Evidence map›Paper›PMID 41968568›Full record

ArticleJournal of viral hepatitis2026

Cost-Effectiveness of Interventions to Improve Retention in Care for Chronic Hepatitis B in the United States.

Irene Starinieri, Amit Chitnis, Robert J Wong, Emily Yette, Hang Pham, Amy S Tang, Samuel So, Mehlika Toy

Abstract read
In one paragraph

Article in Journal of viral hepatitis, 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

8 authors.

Irene StarinieriDepartment of Health Technology Assessment, Erasmus School of Health Policy and Management, Erasmus University, Rotterdam, the Netherlands.
Amit ChitnisAlameda County Public Health Department, Division of Communicable Disease Control and Prevention, San Leandro, California, USA.
Robert J WongDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Palo Alto, California, USA.ORCID https://orcid.org/0009-0003-6092-2541
Emily YetteAlameda County Public Health Department, Division of Communicable Disease Control and Prevention, San Leandro, California, USA.
Hang PhamAsian Liver Center, Stanford University School of Medicine, Palo Alto, California, USA.
Amy S TangNorth East Medical Services, San Francisco, California, USA.
Samuel SoAsian Liver Center, Stanford University School of Medicine, Palo Alto, California, USA.
Mehlika ToyDepartment of Health Technology Assessment, Erasmus School of Health Policy and Management, Erasmus University, Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Monitoring and retention in care remain suboptimal for patients diagnosed with chronic hepatitis B (CHB) infection with only a minority receiving consistent follow-up. This study evaluates the cost-effectiveness of interventions aimed at improving long-term monitoring and retention in care among diagnosed CHB. A Markov model simulated outcomes for a cohort of 100,000 adults, comparing current practice to three interventions: EHR-based provider reminders, patient navigators and a combined strategy. Costs and quality-adjusted life years (QALYs) were evaluated from a healthcare perspective. All interventions were cost-effective, with weighted incremental cost-effectiveness ratios (US$/QALY) of US$8069 (EHR reminders), US$8416 (Patient Navigators) and US$8608 (Combined). Compared with current practice, a combined strategy would avert 1670 cases of compensated cirrhosis, 738 cases of decompensated cirrhosis, 1011 cases of hepatocellular carcinoma, 188 liver transplants, and 2058 CHB-related deaths in a cohort of 100,000. Structured interventions to improve CHB monitoring can deliver substantial health gains at modest costs. These findings can support policy initiatives to improve CHB care retention and highlight the importance of tailoring interventions to local healthcare capacity and population needs.

Indexed as

Cost-Benefit AnalysisHepatitis B, ChronicRetention in CareAdherence InterventionsAdultCost-Effectiveness AnalysisFemaleHumansMaleMarkov ChainsMiddle AgedQuality-Adjusted Life YearsUnited Stateseconomic evaluationhepatitis BHER reminderpatient navigatortreatment

Identifiers

PMID41968568
PMCPMC13071230

What OpenQuestion holds

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LicenceCC BY-NC
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.