Evidence map›Paper›PMID 39378209›Full record

ArticlePloS one2024

Hepatitis B infection: Evaluation of demographics and treatment of chronic hepatitis B infection in Northern-western Tanzania.

Mathias Mlewa, Helmut A Nyawale, Shimba Henerico, Ivon Mangowi, Aminiel Robert Shangali, Anselmo Mathias Manisha, Felix Kisanga, Benson R Kidenya, Hyasinta Jaka, Semvua B Kilonzo and 2 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Mathias MlewaDepartment of Microbiology and Immunology, Mwanza University, Mwanza, Tanzania.ORCID 0009-0009-7432-8723
Helmut A NyawaleDepartment of Microbiology and Immunology, Catholic University of Health, and Allied Sciences, Mwanza, Tanzania.
Shimba HenericoDepartment of Central Pathology Laboratory, Molecular Biology Laboratory, Bugando Medical Centre, Mwanza, Tanzania.ORCID 0000-0003-3659-0615
Ivon MangowiDepartment of Central Pathology Laboratory, Molecular Biology Laboratory, Bugando Medical Centre, Mwanza, Tanzania.
Aminiel Robert ShangaliDepartment of Microbiology and Immunology, Mwanza University, Mwanza, Tanzania.
Anselmo Mathias ManishaDepartment of Biochemistry and Molecular biology, Mwanza University, Mwanza, Tanzania.
Felix KisangaDepartment of Public Health, Mwanza University, Mwanza, Tanzania.
Benson R KidenyaDepartment of Biochemistry and Molecular Biology, Catholic University of Health, and Allied Sciences, Mwanza, Tanzania.
Hyasinta JakaDepartment of Gastroenterology, Bugando Medical Centre, Mwanza, Tanzania.ORCID 0000-0001-8712-7976
Semvua B KilonzoDepartment of Internal Medicine, Catholic University of Health, and Allied Sciences, Mwanza, Tanzania.
Mariam M MiramboDepartment of Microbiology and Immunology, Catholic University of Health, and Allied Sciences, Mwanza, Tanzania.
Stephen E MshanaDepartment of Microbiology and Immunology, Catholic University of Health, and Allied Sciences, Mwanza, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic hepatitis B virus (HBV) infection is still a major public health problem. In response to the World Health Organization (WHO), Tanzania implemented immunization and treatment to achieve the eradication of HBV infection by 2030. To achieve this goal, frequent updates of demographic data, antiviral therapy eligibility, and uptake are essential. We therefore evaluated demographic data, antiviral therapy eligibility, and uptake among chronically HBV-infected patients attending at Bugando Medical Centre (BMC), Tanzania.

methodsA cross-sectional study enrolled 196 chronic HBV patients from April 23, 2023, to October 10, 2023, at BMC, where 100 and 96 patients were retrospectively and prospectively enrolled, respectively. Study's ethical clearance and permission were observed by the Catholic University of Health and Allied Sciences/Bugando Medical Centre research ethics and review committee and the Bugando Medical Centre management respectively. For all patients, socio-demographic data and whole blood samples were obtained. Full blood picture, alanine and aspartate amino transferases, and HBV viral load parameters were determined. Aspartate-Platelet Ratio Index (APRI) and Fibrosis Four (FIB-4) scores were calculated according to their respective formulas. Therapy eligibility and uptake were evaluated according to the 2015 WHO HBV prevention, treatment, and care guidelines. The data were summarized and analysed using STATA version 15.

resultsThe median age for all patients was 39 [IQR: 32-47.5] years. Nearly all study patients, 99% (194/196), were older than 20 years old, with significant male dominance (73.5% [144/196] versus 26.5% [52/196]; p<0.0001). Anti-HBV antiviral therapy eligibility was 22.4%, while uptake was 6.8% (3/4), which was significantly lower than the WHO expectation of 80% (p <0.0001).

conclusionAlmost all chronically HBV-infected patients attending at BMC were older than 20 years old and were significantly dominated by males. Antiviral therapy uptake was remarkably lower than expected by the WHO towards combating HBV infection by 2030.

Indexed as

Antiviral AgentsHepatitis B, ChronicAdolescentAdultCross-Sectional StudiesFemaleHepatitis B virusHumansMaleMiddle AgedRetrospective StudiesTanzaniaViral LoadYoung AdultAntiviral Agents

Identifiers

PMID39378209
PMCPMC11460692

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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.