Evidence map›Paper›PMID 34866844›Full record

ArticleJournal of clinical and experimental hepatology

Universal HCV Screening of Baby Boomers is Feasible, but It is Difficult.

Paul J Thuluvath, Joshua Trowell, Talan Zhang, Joseph Alukal, George Lowe

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology. 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
–field-weighted citation impact, top 98% 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, 3 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

5 authors at 2 institutions in 1 country.

Paul J ThuluvathInstitute of Digestive Health & Liver Diseases, Mercy Medical Center, Baltimore, MD, 21202, USA.
Joshua TrowellInstitute of Digestive Health & Liver Diseases, Mercy Medical Center, Baltimore, MD, 21202, USA.
Talan ZhangInstitute of Digestive Health & Liver Diseases, Mercy Medical Center, Baltimore, MD, 21202, USA.
Joseph AlukalInstitute of Digestive Health & Liver Diseases, Mercy Medical Center, Baltimore, MD, 21202, USA.
George LoweInstitute of Digestive Health & Liver Diseases, Mercy Medical Center, Baltimore, MD, 21202, USA.
Mercy Medical Center · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveOur objective was to assess the impact of mass mailing and the inclusion of Best Practice Advisory (BPA) "Pop-Up" tool in the electronic medical record (EMR) on HCV screening rates.

methodsBetween June 2015 and March 2020, two interventions were developed for primary care physicians (PCP). An educational letter along with a blood requisition form, signed on behalf of the PCPs, was sent to patients. We also developed a BPA "Pop-Up" screening tool to alert PCPs to order HCV screening tests on patients with no previous screening. Data were collected and analyzed prospectively.

resultsWhen we started the screening program in June 2015, 33,736 baby boomers were eligible for screening, and the hospital system added an additional 26,027 baby boomers between June 2015 and March 2020. Of the 89 primary care providers employed by the hospital, 75 agreed to participate at different time periods. We screened 23,291 (43.5%) of 53,526 eligible patients during study period. Of these, 399 (1.7%) had HCV antibody, but HCV RNA was positive in only 195 (1%). HCV antibody positivity rates were higher in men, blacks, and in 1951-1960 birth cohorts. Spontaneous clearance rates appeared to be lower in men (OR 0.59, 95% CI 0.39-0.90,

conclusionAlthough a formal screening program increased screening rates for HCV among baby boomers, about 50% of baby boomers remained unscreened. In this community screening program, we found that men and blacks are less likely to have spontaneous HCV clearance.

Indexed as

BPA, Best Practice AdvisoryDAA, Direct Acting Anti-viraleducationelectronicEMR, Electronic Medical RecordHCV eradicationHCV, Hepatitis C VirusHCV linkage to careHCV screeninghepatitis C Virus (HCV)IT, Information Technologyletters

Identifiers

PMID34866844
PMCPMC8617540
OpenAlexW3131839611

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.