Evidence map›Paper›PMID 41383843›Full record

ArticleOpen forum infectious diseases2025

Impact of COVID-19 Pandemic on Testing for Hepatitis B in British Columbia, Canada: An Interrupted Time Series Analysis.

Richard L Morrow, Jean D Makuza, Dahn Jeong, Mike Irvine, Beate Sander, William W L Wong, Yeva Sahakyan, Zoë Greenwald, Hin Hin Ko, Héctor A Velásquez García and 9 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 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

19 authors.

Richard L MorrowSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-5869-5197
Jean D MakuzaSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Dahn JeongSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0003-1782-5669
Mike IrvineBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0003-4785-8998
Beate SanderInstitute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-2128-9133
William W L WongSchool of Pharmacy, University of Waterloo, Waterloo, Ontario, Canada.
Yeva SahakyanToronto Health Economics and Technology Assessment (THETA) Collaborative, University of Toronto, Toronto, Ontario, Canada.
Zoë GreenwaldDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Hin Hin KoDivision of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada.
Héctor A Velásquez GarcíaBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-0764-4664
Sofia R BartlettSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0003-0699-2250
Jason WongBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-7681-7573
Amanda YuBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Mel KrajdenBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Alnoor RamjiInstitute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-4059-8767
Ji Hyun ChoiSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Julia LiBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Stanley WongBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0003-0886-9889
Naveed Zafar JanjuaBritish Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Previous research suggests the COVID-19 pandemic was associated with reductions in HBV testing early in the pandemic. However, impacts of the pandemic on HBV testing in the longer-term and among people who inject drugs (PWID) are unclear. We investigated the impact of the pandemic and related policies on HBV testing from 2020 to 2022, including among PWID, in British Columbia (BC), Canada. Methods: Using population data from the BC COVID-19 Cohort, we conducted interrupted time series analyses of HBV surface antigen (HBsAg), HBV DNA, and HBV e-antigen (HBeAg) testing. The study included a prepandemic period (January 2017-February 2020), a transition period (March-May 2020), and pandemic periods in 2020 (June-December), 2021, and 2022. Results: HBsAg testing decreased by 16.5% (95% CI 13.9-18.9) and HBV DNA testing decreased by 11.6% (95% CI 9.5-13.6) in June-December 2020 relative to predicted levels, and testing remained lower than predicted throughout 2021 and 2022. Percentage reductions in HBV DNA testing were greater for PWID compared with non-PWID in 2020 (30.0% vs 11.2%) and thereafter. Changes in HBeAg testing overall were less pronounced but varied by sex and age. Conclusions: The pandemic and related policies were associated with decreases in HBsAg and HBV DNA testing in 2020, and testing remained lower than predicted throughout 2021 and 2022. Additional efforts to increase HBV testing are needed, including strategies to ensure linkage to care for PWID.

Indexed as

COVID-19hepatitis Bhepatitis B care cascadeinterrupted time series analysispeople who inject drugs

Identifiers

PMID41383843
PMCPMC12692344

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.