Evidence map›Paper›PMID 42894864›Full record

ReviewPreventive medicine reports2026

Hepatitis C screening strategies and linkage-to-care approaches in U.S. emergency departments: A systematic review and meta-analysis.

Pilar Hernandez-Con, Amanda Joseph, Shreya Dhungana, Debbie L Wilson, Faheem Guirgis, Christine Gage, Michael C Petrauskis, Haesuk Park

Abstract readReview
In one paragraph

Review in Preventive medicine reports, 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.

Pilar Hernandez-ConDepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, 1889 Museum Road DSIT Building, Gainesville 6 floor, Florida 32611, USA.
Amanda JosephDepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, 1889 Museum Road DSIT Building, Gainesville 6 floor, Florida 32611, USA.
Shreya DhunganaDepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, 1889 Museum Road DSIT Building, Gainesville 6 floor, Florida 32611, USA.
Debbie L WilsonDepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, 1889 Museum Road DSIT Building, Gainesville 6 floor, Florida 32611, USA.
Faheem GuirgisDepartment of Emergency Medicine, College of Medicine, University of Florida, 1329 SW 16 Street, Suite 5270, Gainesville, Florida 32610, USA.
Christine GageDepartment of Emergency Medicine, College of Medicine, University of Florida, 655 West 8 Street, C506, Jacksonville, Florida 32209, USA.
Michael C PetrauskisDepartment of Emergency Medicine, College of Medicine, University of Florida, 1329 SW 16 Street, Suite 5270, Gainesville, Florida 32610, USA.
Haesuk ParkDepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, 1889 Museum Road DSIT Building, Gainesville 6 floor, Florida 32611, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Hepatitis C virus (HCV) infection remains a public health concern in the U.S. Emergency departments are pivotal for the identification of undiagnosed HCV infections. This study seeks to estimate outcomes across hepatitis C virus antibody screening strategies and linkage-to-care approaches implemented in U.S. emergency departments (EDs). Methods: We searched online databases (e.g., Embase, PubMed) for studies published between January 2014 and December 2024 evaluating HCV care cascade outcomes in ED settings. When necessary, we surveyed corresponding authors to clarify patient navigation strategies. We used random-effects models to estimate pooled percentages with 95% confidence intervals. Results: The 21 included studies represented 235,725 individuals. Pooled HCV screening was estimated at 45% and higher for Baby Boomer-based targeted screening (54%) and lower for risk-based targeted screening (38%) than for universal screening (51%). Independent pooled estimates of treatment initiation and cure were higher among alternative linkage-to-care approaches (21% vs 10% and 14% vs 6%, respectively) than among those relying on community health workers. Conclusions: HCV screening and linkage-to-care outcomes in ED settings remain suboptimal. Alternative linkage-to-care approaches to patient navigators demonstrate improved linkage-to-care and cure rates. Strengthening linkage-to-care programs along with screening initiatives in U.S. EDs may enhance progress toward HCV elimination.

Indexed as

Emergency departmentsHepatitis C virus infectionLinkage to carePatient navigationRisk-based screeningUniversal screening

Identifiers

PMID42894864
PMCPMC13677203

What OpenQuestion holds

Textmetadata
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.