Evidence map›Paper›PMID 40897496›Full record

SynthesisBMJ open2025

Prevalence of viral hepatitis in sub-Saharan Africa among the general population: an umbrella review of systematic reviews and meta-analyses.

Julia Sophie Sticher, Katalin R Csermak, Nekoye Otsyula, Moise Turkson, Elodie Aubrun, Olorunfemi A Oshagbemi

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2025. 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

6 authors.

Julia Sophie SticherDepartment of Chemistry and Applied Biosciences, ETH Zurich, Zürich, Switzerland.ORCID http://orcid.org/0009-0001-2641-0599
Katalin R CsermakNovartis Pharma AG, Basel, Switzerland.
Nekoye OtsyulaNovartis Pharma Services, Nairobi, Kenya.
Moise TurksonNovartis Pharma AG, Basel, Switzerland.ORCID http://orcid.org/0009-0006-4519-738X
Elodie AubrunNovartis Pharma AG, Basel, Switzerland.ORCID http://orcid.org/0000-0002-1181-7265
Olorunfemi A OshagbemiNovartis Pharma AG, Basel, Switzerland femi.oshagbemi@novartis.com.ORCID http://orcid.org/0000-0003-0279-1021

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHepatic impairment, especially hepatitis, is a growing public health concern in the general population globally. Viral hepatitis, a key driver of liver impairment, remains endemic in many countries across sub-Saharan Africa (SSA). We conducted an umbrella review to assess the prevalence of viral hepatitis among the general population in SSA.

designWe conducted an umbrella review, using standardised methods to assess multiple systematic reviews and meta-analyses (SRMAs) on the prevalence of viral hepatitis. DATA SOURCES: We systematically searched PubMed and Embase to retrieve systematic reviews published from 2013-2024. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: We retrieved systematic reviews published during 2013-2024 that examined the prevalence of viral hepatitis among the general population within SSA. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers used standardised methods to search, screen and identify included studies. We conducted an umbrella review, which was a comprehensive and systematic collation and assessment of SRMAs focused on the prevalence of viral hepatitis in SSA.

resultsThe final analysis included 21 studies. Among these, one study focused on hepatitis A, 13 on hepatitis B, 10 on hepatitis C, 2 on hepatitis D and 1 on hepatitis E. Only one study reported the overall prevalence of hepatitis A and E in SSA as 90 200 and 46 860 per 100 000 population, respectively. Across SSA, hepatitis B exhibited a pooled prevalence ranging from 6000 to 18 900, while hepatitis C ranged from 720 to 7820 and hepatitis D from 50 to 28 990 per 100 000 population. Heterogeneity was high and ranged from I

conclusionWe present an umbrella review on viral hepatitis prevalence in SSA, providing an overall view of study quality, effect sizes, heterogeneity and bias across the search field. We found that the prevalence of viral hepatitis in many SSA countries is higher than the global estimate. However, these results are mainly based on seropositivity tests; nonetheless, the findings from this study provide an overarching picture of the burden of viral hepatitis within populations in SSA.

Indexed as

Hepatitis, Viral, HumanAfrica South of the SaharaHumansMeta-Analysis as TopicPrevalenceSystematic Reviews as TopicEPIDEMIOLOGYPrevalenceSystematic Review

Identifiers

PMID40897496
PMCPMC12406870

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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.