Evidence map›Paper›PMID 35655277›Full record

ArticleSubstance abuse treatment, prevention, and policy2022

Integrated care model and point of care diagnostics facilitate Hepatitis C treatment among patients receiving opioid agonist therapy: a retrospective review of medical records.

Margareeta Häkkinen, Jouni Tourunen, Tuuli Pitkänen, Kaarlo Simojoki, Sauli Vuoti

Open access · goldAbstract read
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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 5 institutions in 1 country.

Margareeta HäkkinenA-Clinic Ltd, Ratamestarinkatu 7a, FI-00520, Helsinki, Finland.
Jouni TourunenA-Clinic Foundation, Ratamestarinkatu 7a, FI-00520, Helsinki, Finland.
Tuuli PitkänenA-Clinic Foundation, Ratamestarinkatu 7a, FI-00520, Helsinki, Finland.
Kaarlo SimojokiA-Clinic Ltd, Ratamestarinkatu 7a, FI-00520, Helsinki, Finland.
Sauli VuotiDepartment of Clinical and Pharmaceutical Chemistry, University of Jyväskylä, P.O. Box 35, FI-40014, Jyväskylä, Finland. sauli.vuoti@gmail.com.
Finnish Institute for Health and Welfare · FIFinnish Youth Research Society · FIRehabilitation Foundation · FIUniversity of Helsinki · FIUniversity of Jyväskylä · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis C virus (HCV) is common among individuals in opioid agonist therapy (OAT). HCV treatment has previously been unavailable for most HCV positive OAT patients in Finland. The removal of treatment restrictions and attempts to reach HCV elimination goals have increased the number of OAT patients needing HCV treatment. The objectives of this study were 1) to characterize Finnish HCV positive OAT patients and evaluate their eligibility for HCV treatment at addiction service units, and 2) to retrospectively review the outcomes of treated patients.

methodsThe study focused on HCV positive OAT patients (n = 235). Demographics and clinical parameters were retrospectively reviewed using the patients' medical records. The eligibility of providing HCV treatment to patients at addiction service units were evaluated based on patients' clinical characteristics, such as liver function and patterns of substance use. The outcomes of patients receiving HCV treatment were reviewed.

resultsOf HCV antibody positive OAT patients, 75% had chronic HCV. Of 103 HCV patients screened for liver fibrosis either with Fibroscan or APRI (aspartate aminotransferase to platelet ratio index), 83 patients (81%) had no indication of severe liver damage. Point of care (POC) HCV tests were used for 46 patients to lower the threshold of attending laboratory testing. All patients preferred POC testing to conventional blood testing. Twenty patients had received HCV treatment, 19 completed the treatment and achieved sustained virologic response (SVR) at the end of the treatment. Of the 18 patients available for evaluation of SVR at 12 weeks after the treatment (SVR12), 17 achieved SVR12.

conclusionsThe integrated model consisting of HCV diagnostics and treatment at the addiction service unit was successfully implemented within normal OAT practice.

Indexed as

Delivery of Health Care, IntegratedHepatitis CAnalgesics, OpioidAntiviral AgentsHumansMedical RecordsPoint-of-Care TestingRetrospective StudiesAnalgesics, OpioidAntiviral AgentsHepatitis CLinkage to careOpioid agonist therapyPeople who inject drugsPoint of care diagnostics

Identifiers

PMID35655277
PMCPMC9161480
OpenAlexW4281688859

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LicenceCC BY
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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.