Evidence map›Paper›PMID 40497662›Full record

ArticleJournal of viral hepatitis2025

Impact of Universal Screening for HDV in HBV-Infected Patients on Chronic HDV Detection Rate in Israel.

David Yardeni, Omer Cividalli, Bryan Itkowitz, Inna Lipnizkiy, Ali Abu Juma'a, Naim Abufreha, Ayelet Keren-Naus, Nadav Eisner, Anat Nevo Shor, Ohad Etzion

Abstract read
In one paragraph

Article in Journal of viral hepatitis, 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

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

10 authors.

David YardeniDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, Beersheba, Israel.ORCID https://orcid.org/0000-0002-4078-7173
Omer CividalliJoyce and Irving Goldman Medical School, Faculty of Health Sciences, Beersheba, Israel.
Bryan ItkowitzClinical Research Center, Soroka University Medical Center, Beersheba, Israel.
Inna LipnizkiyDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, Beersheba, Israel.
Ali Abu Juma'aDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, Beersheba, Israel.
Naim AbufrehaDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, Beersheba, Israel.ORCID https://orcid.org/0000-0002-4844-3308
Ayelet Keren-NausJoyce and Irving Goldman Medical School, Faculty of Health Sciences, Beersheba, Israel.
Nadav EisnerLaboratory of Virology Services, Soroka University Medical Center, Beersheba, Israel.
Anat Nevo ShorDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, Beersheba, Israel.
Ohad EtzionDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, Beersheba, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatitis delta virus (HDV) and hepatitis B virus (HBV) co-infection is considered a progressive chronic viral hepatitis where treatment options are limited and significant morbidity and mortality are prevalent. Studies have shown insufficient testing for HDV antibody (anti-HDV) among HBV-infected patients. Unlike European and Asian-Pacific guidelines, the American Association for the Study of Liver Diseases (AASLD) guidelines recommend HDV testing only for high-risk HBV patients. We evaluated the efficacy of universal vs. risk-based screening in identifying HDV infection among HBV patients. We performed a retrospective analysis of patients diagnosed with a positive HBsAg in a tertiary medical center and screened for HDV between 2010 and 2022. 761 patients were found to be HBsAg-positive. 525 (69%) patients met AASLD criteria for HDV screening (high-risk) and 236 (31%) did not (low-risk). Universal screening was performed on 559 (73.4%) patients. In the high-risk group, anti-HDV positivity was found in 33 patients (8.6%). 17 (51.5%) were found to be HDV RNA-positive. In the low-risk group, 4 (2.3%) were found to be anti-HDV-positive. None were found to be HDV RNA-positive. Screening based on AASLD criteria identified only 89% of HDV antibody-positive patients. During the study period, an increased rate of all-cause mortality was observed in the AASLD high-risk group. In this single-center study, universal screening of HBsAg-positive patients identified 11% more anti-HDV-positive patients in comparison to the AASLD-supported high-risk-only screening recommendations. Due to the paramount importance of HDV detection, universal HDV screening in HBsAg-positive patients is encouraged.

Indexed as

CoinfectionHepatitis B, ChronicHepatitis D, ChronicHepatitis Delta VirusMass ScreeningAdultAgedAged, 80 and overFemaleHepatitis AntibodiesHepatitis B Surface AntigensHumansIsraelMaleMiddle AgedRetrospective StudiesHepatitis AntibodiesHepatitis B Surface AntigensRNA, Viralhepatitis Bhepatitis Duniversal screening

Identifiers

PMID40497662
PMCPMC12153417

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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.