Evidence map›Paper›PMID 42601980›Full record

ReviewHepatology forum2026

WHO 2024 Hepatitis B Guidelines: No more gray zone for low- and middle-income countries? An evaluation.

Shanmugam Saravanan, Ramachandran Vignesh, Esaki M Shankar, Raju Sivadoss, Sathasivam Sivamalar, Vijayakumar Velu, Pachamuthu Balakrishnan, Arcot R Venkateswaran

Abstract readReview
In one paragraph

Review in Hepatology forum, 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.

Shanmugam SaravananDepartment of Microbiology, Saveetha Medical College (SMC), Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, India.
Ramachandran VigneshPreclinical Department, Faculty of Medicine, Royal College of Medicine Perak, Universiti Kuala Lumpur, Ipoh, Malaysia.
Esaki M ShankarInfection and Inflammation, Department of Biotechnology, Central University of Tamil Nadu, Thiruvarur, India.
Raju SivadossState Public Health Laboratory, Directorate of Public Health and Preventive Medicine, Chennai, India.
Sathasivam SivamalarCentre for Global Health Research, Meenakshi Academy of Higher Education and Research (MAHER), Chennai, India.
Vijayakumar VeluDivision of Microbiology and Immunology, Emory Vaccine Center, Emory University, Atlanta, GA, United States.
Pachamuthu BalakrishnanCentre for Global Health Research, Meenakshi Academy of Higher Education and Research (MAHER), Chennai, India.
Arcot R VenkateswaranDepartment of Medical Gastroenterology and Hepatology, Saveetha Medical College and Hospitals (SMCH), Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The World Health Organization (WHO) has established targets to reduce the incidence rates of viral hepatitis by 90% and the death rate by 65% by 2030. However, despite global efforts, a substantial treatment gap persists, with merely 3% of eligible patients worldwide receiving antiviral therapy as of 2022. With more than 254 million people living with chronic HBV infection and approximately 1.1 million related deaths annually, the updated 2024 WHO guidelines significantly expand treatment eligibility to help achieve this objective. This review discusses how the new changes would benefit gray zone patients, particularly those in low- and middle-income countries (LMICs) who were historically excluded from therapy. By introducing age-based thresholds, incorporating non-invasive grading methods, and persistent ALT elevation to the treatment network, the 2024 guidelines promise broader inclusion. This review highlights the significance of these changes and evaluates the potential impact on the gray zone patients in resource-limited settings.

Indexed as

Chronic HBVHBV gray zonehepatitis B virus

Identifiers

PMID42601980
PMCPMC13473240

What OpenQuestion holds

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LicenceCC BY-NC
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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.