Evidence map›Paper›PMID 33382774›Full record

ArticlePloS one2020

Prenatal hepatitis C screening, diagnoses, and follow-up testing in British Columbia, 2008-2019.

Margo E Pearce, Amanda Yu, Maria Alvarez, Sofia R Bartlett, Mawuena Binka, Dahn Jeong, Emilia Clementi, Prince Adu, James Wilton, Eric M Yoshida and 6 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

16 authors at 2 institutions in 1 country.

Margo E PearceBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.ORCID 0000-0002-1563-8029
Amanda YuBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Maria AlvarezBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Sofia R BartlettBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Mawuena BinkaBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Dahn JeongBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.ORCID 0000-0003-1782-5669
Emilia ClementiBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.ORCID 0000-0001-8904-4744
Prince AduBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
James WiltonBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Eric M YoshidaDepartment of Medicine, Division of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada.
Neora PickDepartment of Medicine, Division of Infectious Diseases, University of British Columbia Vancouver, British Columbia, Canada.
Jane A BuxtonBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Jason WongBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Agatha JassemBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Mel KrajdenBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Naveed Z JanjuaBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
University of British Columbia · CABC Centre for Disease Control · CA

Funding

CIHR
6 · The paper itself

Abstract

objectiveCurrent guidelines in British Columbia recommend prenatal screening for hepatitis C antibodies (anti-HCV) if risk factors are present. We aimed to estimate frequency of prenatal anti-HCV testing, new diagnoses, repeated and follow-up testing among BC women.

methodsBC Centre for Disease Control Public Health Laboratory data estimated the number of BC women (assigned female at birth or unknown sex) aged 13-49 who received routine prenatal serological screening (HIV, hepatitis B, syphilis and rubella) from 2008-2019. Anti-HCV tests ordered the same day as routine prenatal screens were considered prenatal anti-HCV tests. Assessment of follow-up was based on HCV RNA and/or genotype testing within one year of new prenatal anti-HCV diagnoses.

resultsIn 2019, 55,202 routine prenatal screens were carried out for 50,392 BC women. Prenatal anti-HCV tests increased significantly, from 19.6% (9,704/49,515) in 2008 to 54.6% (27,516/50,392) in 2019 (p<0.001). New prenatal anti-HCV diagnoses (HCV positive diagnoses at first test or seroconversions) declined from 14.3% in 2008 to 10.1% in 2019. The proportion of women with new prenatal anti-HCV diagnoses that were a result of a first HCV test declined from 0.3% (29/9,701) in 2008 to 0.03% (8/27,500) in 2019. For women known to be anti-HCV positive at the time of prenatal screening, the proportion who had a prenatal anti-HCV test increased from 35.6% in 2008 to 50.8% in 2019.

conclusionPrenatal anti-HCV testing increased substantially over the study period. However, new HCV diagnoses remained relatively stable, suggesting that a considerable proportion of BC women with low or no risk are being screened as part of prenatal care. The vast majority of women with new HCV diagnoses receive appropriate follow-up HCV RNA and genotype testing, which may indicate interest in HCV treatment. These findings contribute to the discussion around potential for prenatal anti-HCV screening in an effort to eliminate HCV.

Indexed as

AdolescentAdultBritish ColumbiaDiagnostic Tests, RoutineFemaleHepacivirusHepatitis CHepatitis C AntibodiesHumansInfant, NewbornMaternal AgeMiddle AgedNeonatal ScreeningPractice Guidelines as TopicPregnancyPrenatal DiagnosisHepatitis C AntibodiesRNA, Viral

Identifiers

PMID33382774
PMCPMC7775094
OpenAlexW3117169768

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.