Evidence map›Paper›PMID 34873866›Full record

ArticleUnited European gastroenterology journal2021

Hepatitis D virus (HDV) prevalence in Austria is low but causes considerable morbidity due to fast progression to cirrhosis.

Mathias Jachs, Teresa Binter, Caroline Schmidbauer, Lukas Hartl, Michael Strasser, Hermann Laferl, Stephanie Hametner-Schreil, Alexander Lindorfer, Kristina Dax, Rudolf E Stauber and 14 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in United European gastroenterology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  4. MUW researcher of the month.Wiener klinische Wochenschrift · 2025
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  5. Low coverage of hepatitis D virus testing in individuals with hepatitis B virus and HIV, the Netherlands, 2000 to 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
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  16. UEG week and UEG journal: A strong scientific liaison.United European gastroenterology journal · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 9 institutions in 1 country.

Mathias JachsDivision of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-2871-4147
Teresa BinterDivision of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Caroline SchmidbauerHIV and Liver Disease Study Group, Medical University of Vienna, Vienna, Austria.
Lukas HartlDivision of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Michael StrasserFirst Department of Medicine, Paracelsus Medical University, Salzburg, Austria.
Hermann LaferlDepartment of Infectious Diseases and Tropical Medicine, Klinik Favoriten, Vienna, Austria.
Stephanie Hametner-SchreilDepartment of Gastroenterology and Hepatology, Ordensklinikum Linz Barmherzige Schwestern, Linz, Austria.
Alexander LindorferDepartment of Gastroenterology and Hepatology, Ordensklinikum Linz Barmherzige Schwestern, Linz, Austria.
Kristina DaxDepartment of Internal Medicine and Gastroenterology and Hepatology, Kepler Universitätsklinikum, Linz, Austria.
Rudolf E StauberDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0002-3687-9331
Harald H KesslerInstitute for Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Graz, Austria.
Sebastian BernhoferDepartment of Internal Medicine II, University Hospital St. Pölten, St. Pölten, Austria.
Andreas MaieronDepartment of Internal Medicine II, University Hospital St. Pölten, St. Pölten, Austria.
Lorin LoackerCentral Institute for Medical and Chemical Laboratory Diagnostics, Medical University of Innsbruck, Innsbruck, Austria.
Simona BotaDepartment of Internal Medicine and Gastroenterology, Hepatology, Endocrinology, Rheumatology and Nephrology, Klinikum Klagenfurt am Wörthersee, Klagenfurt, Austria.
Isabel SantonjaCenter for Virology, Medical University of Vienna, Vienna, Austria.
Petra MundaDivision of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Mattias MandorferDivision of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-2330-0017
Markus Peck-RadosavljevicDepartment of Internal Medicine and Gastroenterology, Hepatology, Endocrinology, Rheumatology and Nephrology, Klinikum Klagenfurt am Wörthersee, Klagenfurt, Austria.ORCID 0000-0002-0597-2728
Heidemarie HolzmannCenter for Virology, Medical University of Vienna, Vienna, Austria.
Michael GschwantlerHIV and Liver Disease Study Group, Medical University of Vienna, Vienna, Austria.
Heinz ZollerDepartment of Internal Medicine I, Medical University of Innsbruck, Innsbruck, Austria.
Peter FerenciDivision of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Thomas ReibergerDivision of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-4590-3583
Medical University of Vienna · ATInnsbruck Medical University · ATKlinikum Klagenfurt · ATMedical University of Graz · ATOrdensklinikum Linz Barmherzige Schwestern · ATUniversitätsklinikum St. Pölten · ATAustrian Competence Centre of Food Safety · ATKepler Universitätsklinikum · ATParacelsus Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis D virus (HDV) coinfection aggravates the course of hepatitis B virus (HBV). The prevalence of HDV in Austria is unknown.

objectiveThis national study aimed at (i) recording the prevalence of HDV-infection in Austria and (ii) characterizing the "active" HDV cohort in Austria.

methodsA total of 10 hepatitis treatment centers in Austria participated in this multicenter study and retrospectively collected their HDV patients between Q1/2010 and Q4/2020. Positive anti-HDV and/or HDV-RNA-polymerase chain reaction (PCR) results were retrieved from local database queries. Disease severity was assessed by individual chart review. Viremic HDV patients with clinical visits in/after Q1/2019 were considered as the "active" HDV cohort.

resultsA total of 347 anti-HDV positive patients were identified. In 202 (58.2%) patients, HDV-RNA-PCR test was performed, and 126/202 (62.4%) had confirmed viremia. Hepatocellular carcinoma was diagnosed in 7 (5.6%) patients, 7 (5.6%) patients underwent liver transplantation, and 11 (8.7%) patients died during follow-up. The "active" Austrian HDV cohort included 74 (58.7%) patients: Evidence for advanced chronic liver disease (ACLD, i.e., histological F3/F4 fibrosis, liver stiffness ≥10 kPa, varices, or hepatic venous pressure gradient ≥6 mmHg) was detected in 38 (51.4%) patients, including 2 (5.3%) with decompensation (ascites/hepatic encephalopathy). About 37 (50.0%) patients of the "active" HDV cohort had previously received interferon treatment. Treatment with the sodium-taurocholate cotransporting polypeptide inhibitor bulevirtide was initiated in 20 (27.0%) patients.

conclusionThe number of confirmed HDV viremic cases in Austria is low (<1% of HBV patients) but potentially underestimated. Testing all HBV patients will increase the diagnostic yield. More than half of viremic HDV patients had ACLD. Improved HDV testing and workup strategies will facilitate access to novel antiviral therapies.

Indexed as

AdultAustriaCarcinoma, HepatocellularDisease ProgressionFemaleHepatitis DHumansLiver CirrhosisLiver NeoplasmsMaleMiddle AgedPrevalenceRetrospective Studiesepidemiologyhepatitis Dviral hepatitis

Identifiers

PMID34873866
PMCPMC8672089
OpenAlexW4200628086

What OpenQuestion holds

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Registered trials

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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.