Evidence map›Paper›PMID 41917847›Full record

ArticleBMC gastroenterology2026

Fibrotic, metabolic and clinical improvements in patients with chronic hepatitis C treated with direct-acting antiviral therapy in a resource limited setting: a prospective cohort study.

Kinfe Woldu Ekubazgi, Miftah Dellil, Beshada Zerfu Woldegeorgis, Kaleb Assefa Berhane, Sewale Anagaw, Henok Fisseha

Abstract read
In one paragraph

Article in BMC gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kinfe Woldu EkubazgiDepartment of Internal Medicine, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia. kinfichomed@yahoo.com.
Miftah DellilDepartment of Internal Medicine, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Beshada Zerfu WoldegeorgisDepartment of Internal Medicine, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Kaleb Assefa BerhaneDepartment of Internal Medicine, Adera Medical Center, Addis Ababa, Ethiopia.
Sewale AnagawDepartment of Internal Medicine, College of Medicine and Health Sciences, Bahirdar University, Bahirdar, Ethiopia.
Henok FissehaDepartment of Internal Medicine, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis C virus (HCV) infection can lead to fibrosis, cirrhosis, and hepatocellular carcinoma. The advent of direct-acting antivirals (DAA) has transformed HCV treatment, achieving high cure rates. This study aimed to evaluate fibrotic, metabolic and clinical improvements in chronic HCV patients treated with DAA in low resource settings.

methodsAn institution-based prospective cohort study was conducted from February 1 to July 30, 2023 to collect data face-to-face using a structured questionnaire and data abstraction sheet. Statistical analysis was performed using Statistical Package for the Social Sciences version 26. Continuous variables were expressed as mean ± standard deviation, while categorical variables were presented as frequencies and percentages. Paired t-tests were used to compare baseline, third and sixth months post sustained virologic response (SVR) data, with statistical significance set at P < 0.05.

resultsA total of 102 patients were enrolled (mean age 47.67 ± 12.7 years); and most were female (65.7%). Significant reductions were observed in liver enzymes: Aspartate aminotransferase and Alanine aminotransferase decreased at three and six month post-SVR (P < 0.001). Hepatic synthetic function improved, with serum albumin rising and international normalized ratio declining at both follow-ups (P < 0.001). Total bilirubin decreased significantly at three (P = 0.007) and six months (P = 0.001). Model for End Stage Liver Disease scores declined at three and six months (P < 0.001). Aspartate aminotransferase to Platelet ratio index scores and Fibrosis-4index score, demonstrated significant reductions at both follow up (P < 0.001).

conclusionsDirect-acting antivirals therapy in chronic HCV patients resulted in a statistically significant improvements in liver function, clinical outcomes, and fibrosis levels by the third and sixth months post SVR.

Indexed as

Antiviral AgentsHepatitis C, ChronicLiver CirrhosisAdultAlanine TransaminaseAspartate AminotransferasesFemaleHumansMaleMiddle AgedProspective StudiesSustained Virologic ResponseTreatment OutcomeAlanine TransaminaseAntiviral AgentsAspartate AminotransferasesChronic hepatitis C virusDirect-acting antiviralsEthiopiaLiver fibrosis

Identifiers

PMID41917847
PMCPMC13169710

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.