C Elimination in the United States.Public health reports (Washington, D.C. : 1974) · 2023
    Review
  12. Article
  13. Article
  14. Article
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  17. Observational
  18. Review
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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.

Daniel WinetskyComprehensive Health Program, New York Presbyterian Hospital, New York, USA.
Daniel BurackDepartment of Medicine, Columbia University Irving Medical Center, New York, USA.
Pantelis AntoniouComprehensive Health Program, New York Presbyterian Hospital, New York, USA.
Bill GarciaWashington Heights Corner Project, New York, USA.
Peter GordonComprehensive Health Program, New York Presbyterian Hospital, New York, USA.
Matthew SchererComprehensive Health Program, New York Presbyterian Hospital, New York, USA.

Funding

INSPIRE : Interdisciplinary Social and Behavioral Science Prevention and Intervention REsearch in HIVT32MH019139 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Claude Ann Mellins, Jae M. Sevelius · 1989 to 2026
$10.8M
NIMH NIH HHS T32 MH019139
6 · The paper itself

Abstract

backgroundDirect-acting antiviral (DAA) therapy for hepatitis C virus (HCV) is highly effective. However, people who inject drugs face significant barriers to DAA access.

methodsWe describe a program that colocates HCV management within a syringe service program in New York City. We performed a retrospective chart review of all patients with confirmed HCV viremia.

resultsFrom 2015 to 2018, 102 patients with viremia completed intake. Fifty-eight patients started DAAs. Nine patients discontinued treatment or were lost to follow-up before completion; 1 is continuing DAA treatment. Of 48 patients who completed therapy, sustained virologic response (SVR) was achieved in 43 (89.6%). Age and established mental health treatment at intake were associated with SVR. Regular cocaine use was negatively associated with SVR in univariate analysis, but this association was not significant after adjustment for age. Of 30 patients completing DAA therapy with active illicit opioid use at intake, 14 (46.4%) engaged in opioid use disorder (OUD) treatment during therapy, and 9 remained in OUD treatment after completion of DAA treatment.

conclusionsLoss to follow-up is a challenge for people who inject drugs, but among those who completed treatment, SVR was achieved at a high rate. Mental health treatment may facilitate HCV cure. Conversely, HCV therapy may facilitate engagement in OUD treatment and other services.

Indexed as

AdultAgedAge FactorsAntiviral AgentsDrug UsersFemaleHepacivirusHepatitis CHumansMaleMiddle AgedNeedle-Exchange ProgramsNew York CityOpiate Substitution TreatmentOpioid-Related DisordersPatient ComplianceAntiviral Agentschronic hepatitis C virus (HCV) infectiondirect acting antiviral therapiesharm reductioninjection drug use

Identifiers

PMID32877544
PMCPMC7566642

What OpenQuestion holds

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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.