Evidence map›Paper›PMID 36172306›Full record

ArticleJournal of the American College of Emergency Physicians open2022

Non-targeted hepatitis C virus screening in acute care healthcare settings in the Southern Appalachian region.

Cody A Chastain, Cathy A Jenkins, Michelle Rose, Daniel Moore, Diana Parker, Barbra Cave, Jane Crowe, Sarah Adams, Marrieth G Rubio, Rachel Potter and 4 more

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Cody A ChastainDepartment of Medicine Vanderbilt University Medical Center Nashville Tennessee USA.
Cathy A JenkinsDepartment of Biostatistics Vanderbilt University Medical Center Nashville Tennessee USA.
Michelle RosePopulation Health Norton Healthcare Louisville Kentucky USA.
Daniel MooreDepartment of Emergency Medicine University of Kentucky Lexington Kentucky USA.
Diana ParkerConsultant and Program Director Appalachia Regional Healthcare Hazard Kentucky USA.
Barbra CaveDepartment of Medicine University of Louisville Louisville Kentucky USA.
Jane CroweKnox County Health Department Knoxville Tennessee USA.
Sarah AdamsKnox County Health Department Knoxville Tennessee USA.
Marrieth G RubioDepartment of Medicine Carilion Clinic Roanoke Virginia USA.
Rachel PotterMadison County Health Department Madison County North Carolina USA.
Kimberly QuedadoDepartment of Emergency Medicine West Virginia University Morgantown West Virginia USA.
Ian D JonesDepartment of Emergency Medicine Vanderbilt University Medical Center Nashville Tennessee USA.
Jin H HanDepartment of Emergency Medicine Vanderbilt University Medical Center and the Geriatric Research, Education, and Clinical Center Tennessee Valley Healthcare Center Nashville Tennessee USA.
Wesley H SelfDepartment of Emergency Medicine and Vanderbilt Institute for Clinical and Translational Research Vanderbilt University Medical Center Nashville Tennessee USA.ORCID https://orcid.org/0000-0002-9300-3045

Funding

Cognitive Outcomes in the Pragmatic Investigation of Optimal Oxygen Targets (CO-PILOT) TrialR21AG063126 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HAN, JIN HO · 2020 to 2021
$468k
NIA NIH HHS R21 AG063126
6 · The paper itself

Abstract

Objectives: The objective of this study was to evaluate the performance of non-targeted hepatitis C virus (HCV) screening in emergency departments (EDs) and other healthcare settings in terms of patients identified with HCV infection and linked to HCV care. Methods: In the Southern Appalachian region of the United States, we developed non-targeted HCV screening and linkage-to-care programs in 10 institutions at different healthcare settings, including EDs, outpatient clinics, and inpatient units. Serum samples were tested for HCV antibodies, and if positive, reflexed to HCV ribonucleic acid (RNA) testing as a confirmatory test for active infection. Patients with positive RNA tests were contacted to link them to HCV care. Results: Between 2017 and 2019, among 195,152 patients screened for HCV infection, 16,529 (8.5%) were positive by antibody testing, 10,139 (5.2% of screened patients and 61.3% of patients positive by antibody test) were positive by RNA testing, and 5778 (3.0% of screened patients and 57.0% of patients positive by RNA test) were successfully linked to HCV care. Among 83,645 patients screened in EDs, 9060 (10.8%) were positive by HCV antibody, and 5243 (6.3%) were positive by RNA test. Among patients positive by RNA testing, linkage to care was lower for patients screened in the ED (44.1%) compared with outpatient clinics (67.6%) ( Conclusions: Non-targeted HCV screening in acute care settings can identify large numbers of people with HCV infection. To optimize the utility of these screening programs, future work is needed to develop best practices that consistently link these patients to HCV care.

Indexed as

epidemiologyhepatitis c virusinjection drug usepreventive caresurviellanceviral hepatitis

Identifiers

PMID36172306
PMCPMC9467969

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.