Title |
A systematic review of community based hepatitis C treatment
|
---|---|
Published in |
BMC Infectious Diseases, May 2016
|
DOI | 10.1186/s12879-016-1548-5 |
Pubmed ID | |
Authors |
Amanda J. Wade, Vanessa Veronese, Margaret E. Hellard, Joseph S. Doyle |
Abstract |
Hepatitis C virus (HCV) treatment uptake globally is low. A barrier to treatment is the necessity to attend specialists, usually in a tertiary hospital. We investigate the literature to assess the effect of providing HCV treatment in the community on treatment uptake and cure. Three databases were searched for studies that contained a comparison between HCV treatment uptake or sustained virologic response (SVR) in a community site and a tertiary site. Treatment was with standard interferon with or without ribavirin, or pegylated interferon and ribavirin. A narrative synthesis was conducted. Thirteen studies fulfilled the inclusion criteria. Six studies measured treatment uptake; three demonstrated an increase in uptake at the community site, two demonstrated similar rates between sites and one demonstrated decreased uptake at the community site. Nine studies measured SVR; four demonstrated higher SVR rates in the community, four demonstrated similar SVR rates, and one demonstrated inferior SVR rates in the community compared to the tertiary site. The data available supports the efficacy of HCV treatment in the community, and the potential for community based treatment to increase treatment uptake. Whilst further studies are required, these findings highlight the potential benefit of providing community based HCV care - benefits that should be realised as interferon-free therapy become available. (PROSPERO registration number CRD42015025505). |
Twitter Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 67% |
Venezuela, Bolivarian Republic of | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 67% |
Scientists | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Netherlands | 1 | 2% |
Unknown | 48 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 7 | 14% |
Student > Bachelor | 7 | 14% |
Researcher | 6 | 12% |
Student > Master | 6 | 12% |
Student > Doctoral Student | 5 | 10% |
Other | 8 | 16% |
Unknown | 10 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 21 | 43% |
Nursing and Health Professions | 4 | 8% |
Social Sciences | 4 | 8% |
Psychology | 4 | 8% |
Business, Management and Accounting | 1 | 2% |
Other | 3 | 6% |
Unknown | 12 | 24% |