Evidence map›Paper›PMID 40212212›Full record

ArticleAnnals of medicine and surgery (2012)2025

Directly acting antivirals improve insulin resistance in nondiabetic patients with hepatitis C: a systematic review and meta-analysis.

Pratik Lamichhane, Saed S K Makhlouf, Kanza Saleem, Darshan Senliya, Afreen Wajid, Kapil Khanal, Anushka Agrawal

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2025. 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

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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. Review
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

7 authors.

Pratik LamichhaneDepartment of General Medicine, GP Koirala National Center for Respiratory Diseases, Tanahun, Nepal.
Saed S K MakhloufDepartment of Medicine, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Kanza SaleemDepartment of Medicine, Liaquat National Hospital, Karachi, Pakistan.
Darshan SenliyaDepartment of Medicine, GMC Medical College and Hospital, Sola, Ahmedabad, Gujarat, India.
Afreen WajidDepartment of Pathology, Bahria University Health Sciences Campus, Islamabad, Pakistan.
Kapil KhanalMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Anushka AgrawalDepartment of Anesthesiology, Pain Medicine, and Critical care, All India Institue of Medical Sciences, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Insulin resistance, beta-cell dysfunction, and diabetes mellitus (DM) are the extrahepatic complications of chronic hepatitis C virus (HCV) infection. The aim of the study was to determine the effects of novel directly acting antivirals (DAAs) on insulin resistance and insulin sensitivity parameters in nondiabetic patients with chronic HCV infection. Methods: A systematic search of medical databases (Pubmed, Scopus, and Google Scholar) was conducted for studies published until July 2024. Studies investigating the effect of any DAA on insulin resistance and insulin sensitivity parameters in non-diabetic patients with chronic HCV and sustained virologic response were included. Our study assessed the Homeostasis Model Assessment for Insulin Resistance (HOMA-IR) as the primary outcome. The pooled outcomes were compared pretreatment and posttreatment with DAAs using Hedges' g (HG) with a 95% confidence interval (CI). Results: A total of 10 studies (1309 participants) were included in the meta-analysis. Insulin resistance measured by the HOMA-IR was significantly reduced with DAA therapy (HG = 0.86, 95% CI: 0.48-1.25, Conclusions: The use of DAAs in nondiabetic chronic HCV patients with a sustained virologic response also significantly reduces insulin resistance and fasting insulin levels.

Indexed as

directly acting antiviralshepatitis Cinsulininsulin resistancesustained viral response

Identifiers

PMID40212212
PMCPMC11981256

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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.