Viral infections evidence library
Hepatitis C
A living PubMed evidence library for hepatitis C treatment, direct-acting antivirals, cure outcomes, reinfection, complications, and emerging research.
Living evidence synopsis
What the current PubMed collection shows.
Alexandria currently organizes 143 non-retracted PubMed-indexed records for Hepatitis C. The structured collection includes 0 guideline or consensus records, 11 evidence syntheses/systematic reviews/meta-analyses, and 1 randomized or phase III studies. 142 records were identified by the configured last-24-month search. Conflict-of-interest statements are available in the PubMed record for 126 of 143 included records.
Research landscape
Charts are generated from Alexandria’s structured PubMed records, not copied from journal figures.
Records by publication year
Study designs
Conflict-of-interest reporting
Absence of a conflict-of-interest statement in PubMed does not establish that no conflict existed.
Extracted result direction
Numerical results extracted from PubMed abstracts
Each value remains attached to its original PMID. Alexandria does not pool these results or imply that unlike populations and endpoints are directly comparable.
Hazard, risk, and odds ratios reported in abstracts
View extracted numerical results 18
| Publication | Outcome | Measure | Reported value | Source |
|---|---|---|---|---|
| Association of IL28B Polymorphisms With Hepatitis C Susceptibility in Southern Iran's β-Thalassemia Population: A Cross-Sectional Study.Health science reports · 2026 | not_reported | Percentage Comparison | 72.0percent vs 12.5percent | PMID 41467239 |
| Safety and Drug-Drug Interaction Burden of Direct-Acting Antiviral Therapy for Hepatitis C: A Single-Center Community Hospital Analysis.International journal of hepatology · 2026 | not_reported | Odds Ratio | 3.4 95% CI 1.24–9.2 | PMID 42089097 |
| Seroprevalence of hepatitis C virus infection among individuals attending a private clinic in Luanda, Angola.BMC infectious diseases · 2026 | not_reported | Odds Ratio | 31.0 p = 0.003 | PMID 42387461 |
| Integrated biomarkers and renal Doppler for early acute kidney injury diagnosis in hepatitis C virus cirrhosis.World journal of nephrology · 2026 | mortality | Hazard Ratio | 3.1 95% CI 1.7–5.5 P = 0.003 | PMID 42626007 |
| Integrated biomarkers and renal Doppler for early acute kidney injury diagnosis in hepatitis C virus cirrhosis.World journal of nephrology · 2026 | mortality | Hazard Ratio | 2.2 P = 0.003 | PMID 42626007 |
| Associations Between Patient Language Preference and Hepatitis C Screening: Results From the DETECT Hep C Emergency Department Screening Trial.Annals of emergency medicine · 2026 | not_reported | Risk Ratio | 0.75 95% CI 0.7–0.79 | PMID 42788928 |
| Associations Between Patient Language Preference and Hepatitis C Screening: Results From the DETECT Hep C Emergency Department Screening Trial.Annals of emergency medicine · 2026 | not_reported | Risk Ratio | 0.69 95% CI 0.6–0.79 | PMID 42788928 |
| Associations Between Patient Language Preference and Hepatitis C Screening: Results From the DETECT Hep C Emergency Department Screening Trial.Annals of emergency medicine · 2026 | not_reported | Risk Ratio | 1.0 95% CI 0.97–1.04 | PMID 42788928 |
| Associations Between Patient Language Preference and Hepatitis C Screening: Results From the DETECT Hep C Emergency Department Screening Trial.Annals of emergency medicine · 2026 | not_reported | Risk Ratio | 0.82 95% CI 0.76–0.89 | PMID 42788928 |
| Impact of Hepatitis C Virus Clearance on Cardiovascular Risk: A Real-World Experience From the Nationwide Taiwan Hepatitis C Virus Registry.The Kaohsiung journal of medical sciences · 2025 | not_reported | Hazard Ratio | 0.84 95% CI 0.74–0.94 | PMID 40411291 |
| Temporal Dynamics and Treatment Outcomes of Hepatitis C Virus/Human Immunodeficiency Virus Coinfection: A Multicenter Retrospective Study from South Korea.Gut and liver · 2025 | response rate | Percentage Comparison | 89.0percent vs 58.1percent p<0.001 | PMID 40675927 |
| National hepatitis B and C estimates for 2021: Measuring Canada's progress towards eliminating viral hepatitis as a public health concern.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025 | not_reported | Odds Ratio | 262.0 | PMID 40861921 |
| National hepatitis B and C estimates for 2021: Measuring Canada's progress towards eliminating viral hepatitis as a public health concern.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025 | not_reported | Odds Ratio | 214.0 | PMID 40861921 |
| Hepatitis C Eradication Improves Oncologic and Clinical Outcomes in Patients Treated With Atezolizumab Plus Bevacizumab.Liver international : official journal of the International Association for the Study of the Liver · 2025 | mortality | Hazard Ratio | 0.29 p = 0.003 | PMID 40980951 |
| Prediction of Hepatocellular Carcinoma After Direct-Acting Antiviral Therapy Using Agile 3+ and End-of-Treatment Alpha-Fetoprotein Levels in Patients With Hepatitis C.JGH open : an open access journal of gastroenterology and hepatology · 2025 | not_reported | Hazard Ratio | 1.0 95% CI 1.0–1.01 p = 0.02 | PMID 41133105 |
| Helicobacter pylori Infection Increases Thrombocytopenia and Inflammation in Patients With Hepatitis B and/or C: An Analytical Study in Cameroon.Health science reports · 2025 | not_reported | Odds Ratio | 2.88 p = 0.01 | PMID 41211523 |
| Helicobacter pylori Infection Increases Thrombocytopenia and Inflammation in Patients With Hepatitis B and/or C: An Analytical Study in Cameroon.Health science reports · 2025 | not_reported | Odds Ratio | 2.34 p = 0.09 | PMID 41211523 |
| Scalp haircuts, keloids and blood-borne virus transmission risk in South Africa-The SHAKA study.PloS one · 2025 | not_reported | Odds Ratio | 2.51 p = 0.02 | PMID 41259314 |
Funding and conflicts of interest
Conflict and funding fields reproduce what is available in PubMed records. Missing disclosure data does not establish that no conflict or funding existed.
View records with declared financial or industry relationships 12
A precision randomized trial to evaluate the impact of tailored hepatitis C treatment adherence support on HCV treatment outcomes among people who inject drugs in India: design and baseline characteristics of the STOP-C trial.
S.H.M. received materials support from Abbott. D.L.T. reports medical editing for UpToDate and scientific consulting for Merck, Excision Bio, and Evrys; none are related to this study. S.S.S. reports grants and products from Gilead Sciences to institutions not related to this study and products from Abbott Laboratories to institutions related to this study, reports honoraria from Gilead Sciences and Abbott Laboratories, and serves as the Managing Trustee of the YR Gaitonde Medical Educational and Research Foundation and on the Board of Directors of the Serious Fun Children’s Network. Other authors: none declared.
PMID 39572371 · 2025Beyond Risk Factors: Rethinking Hepatitis B and Hepatitis C Screening in Primary Care.
M.B. has served as a speaker and advisory board member for Gilead, Roche, and Arbutus. J.C.R.‐C. has served as a speaker for Gilead.
PMID 40970664 · 2025Clinical and demographic characteristics of participants in a hepatitis C treatment trial in rural Kentucky: How policies around treatment access may impact elimination efforts in the United States.
Jennifer Havens has served as a scientific consultant for Gilead Sciences, Inc., and Cepheid.
PMID 41653055 · 2026HCV Testing and Treatment of Adults in the United States: 2014 Through 2021-Data From Two National Commercial Testing Laboratories.
Marc G. Ghany: None. John W. Ward: The Task Force for Global Health receives funds for the general support of the Coalition for Global Hepatitis Elimination from Abbott, Gilead, AbbVie, Dynavax, Merck, GSK, Siemens, Cepheid, Roche, Pharco, Zydus Life Sciences, governmental agencies and philanthropic organizations. Dr. Ward received no compensation for authorship of this manuscript. Nidhi Shukla: employed by AbbVie. Arina Kuznetsova, Zachary Baldwin, Shiyin Jiao, Jatinder Kaur and Katherine Kosch: employees of AbbVie and may own stock. Timothy R. Morgan: none.
PMID 41017733 · 2025Hepatitis C Eradication Improves Oncologic and Clinical Outcomes in Patients Treated With Atezolizumab Plus Bevacizumab.
Giuseppe Cabibbo received advisory board and speaker fees for Bayer, Eisai, Ipsen, AstraZeneca, MSD, Roche, Gilead; Fabio Piscaglia received consultation fees from Astrazeneca, Bayer, Bracco, ESAOTE, EISAI, Exact Sciences, GE, IPSEN, MSD, Nerviano, Roche, Samsung, Siemens Healthineers; Francesco Tovoli received consultation fees from Roche, Ipsen, Eisai; Fabio Marra received consultation fees from Roche, MSD/EISAI, AstraZeneca, Ipsen; Massimo Iavarone participated in the advisory board and received speaker fees for Gilead Sciences, Bayer, AstraZeneca, Roche, Roche Diagnostics, EISAI, IPSEN and MSD; Roberta D'Ambrosio received advisory board and consultation fees from Gilead Science and AbbVie; Lorenza Rimassa received consulting fees from AbbVie, AstraZeneca, Basilea, Bayer, BMS, Eisai, Elevar Therapeutics, Exelixis, Genenta, Hengrui, Incyte, Ipsen, Jazz Pharmaceuticals, MSD, Nerviano Medical Sciences, Roche, Servier, Taiho Oncology, Zymeworks; lecture fees from AstraZeneca, Bayer, BMS, Eisai, Guerbet, Incyte, Ipsen, Roche, Servier; travel expenses from AstraZeneca and Servier; research grants (to Institution) from AbbVie, AstraZeneca, BeiGene, Exelixis, Fibrogen, Incyte, Ipsen, Jazz Pharmaceuticals, MSD, Nerviano Medical Sciences, Roche, Servier, Taiho Oncology, TransThera Sciences, Zymeworks; Francesca Romana Ponziani received speaker fees, advisory board fees and travel grants from Bayer, MSD, Roche, Eisai, Ipsen, Astra‐Zeneca, Gilead, Abbvie.
PMID 40980951 · 2025Exploring the impact of graded alcohol use on atherogenic lipid profiles among Latinos with underlying chronic liver disease.
CONFLICT OF INTEREST STATEMENT. Mandana Khalili has received research grants (to her institution) from Gilead Sciences Inc. and Intercept Pharmaceutical Inc. Mandana Khalili has also served as a scientific consultant to Gilead Sciences Inc. and GlaxoSmithKline Pharmaceuticals. Shyam Patel, Laura Bull, Kian Salimi, Bokun Yang, Jacquelyn J. Maher, Kevin Siao, and Amy M. Shui do not have any disclosures relevant to this manuscript.
PMID 40022301 · 2025Keystone Epitope Theory: An Ecological Perspective on RNA Viruses, Tumor Immunoediting, and Vaccine Design.
S.A.M. is named as an inventor on a U.S. provisional patent application (No. 63/945,526), filed December 19, 2025, entitled Methods and Systems for Identifying Disease-Relevant T-Cell Epitopes and Modified Self or Viral Mimics Using Tissue-Derived T-Cell Receptors, which is assigned to Vanderbilt University. Dr. Neil Greenspan is a Senior Editor for Pathogens and Immunity; he was not involved in the editorial assessment, peer review, or any editorial decisions related to this manuscript.
PMID 42598440 · 2026National Prescribing Trends of Direct-Acting Antivirals for Hepatitis C.
Conflict of Interest Disclosures: Drs Kishore and Hayden reported consulting for the Equal Justice Initiative. Drs Kishore, Hayden, and Johnson reported being unpaid cofounders of EqualCure. Dr Kesselheim reported serving as an expert witness in cases against Gilead, Johnson & Johnson, generic manufacturers, and pharmacy benefits managers and serving as a consultant for Alosa Health. Dr Rome reported receiving grants from Humana, Elevance Health Public Policy Institute, and PCMA Foundation and personal fees from Alosa Health.
PMID 41879418 · 2026Less Restrictive Medicaid Policies for Direct-Acting Antiviral Access Are Associated With Greater Declines in Hepatocellular Carcinoma Deaths.
Andrew M. Moon: Consulting TARGET RWE, Intercept Pharmaceuticals, IDEOlogy Health. Research funding (to institution) from DCN diagnostics. A. Sidney Barritt 4th: Consulting Madrigal, Mirium, Merck, BI, LifeEdit, Target RWE. Sasha Deutsch‐Link: Consulting Nanbar Health. Neil D. Shah: Consulting for GSK and Ipsen. For other authors, there are no additional disclosures or potential conflicts of interest.
PMID 41691615 · 2026Pancreatic Ductal Adenocarcinoma After Hepatitis C Infection.
Conflict of Interest Disclosures: Dr Tate reported receiving grants from the National Institutes of Health during the conduct of the study. No other disclosures were reported.
PMID 41236736 · 2025National hepatitis B and C estimates for 2021: Measuring Canada's progress towards eliminating viral hepatitis as a public health concern.
Competing interests The statements, findings, conclusions, views, and opinions expressed in this report are based in part on data obtained under licence from IQVIA Solutions Canada Inc. concerning the following information service(s): CompuScript and GPM Custom Solutions from January 2012 to December 2021. All Rights Reserved. The statements, findings, conclusions, views, and opinions expressed herein are not necessarily those of IQVIA Solutions Canada Inc. or any of its affiliated or subsidiary entities. MJB reports receiving presentation fees from AbbVie and Gilead, and grant funding from AbbVie, Gilead, and Cepheid. NK has received research funding from ViiV Healthcare, Abbvie, and Gilead, advisory fees from Gilead Sciences, ViiV Healthcare, Merck, and Abbvie, and speaker fees from Gilead Sciences, Abbvie, and Merck, all outside this work. MBK reports grants for investigator-initiated studies from ViiV Healthcare, AbbVie, and Gilead; and consulting fees from ViiV Healthcare, Merck, AbbVie, and Gilead.
PMID 40861921 · 2025Estimated prevalence of hepatitis B and C among immigrants in Canada.
Competing interests JC has received research funds paid to his institution from Viiv Healthcare and Gilead. He has received honoraria as a speaker, paid by Viiv Healthcare and Gilead. He has also received the Canadian Association for HIV Research Health Care Professionals Travel Award to attend conferences.
PMID 40861919 · 2025Current Standard-of-Care Sources
Alexandria uses this label only for PubMed-indexed guidelines or consensus documents. These are source publications, not individualized recommendations.
From Guidelines to Real-Time Conversation: Expert-Validated Retrieval-Augmented and Fine-Tuned GPT-4 for Hepatitis C Management.
Liver international : official journal of the International Association for the Study of the Liver · 2025
PMID 40960299Highest-Priority Research
Discrete Choice Experiments and Conjoint Analyses in Health Screening Programs for Type 2 Diabetes and Liver Disease: A Scoping Review.
Canadian liver journal · 2025
BACKGROUND: We aimed to summarize the evidence on the use of discrete choice experiments (DCEs) and conjoint analyses to quantify stakeholders' preferences for screening programs for type 2 diabetes (T2D) and liver diseases, with a specific focus on metabolic dysfunction-associated steatotic liver disease (MASLD). METHODS: For this scoping review, five databases (MEDLINE [PubMed], PubMed Central, EMBASE [Ovid], Europe PMC, Google Scholar) were searched with the assistance of a librarian, and deduplicated records were screened by two independent reviewers. Inclusion criteria: using DCE/CA, addressing screening programs for T2D and liver disease, published in English, French, or Spanish after …
PMID 40678664The health status of incarcerated people in Canada: a narrative review.
Frontiers in public health · 2026
BACKGROUND: People who experience incarceration in Canada have been historically more likely to experience poor health than community-based populations. Although incarcerated people are entitled to health care equivalent to community standards, evidence suggests this is inconsistently achieved in Canada. We conducted a narrative review to synthesize contemporary evidence on health status and health care utilization by incarcerated people in Canada, including changes observed during and after the COVID-19 pandemic. METHODS: We searched MEDLINE, PsycINFO, CINAHL, Scopus, and Web of Science for peer-reviewed literature published between January 1, 2014 and July 22, 2026 on the health of adults …
PMID 42798424Acceptability and Effectiveness of Point-of-Care HCV Testing in Low- and Middle-Income Countries: A Systematic Review.
Liver international : official journal of the International Association for the Study of the Liver · 2026
Hepatitis C virus (HCV) diagnosis in low- and middle-income countries (LMICs) relies on costly and technically demanding centralized laboratory services. This review aims to synthesize evidence on Point-of-Care (POC) HCV testing in LMICs to inform scale-up for HCV elimination. We searched Medline, Embase, PsycINFO, and the Cochrane Library for studies on decentralized POC HCV testing in LMICs between 2010 and 2022. Two reviewers independently conducted eligibility assessment and full text review. Testing uptake and linkage data were extracted using Excel, then descriptively synthesized to identify common patterns. Our systematic review identified 2018 reports of which 1603 underwent title an…
PMID 42613632Hepatitis C distribution across diverse population groups in the Eastern Mediterranean Region: An umbrella review.
PloS one · 2026
BACKGROUND: Hepatitis C virus (HCV) remains a major public health challenge in the Eastern Mediterranean Region (EMR), with prevalence varying across population groups. This umbrella review summarizes the distribution of HCV infection across diverse populations in the region. METHODS: We conducted an umbrella review of systematic reviews with meta-analyses reporting HCV prevalence in the EMR. PubMed, Web of Science, Scopus, Iranian databases, including Magiran and the Scientific Information Database (SID), were searched. Google Scholar was additionally screened to ensure comprehensive coverage. Pooled estimates were extracted across four population groups: apparently healthy individuals; tho…
PMID 42013172Effect of donor exclusion criteria on blood safety and volume of donations: a systematic review of modelling studies.
Bulletin of the World Health Organization · 2026
OBJECTIVE: To assess the effect of easing bans and deferral policies on blood donation from men who have sex with men on blood safety and volume from modelling studies. METHODS: We searched four databases (PubMed®, Embase®, CINAHL and Web of Science) for modelling studies on the impact of replacing bans or deferrals on blood donations from men who have sex with men with shorter deferral periods or no deferrals. We synthesized and compared findings from the different modelling studies, and assessed risk of bias and certainty of evidence. FINDINGS: Fourteen publications were included in the study. All the studies estimated the human immunodeficiency virus (HIV) residual risk of an HIV-infected…
PMID 41924344Recent Advancements in Known and Emerging Risk Factors of Hepatocellular Carcinoma.
Cancer medicine · 2025
BACKGROUND: Hepatocellular carcinoma (HCC) is the most common primary liver malignancy and a leading cause of cancer-related deaths worldwide. Despite advancements in antiviral therapies for hepatitis B (HBV) and hepatitis C (HCV), HCC incidence continues to rise due to metabolic dysfunction-associated steatotic liver disease (MASLD), obesity, type 2 diabetes mellitus (T2DM), and emerging environmental and genetic risk factors. Understanding the evolving landscape of HCC pathogenesis is crucial for improved prevention and treatment strategies. OBJECTIVE: This review consolidates recent insights into established and emerging HCC risk factors, highlighting epidemiological trends, molecular mec…
PMID 41201177Global Systematic Review of the Measurement of Stigma Associated With People Living With Hepatitis B or Hepatitis C Viruses.
Journal of viral hepatitis · 2025
Chronic hepatitis B and C affect over 300 million people globally. Despite treatment advances, stigma towards people living with hepatitis B/C (PLWHB/C) remains a barrier to care and impacts health outcomes. Addressing this stigma is key to achieving hepatitis elimination goals. This systematic review aims to synthesise existing approaches to measuring stigma experienced by PLWHB/C and examine factors associated with stigma in different social contexts. Databases searched included PubMed, PsycInfo and Web of Science, as well as grey literature (01/01/2008-30/06/2023). Studies were included if stigma experienced by or directed towards PLWHB/C was measured quantitatively. Data from included st…
PMID 40856266Accuracy of non-invasive tests for diagnosing liver fibrosis and steatosis: A systematic review.
World journal of gastrointestinal pathophysiology · 2026
BACKGROUND: Liver fibrosis is a key determinant of prognosis and management in chronic liver diseases. Although liver biopsy is considered the gold standard for fibrosis assessment, its invasiveness, sampling variability, and associated risks have prompted increasing reliance on non-invasive tests. This systematic review evaluates the diagnostic accuracy and clinical applicability of non-invasive modalities for diagnosing liver fibrosis in adult patients with chronic liver diseases. AIM: To systematically evaluate the diagnostic accuracy, clinical utility, and applicability of non-invasive tests for detecting and staging liver fibrosis in adult patients with chronic liver diseases, using liv…
PMID 42780625Psoriasis and Chronic Viral Infections (HIV, HBV, and HCV): Therapeutic Approach and Safety.
Medicina (Kaunas, Lithuania) · 2026
Background and Objectives: Psoriasis is a chronic immune-mediated inflammatory disease that often requires long-term systemic therapy. Coexisting human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) infection complicates treatment selection because clinicians must balance control of skin and joint inflammation against risks of opportunistic infection, viral replication or reactivation, hepatotoxicity, and drug interactions. Materials and Methods: This narrative review summarizes evidence from guidelines, systematic reviews, cohort studies, case series, expert recommendations, and regulatory sources. Results: In patients with suppressed HIV RNA, stable or re…
PMID 42796402Sustained Virological Response as a Surrogate Marker for Mortality, Decompensated Cirrhosis, or Hepatocellular Carcinoma in People With Chronic Hepatitis C Virus Infection Treated With Direct-Acting Antivirals: Protocol for a Bayesian and Causal Mediation Analysis.
JMIR research protocols · 2025
BACKGROUND: Sustained virological response (SVR) is commonly used as a marker of treatment success in people with chronic hepatitis C virus (HCV) infection. However, there is uncertainty on whether SVR is a validated surrogate marker of successful chronic HCV infection treatment. OBJECTIVE: This research project aims to evaluate whether SVR is a good surrogate for all-cause mortality, decompensated cirrhosis, any specific aspect of liver decompensation (jaundice, ascites, hepatic encephalopathy, hepatorenal syndrome, or variceal hemorrhage), or hepatocellular carcinoma in people with chronic HCV infection eligible to receive direct-acting antiviral drugs. METHODS: We will use two ongoing sys…
PMID 40633094Targeting Helicobacter pylori in liver-impaired populations: a systematic review of efficacy and safety.
Journal of clinical biochemistry and nutrition · 2025
Liver impairment can alter the metabolic capacity of the organ significantly, potentially affecting the efficacy and safety of Helicobacter pylori (H. pylori) eradication regimens. Although this issue is highly significant, no standardized guidelines currently exist for H. pylori eradication therapy in patients with liver dysfunction. To bridge this gap, we systematically reviewed studies on the efficacy and safety of H. pylori eradication therapy in individuals with liver impairment. The systematic review included a search of PubMed, the Igaku Chuo Zasshi, and the Cochrane Library database to identify eligible randomized controlled trials (RCTs) and/or non-randomized controlled trials (NRCT…
PMID 41312005A precision randomized trial to evaluate the impact of tailored hepatitis C treatment adherence support on HCV treatment outcomes among people who inject drugs in India: design and baseline characteristics of the STOP-C trial.
American journal of epidemiology · 2025
Efforts to eliminate the hepatitis C virus (HCV) as a public health problem must include people who inject drugs (PWID). We describe the design and baseline characteristics of the Supporting Treatment Outcomes among PWID trial, which evaluates whether HCV treatment outcomes in PWID can be optimized by tailoring treatment support in 7 PWID-focused integrated HIV/HCV prevention/treatment centers across India. The design is a 3-arm, individual-level precision-randomized trial. Leveraging empirical data, a prediction model assigned participants as minimal or elevated risk for failure. Minimal-risk participants were randomized 3:2:1 to low-intensity (basic services), medium-intensity (patient nav…
PMID 39572371Latest Research — Last 24 Months
The health status of incarcerated people in Canada: a narrative review.
Frontiers in public health · PMID 42798424
Acceptability and Effectiveness of Point-of-Care HCV Testing in Low- and Middle-Income Countries: A Systematic Review.
Liver international : official journal of the International Association for the Study of the Liver · PMID 42613632
Effect of donor exclusion criteria on blood safety and volume of donations: a systematic review of modelling studies.
Bulletin of the World Health Organization · PMID 41924344
Accuracy of non-invasive tests for diagnosing liver fibrosis and steatosis: A systematic review.
World journal of gastrointestinal pathophysiology · PMID 42780625
Psoriasis and Chronic Viral Infections (HIV, HBV, and HCV): Therapeutic Approach and Safety.
Medicina (Kaunas, Lithuania) · PMID 42796402
Associations Between Patient Language Preference and Hepatitis C Screening: Results From the DETECT Hep C Emergency Department Screening Trial.
Annals of emergency medicine · PMID 42788928
Validation of Texas Hepatocellular Carcinoma Consortium Risk Index in the Hepatocellular Carcinoma Early Detection Strategy Study.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · PMID 41672261
Prevalence and Factors Associated With Hepatitis C in Danish Prisons, 2022-2024: A Multicentre Cross-Sectional Study.
Journal of viral hepatitis · PMID 41772784
Integrated biomarkers and renal Doppler for early acute kidney injury diagnosis in hepatitis C virus cirrhosis.
World journal of nephrology · PMID 42626007
Seroprevalence and Risk Factors for Transfusion-transmitted Infections among Blood Donors in Dera Ismail Khan, Pakistan: A Single-Center Cross-sectional Study.
Journal of epidemiology and global health · PMID 42414835
Validation of Risk Models for Predicting Post-SVR HCC in Real-World Surveillance Across Global Geographic Regions.
Liver international : official journal of the International Association for the Study of the Liver · PMID 42257496
Treatment Options Studied in the PubMed Collection
These are interventions detected in PubMed metadata and abstracts. Inclusion does not establish approval, effectiveness, suitability, or standard-of-care status.
Antiviral Agents
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, hepatocellular carcinoma, mortality, sustained virologic response, quality of life, response rate, viral clearance, overall survival
- Populations represented
- general population; chronic hepatitis C; HCV RNA; HCV genotype; advanced; HCV RNA; first-line
- Mechanism
- This study employs structural bioinformatics approaches to identify and evaluate potential drug targets within the Hepatitis C virus (HCV) proteome The research focused on predicting binding sites, evaluating protein-ligand interactions, and assessing the therapeutic potential of identified targets
direct-acting antiviral
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, sustained virologic response, mortality, decompensation, hepatocellular carcinoma, quality of life, response rate
- Populations represented
- general population; chronic hepatitis C; chronic hepatitis C; compensated cirrhosis; decompensated cirrhosis; HCV genotype; advanced; HCV RNA; compensated cirrhosis
- Mechanism
- It is timely to review national elimination efforts for First Nations Australians and discuss what is required to reach elimination targets The study provides crucial data to guide public health strategies for combating viral hepatitis in Uzbekistan and progressing towards the World Health Organization's 2030 elimination targets
RNA, Viral
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, sustained virologic response, SVR12, treatment failure, adverse events, serious adverse events
- Populations represented
- HCV RNA; general population; advanced; HCV RNA; chronic hepatitis C; compensated cirrhosis
- Mechanism
- The CRISPR/Cas13a enzyme serves as a powerful tool for RNA detection due to its RNA-targeting capabilities
Sofosbuvir
- Research status
- insufficiently reported
- Outcomes represented
- sustained virologic response, SVR12, treatment failure, reported clinical outcomes, adverse events
- Populations represented
- advanced; HCV RNA; HCV RNA; general population; chronic hepatitis C
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Hepatitis C Antibodies
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, mortality
- Populations represented
- HCV RNA; HCV RNA; ALT; general population
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Hepatitis B Surface Antigens
- Research status
- insufficiently reported
- Outcomes represented
- response rate, viral clearance, reported clinical outcomes, hepatocellular carcinoma
- Populations represented
- advanced; HCV RNA; HCV RNA; ALT; advanced; HCV RNA
- Mechanism
- The study provides crucial data to guide public health strategies for combating viral hepatitis in Uzbekistan and progressing towards the World Health Organization's 2030 elimination targets
glecaprevir
- Research status
- insufficiently reported
- Outcomes represented
- adverse events, response rate, sustained virologic response, SVR12, reported clinical outcomes
- Populations represented
- chronic hepatitis C
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
pibrentasvir
- Research status
- insufficiently reported
- Outcomes represented
- adverse events, response rate, sustained virologic response, SVR12, reported clinical outcomes
- Populations represented
- chronic hepatitis C
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
velpatasvir
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, SVR12, sustained virologic response
- Populations represented
- HCV RNA; chronic hepatitis C; general population
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Heterocyclic Compounds, 4 or More Rings
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, sustained virologic response
- Populations represented
- HCV RNA; general population
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Carbamates
- Research status
- insufficiently reported
- Outcomes represented
- sustained virologic response, SVR12, treatment failure, reported clinical outcomes
- Populations represented
- advanced; HCV RNA; HCV RNA; general population
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
RNA-Dependent RNA Polymerase
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes
- Populations represented
- general population; HCV RNA
- Mechanism
- This study employs structural bioinformatics approaches to identify and evaluate potential drug targets within the Hepatitis C virus (HCV) proteome The research focused on predicting binding sites, evaluating protein-ligand interactions, and assessing the therapeutic potential of identified targets
Viral Nonstructural Proteins
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes
- Populations represented
- general population; HCV RNA
- Mechanism
- This study employs structural bioinformatics approaches to identify and evaluate potential drug targets within the Hepatitis C virus (HCV) proteome The research focused on predicting binding sites, evaluating protein-ligand interactions, and assessing the therapeutic potential of identified targets
NS-5 protein, hepatitis C virus
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes
- Populations represented
- general population; HCV RNA
- Mechanism
- This study employs structural bioinformatics approaches to identify and evaluate potential drug targets within the Hepatitis C virus (HCV) proteome The research focused on predicting binding sites, evaluating protein-ligand interactions, and assessing the therapeutic potential of identified targets
Pyrrolidines
- Research status
- insufficiently reported
- Outcomes represented
- sustained virologic response, SVR12, treatment failure, reported clinical outcomes
- Populations represented
- advanced; HCV RNA; general population
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Benzimidazoles
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes
- Populations represented
- HCV RNA; general population
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Drug Combinations
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, sustained virologic response
- Populations represented
- general population
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Alanine Transaminase
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, serious adverse events, sustained virologic response, SVR12
- Populations represented
- HCV RNA; ALT; chronic hepatitis C; compensated cirrhosis
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Conflicting Research
Antiviral Agents · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Failed or Negative Trials
No trial with a directly extractable failed/null primary finding has been processed yet.
Emerging and Experimental Research
Evolutionary Complexity of Primate Immune System Uncovered by the Extensive Phylogenomic Sampling.
unclassified · 2026 · PMID 41921952
Distribution and structural diversity of type IV internal ribosome entry sites.
preclinical or laboratory · 2026 · PMID 41633772
Structural bioinformatics approaches for predicting novel drug targets in hepatitis C virus proteins: a comprehensive analysis.
unclassified · 2025 · PMID 40707671
Network pharmacology and molecular docking reveal antiviral mechanisms of silver nanoparticles synthesized by Oscillatoria sp. against HCV pathogenesis.
preclinical or laboratory · 2025 · PMID 41387476
Functional Antigen-Specific CD8 TSCM Responses Are Associated with Repeated Clearance of Hepatitis C Virus Infection.
preclinical or laboratory · 2025 · PMID 41410180
Polyphenols as Antiviral Agents: Their Potential Against a Range of Virus Types.
preclinical or laboratory · 2025 · PMID 40732950
Evidence Gaps
No PubMed-indexed guideline identified
Alexandria did not identify a guideline or consensus publication in the configured searches.
Few machine-readable effect estimates
Most available abstracts do not report a directly extractable effect size with confidence intervals or comparable outcome values.
Complete Ranked PubMed Index
The retrieval-priority score orders records using publication type, recency, sample-size signals, and replication signals. It is not a recommendation or a formal risk-of-bias grade.
Current Standard Of Care60 records
Updated recommendations for the management of hepatitis B, C, and E virus infections in patients with haematological malignancies and those undergoing haematopoietic cell transplantation: recommendations from the 9th European Conference on Infections in Leukaemia (ECIL-9).
The Lancet. Haematology · 2025 · PMID 40306834
Viral hepatitis remains a global health challenge and immune status affects outcomes. In patients with haematological malignancies, including haematopoietic stem-cell transplantation recipients, viral hepatitis can be life-threatening due to the direct effects of the virus or the need to modify or delay chemotherapy. Additionally, haematopoietic stem-cell donors with past or current viral hepatitis infections might transmit the virus to recipients. The growing recognition of hepatitis E virus (HEV), advances in hae…
Guideline for the management of hepatitis B and C infection and subsequent liver disease surveillance (where indicated) in people with congenital bleeding disorders: A joint guideline from the British Society of Haematology and the British Viral Hepatitis Group.
British journal of haematology · 2026 · PMID 41431438
This is a new British Society of Haematology (BSH) guideline which focuses on the management of hepatitis B and C (HBV and HCV) infection affecting people with bleeding disorders (PwBD), including those who cleared the infection many years previously. It is based on the European Association for the Study of the Liver (EASL) guidance and is a succinct practical guide for haematologists to support joint care with hepatology. It is compatible with the joint international guidance from the European Association for Haem…
Infectious Disease Screening prior to Systemic Immunomodulatory Therapy in Hidradenitis Suppurativa: Consensus Guidelines from the Asia-Pacific Hidradenitis Suppurativa Foundation.
Dermatology (Basel, Switzerland) · 2024 · PMID 37963431
BACKGROUND: Current infectious disease screening recommendations for hidradenitis suppurativa (HS) are adopted from recommendations in chronic plaque psoriasis. No HS-specific guidelines for infectious disease screening prior to immunomodulatory therapy have been developed. OBJECTIVES: The aim of the study was to establish an expert Delphi consensus of recommendations regarding infectious disease screening prior to systemic immunomodulatory therapy in HS. METHODS: Participants were identified via recent publication…
Clinical practice guidelines for hepatocellular carcinoma surveillance for people at high risk in Australia: summary of recommendations.
The Medical journal of Australia · 2025 · PMID 40976940
INTRODUCTION: Hepatocellular carcinoma (HCC) is the most common form of primary liver cancer, the sixth most common cause of cancer death in Australia. With shifting aetiologies and a growing at-risk population, consistent routine surveillance recommendations are key to early detection of HCC and improved survival. We developed new evidence-based HCC surveillance guidelines for people at high risk in Australia due to liver disease and/or other risk factors. These guidelines were developed by a working group of expe…
Prevention, surveillance, and early detection of hepatocellular carcinoma - a Brazilian multidisciplinary consensus.
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026 · PMID 42615769
BACKGROUND: Hepatocellular carcinoma is a major cause of cancer-related mortality and represents a growing public health challenge. AIMS: To develop multidisciplinary evidence-based recommendations for the prevention and early detection of hepatocellular carcinoma. METHODS: This consensus was coordinated by the Brazilian Society of Surgical Oncology, with the participation of 13 additional national societies. A steering committee defined the key clinical questions addressing prevention, surveillance, and early dete…
[Guidance for the occupational medicine service regarding the prevention of hepatitis C and HIV infection in Poland].
Medycyna pracy · 2024 · PMID 39323355
The set up of new healthcare models by taking into account diagnosis and health education of the viral infection, aims to achieve the goals of the World Health Organization Global Health Sector Strategy on viral diseases for 2022-2030. In comparison to Europe, Poland is ranked among countries with an moderate prevalence of hepatitis B and C virus (HBV and HCV), also human immunodeficiency virus (HIV). An additional challenge is the changing epidemiological situation due to the impact of immigrants, resulting mainly…
Blood-Borne Infection Prevention in Combat Sports: Position Statement of the Association of Ringside Physicians.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026 · PMID 40197438
The Association of Ringside Physicians (ARP) emphasizes the importance of screening combat sports athletes for blood-borne infections, including hepatitis B, HIV, and hepatitis C, to mitigate transmission risks and ensure participant safety. Although transmission of hepatitis B and C and HIV in combat sports is rare, protecting athletes is of utmost importance. It is the recommendation of the ARP that all fighters participating in combat sports, in which the presence of blood is a common occurrence and is allowed d…
AASLD ISDA Practice Guideline on treatment of chronic hepatitis B.
Hepatology (Baltimore, Md.) · 2026 · PMID 41186418
BACKGROUND AND AIMS: Accumulating data related to prevention, surveillance and treatment of chronic hepatitis B (CHB) provided the impetus for this updated guideline, using the Grading of Recommendation Assessment, Development and Evaluation (GRADE) approach. METHODS: The guideline was developed in compliance with the National Academy of Medicine standards. The guideline panel developed structured questions following the Population, Intervention Comparison, Outcomes (PICO) framework. The panel addressed 6 PICO ques…
North American clinical practice guidelines for the medical management of hidradenitis suppurativa in special patient populations.
Journal of the American Academy of Dermatology · 2025 · PMID 39725212
BACKGROUND: Hidradenitis suppurativa (HS) affects different patient populations that require unique considerations in their management. However, no HS guidelines for these populations exist. OBJECTIVE: To provide evidence-based consensus recommendations for patients with HS in 7 special patient populations: (i) pregnancy, (ii) breastfeeding, (iii) pediatrics, (iv) malignancy, (v) tuberculosis infection, (vi) hepatitis B or C infection, and (vii) HIV disease. METHODS: Recommendations were developed using the Grading…
[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026 · PMID 42236454
Multidrug-resistant tuberculosis (MDR-TB) and rifampicin-resistant tuberculosis (RR-TB) pose significant challenges to global tuberculosis prevention and treatment efforts. At present, the chemotherapy of MDR/RR-TB is still hampered by prolonged treatment duration and suboptimal success rates. In 2019, the Chinese Medical Association Tuberculosis Branch issued the Chinese Expert Consensus on the Treatment of MDR-TB and RR-TB, which has provided essential guidance for standardizing the diagnosis, treatment, and clin…
EASL position paper on clinical follow-up after HCV cure.
Journal of hepatology · 2024 · PMID 38845253
Following the advent of direct-acting antivirals (DAAs), hepatitis C virus (HCV) infection can be cured in almost all infected patients. This has led to a number of clinical questions regarding the optimal management of the millions of patients cured of HCV. This position statement provides specific guidance on the appropriate follow-up after a sustained virological response in patients without advanced fibrosis, those with compensated advanced chronic liver disease, and those with decompensated cirrhosis. Guidance…
AGA Clinical Practice Update on Risk Stratification and Emerging Surveillance Strategies for Hepatocellular Carcinoma: Expert Review.
Gastroenterology · 2026 · PMID 42017860
DESCRIPTION: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related death in patients with cirrhosis. Although advancements in surgical, locoregional, and systemic therapies have improved outcomes for patients with early-stage HCC, most cases are diagnosed at later stages due to both the limitations of currently recommended surveillance modalities and their underuse, with fewer than 1 in 4 patients with cirrhosis receiving surveillance for this tumor. Current guidelines recommend semiannual surveillanc…
French guidelines on systemic treatments for moderate-to-severe psoriasis in adults: Update 2025.
Journal of the European Academy of Dermatology and Venereology : JEADV · 2026 · PMID 41469898
The current French guidelines for the treatment of psoriasis date from 2019 and do not include the most up-to-date interventions. The Psoriasis Research Group of the French Society of Dermatology has developed new guidelines to provide updated decision-making algorithms for the systemic treatment of adult patients with moderate-to-severe psoriasis. The algorithms were created following a thorough review of existing psoriasis treatment guidelines and recent publications on new systemic therapies not included in prev…
New recommendations of Spanish Society of Emergency Medicine (SEMES) for emergency department diagnosis of HIV infection based on results from Spain's "Leave Your Mark" program.
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias · 2024 · PMID 39807550
Hidden infections and late diagnoses are currently the main challenges of the HIV pandemic. Emergency departments (EDs) are one of the health care system's key resources addressing these challenges. In 2020, the Spanish Society of Emergency Medicine (SEMES) published recommendations for ordering HIV serology testing for patients with certain health conditions, and in 2021 SEMES launched the "Leave Your Mark" (Deja tu Huella - DTH) program to facilitate implementing the recommendations during emergency care. The pre…
Hepatitis C virus detection in hospital emergency departments.
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias · 2024 · PMID 39364991
The prevalence of active hepatitis C virus (HCV) infection is higher in hospital emergency departments (EDs) than in the general population. Numerous patients who seek emergency care are unaware that they have detectable viremia, yet they fall outside established ED protocols for HCV screening. Often they belong to groups with difficult access to health care who use the ED as their point of entry to the system. The aim of this consensus paper was to develop an approach to guide ED detection of HCV infection in all …
Etiology-related differences in hepatic recompensation in decompensated cirrhosis under Baveno VII criteria: a systematic review and meta-analysis.
BMC gastroenterology · 2026 · PMID 42420862
BACKGROUND: Decompensated cirrhosis has different causes. These causes differ in how they damage the liver, how difficult they are to treat, and how well they can be controlled. This may lead to different prevalences of recompensation. However, existing studies have failed to elucidate the heterogeneity of recompensation across different etiologies. Therefore, this study aimed to summarize differences in recompensation prevalence among decompensated cirrhosis etiologies according to the Baveno VII consensus, and to…
Serum chloride concentrations and outcomes in adult patients with cirrhosis: a systematic review and meta-analysis.
BMC nephrology · 2025 · PMID 41013381
PURPOSE: Electrolyte disturbances, including hyponatremia, are common in cirrhosis, with hyponatremia already incorporated into the MELD-Na score as a prognostic marker. However, the prognostic role of serum chloride, the main extracellular anion, remains underexplored. Emerging evidence suggests hypochloremia is independently associated with increased mortality and acute kidney injury (AKI) in cirrhotic patients. Proposed mechanisms include dysregulated activation of the renin-angiotensin, vasopressin, and sympath…
Prevention, Diagnosis, Evaluation, and Treatment of Hepatitis C in Chronic Kidney Disease: Synopsis of the Kidney Disease: Improving Global Outcomes 2022 Clinical Practice Guideline.
Annals of internal medicine · 2023 · PMID 38079642
DESCRIPTION: The Kidney Disease: Improving Global Outcomes (KDIGO) 2022 clinical practice guideline on prevention, diagnosis, evaluation, and treatment of hepatitis C in chronic kidney disease (CKD) is an update of the 2018 guideline from KDIGO. METHODS: The KDIGO Work Group (WG) updated the guideline, which included reviewing and grading new evidence that was identified and summarized. As in the previous guideline, the WG used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach t…
Viral Hepatitis in Pregnancy: ACOG Clinical Practice Guideline No. 6.
Obstetrics and gynecology · 2023 · PMID 37590986
PURPOSE: The purpose of this document is to describe the specific types of viral hepatitis, their implications during pregnancy, the risk of perinatal transmission, and issues related to both treatment and prevention of infection. TARGET POPULATION: Pregnant or postpartum women and individuals who screen positive for viral hepatitis infection. The onset of these conditions may have predated the perinatal period or may have occurred for the first time in pregnancy or the first year postpartum. METHODS: This guidelin…
Clinical Practice Guidelines For the Management of Hepatocellular Carcinoma: A Systematic Review.
Journal of gastrointestinal cancer · 2024 · PMID 37480425
BACKGROUND: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related deaths globally, including Australia. The absence of a consensus clinical practice guideline (CPG) specific to HCC management poses challenges in reducing morbidity, mortality, and improving patient recovery. This systematic review aims to evaluate the existing evidence and assess the potential of published guidelines, including those with an international scope, to provide guidance for healthcare professionals in Australia. METHODS: El…
Prognostic significance of CTNNB1 mutation in hepatocellular carcinoma: a systematic review and meta-analysis.
Aging · 2023 · PMID 37733676
BACKGROUNDS: Hepatocellular Carcinoma (HCC) is one of the most common malignant cancers in humans and has a high fatality rate. In recent years, researchers have verified that the Wnt/β-catenin signaling pathway affects the clinicopathological features and prognosis of patients with HCC. Although many studies have investigated the relationship between Wnt/β-catenin signaling pathway and HCC, the prognostic value of β-catenin in HCC remains inconclusive. CTNNB1 (Catenin Beta-1) is an important factor in the Wnt/β-ca…
Evaluating Infections in Solid Organ Donors Before Transplantation: A Systematic Review of Clinical Practice Guidelines.
Transplantation · 2026 · PMID 41805905
BACKGROUND: Donor-derived infection remains a risk in solid organ transplantation. Clinical practice guidelines inform best practices for donor evaluation and acceptance, although they vary across centers and regions. This study aimed to evaluate the quality and consistency of guidelines for the evaluation of infections in solid organ donors and to summarize their recommendations. METHODS: We searched electronic databases and websites of professional organizations for clinical practice guidelines and consensus stat…
Screening of Influencing Factors of Dry Eye Disease and the Exploration of New Diagnosis and Treatment Model Based on Community Health Management Combined with Tertiary Hospitals.
Ophthalmic epidemiology · 2025 · PMID 41025833
OBJECTIVE: To screen influencing factors of dry eye and evaluate a new diagnosis and treatment model combining tertiary hospitals with community health management. METHODS: A total of 500 community residents from two Chinese hospitals between January - September, 2023 were included. Dry eye was diagnosed based on the presence of typical symptoms, an OSDI score > 13, a tear film break-up time (BUT) < 10 seconds, and/or a Schirmer I test (SIT) result < 10 mm/5 min, following the 2020 Chinese Dry Eye Expert Consensus.…
Similar Goals, Divergent Paths: Exploring Approaches to Hepatitis C Treatment Protocols in Heart Transplantation.
Journal of cardiac failure · 2025 · PMID 39900221
BACKGROUND: Heart transplantation from hepatitis C-positive donors is on the rise, yet there exists divergence in approaches to managing recipients of these organs. Practices range from prophylactic treatment of recipients prior to transplantation to delayed treatment following the detection of viremia, with no established consensus on the optimal approach. METHODS: An online survey was conducted among the heart transplant centers in the United States and Canada from January 2023-February 2024. The survey gathered …
HCV micro-elimination in diabetes care: A multicenter, prospective quality improvement program in Taiwan.
Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2026 · PMID 41253622
BACKGROUND: People with diabetes (PWD) exhibit a higher prevalence of Hepatitis C virus (HCV) infection, making them a crucial population for HCV screening and micro-elimination efforts. In light of the first published interdisciplinary consensus on managing/screening HCV in PWD, this study aims to evaluate the results and identify effective strategies for incorporating HCV screening and treatment into an existing diabetes care model managed by case managers. METHODS: This multicenter prospective program, initiated…
Diagnosis And Screening55 records
Discrete Choice Experiments and Conjoint Analyses in Health Screening Programs for Type 2 Diabetes and Liver Disease: A Scoping Review.
Canadian liver journal · 2025 · PMID 40678664
BACKGROUND: We aimed to summarize the evidence on the use of discrete choice experiments (DCEs) and conjoint analyses to quantify stakeholders' preferences for screening programs for type 2 diabetes (T2D) and liver diseases, with a specific focus on metabolic dysfunction-associated steatotic liver disease (MASLD). METHODS: For this scoping review, five databases (MEDLINE [PubMed], PubMed Central, EMBASE [Ovid], Europe PMC, Google Scholar) were searched with the assistance of a librarian, and deduplicated records we…
Acceptability and Effectiveness of Point-of-Care HCV Testing in Low- and Middle-Income Countries: A Systematic Review.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 42613632
Hepatitis C virus (HCV) diagnosis in low- and middle-income countries (LMICs) relies on costly and technically demanding centralized laboratory services. This review aims to synthesize evidence on Point-of-Care (POC) HCV testing in LMICs to inform scale-up for HCV elimination. We searched Medline, Embase, PsycINFO, and the Cochrane Library for studies on decentralized POC HCV testing in LMICs between 2010 and 2022. Two reviewers independently conducted eligibility assessment and full text review. Testing uptake and…
Recent Advancements in Known and Emerging Risk Factors of Hepatocellular Carcinoma.
Cancer medicine · 2025 · PMID 41201177
BACKGROUND: Hepatocellular carcinoma (HCC) is the most common primary liver malignancy and a leading cause of cancer-related deaths worldwide. Despite advancements in antiviral therapies for hepatitis B (HBV) and hepatitis C (HCV), HCC incidence continues to rise due to metabolic dysfunction-associated steatotic liver disease (MASLD), obesity, type 2 diabetes mellitus (T2DM), and emerging environmental and genetic risk factors. Understanding the evolving landscape of HCC pathogenesis is crucial for improved prevent…
Effect of donor exclusion criteria on blood safety and volume of donations: a systematic review of modelling studies.
Bulletin of the World Health Organization · 2026 · PMID 41924344
OBJECTIVE: To assess the effect of easing bans and deferral policies on blood donation from men who have sex with men on blood safety and volume from modelling studies. METHODS: We searched four databases (PubMed®, Embase®, CINAHL and Web of Science) for modelling studies on the impact of replacing bans or deferrals on blood donations from men who have sex with men with shorter deferral periods or no deferrals. We synthesized and compared findings from the different modelling studies, and assessed risk of bias and …
The health status of incarcerated people in Canada: a narrative review.
Frontiers in public health · 2026 · PMID 42798424
BACKGROUND: People who experience incarceration in Canada have been historically more likely to experience poor health than community-based populations. Although incarcerated people are entitled to health care equivalent to community standards, evidence suggests this is inconsistently achieved in Canada. We conducted a narrative review to synthesize contemporary evidence on health status and health care utilization by incarcerated people in Canada, including changes observed during and after the COVID-19 pandemic. …
Accuracy of non-invasive tests for diagnosing liver fibrosis and steatosis: A systematic review.
World journal of gastrointestinal pathophysiology · 2026 · PMID 42780625
BACKGROUND: Liver fibrosis is a key determinant of prognosis and management in chronic liver diseases. Although liver biopsy is considered the gold standard for fibrosis assessment, its invasiveness, sampling variability, and associated risks have prompted increasing reliance on non-invasive tests. This systematic review evaluates the diagnostic accuracy and clinical applicability of non-invasive modalities for diagnosing liver fibrosis in adult patients with chronic liver diseases. AIM: To systematically evaluate …
Associations Between Patient Language Preference and Hepatitis C Screening: Results From the DETECT Hep C Emergency Department Screening Trial.
Annals of emergency medicine · 2026 · PMID 42788928
STUDY OBJECTIVE: Hepatitis C virus (HCV) is the most common blood-borne infection in the United States, hence, emergency department (ED)-based HCV screening is effective for diagnosing HCV as an important step leading to referral for treatment. A patient's preferred language other than English (PLOE) may negatively affect overall care, although no prior research has evaluated the effect of language preference on HCV screening in EDs. Thus, the goal of this study was to estimate associations between language prefere…
Validation of Texas Hepatocellular Carcinoma Consortium Risk Index in the Hepatocellular Carcinoma Early Detection Strategy Study.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026 · PMID 41672261
BACKGROUND & AIMS: We previously developed a hepatocellular carcinoma (HCC) risk stratification model, the Texas HCC Consortium Risk Index (THCC-RI), for patients with cirrhosis. In this cohort study, we aimed to externally validate THCC-RI in a prospective cohort of patients with cirrhosis. METHODS: We used data from the Hepatocellular Carcinoma Early Detection Strategy (HEDS) Study, a prospective cohort of patients with cirrhosis enrolled in regular HCC surveillance at 7 centers in the United States. Patients wer…
The evolving HIV epidemic in Ontario, Canada: A retrospective analysis of new HIV diagnoses to identify subpopulations with persistent risk of HIV transmission.
Canadian journal of public health = Revue canadienne de sante publique · 2025 · PMID 40100336
OBJECTIVE: The objective of this study was to characterize new HIV diagnoses in key Ontario cities, in order to understand current drivers of continued HIV transmission to inform HIV testing and prevention efforts. METHODS: Chart reviews were carried out at four clinical sites in Ontario, Canada. The study population included individuals who were diagnosed with HIV in Ottawa, Hamilton, and Toronto between January 1, 2018, and December 31, 2020, and had no previous evidence of HIV documented. RESULTS: The total numb…
Prevalence and Factors Associated With Hepatitis C in Danish Prisons, 2022-2024: A Multicentre Cross-Sectional Study.
Journal of viral hepatitis · 2026 · PMID 41772784
Prisons offer a critical opportunity for hepatitis C virus (HCV) elimination, yet current data from Danish correctional facilities are sparse. We conducted a cross-sectional study in 16 prisons across Eastern Denmark between October 2022 and August 2024, enrolling 651 incarcerated individuals. All participants underwent HCV antibody and RNA testing using dried blood spots and completed a bio-behavioural risk survey. The prevalence of HCV antibody and HCV RNA was 4.2% (n = 26) and 2.0% (n = 13) respectively. HCV exp…
Integrated biomarkers and renal Doppler for early acute kidney injury diagnosis in hepatitis C virus cirrhosis.
World journal of nephrology · 2026 · PMID 42626007
BACKGROUND: Acute kidney injury (AKI) complicates up to 65% of hospitalizations for decompensated cirrhosis and is associated with high short-term mortality. Traditional markers such as serum creatinine are unreliable in cirrhosis, while novel biomarkers like neutrophil gelatinase-associated lipocalin (NGAL), cystatin C, and Doppler renal resistive index (RRI) show promise but have not been systematically validated in hepatitis C virus-endemic, resource-limited settings such as Egypt. AIM: To evaluate the diagnosti…
Seroprevalence and Risk Factors for Transfusion-transmitted Infections among Blood Donors in Dera Ismail Khan, Pakistan: A Single-Center Cross-sectional Study.
Journal of epidemiology and global health · 2026 · PMID 42414835
BACKGROUND: Although the highly prophylactic precautions and measures for keeping safe blood transfusions, transfusion-transmitted infections (TTIs) still constitute a remarkably significant risk in medicine. Few documents recorded the situation of TTIs in Dera Ismail khan (D.I. Khan) district, Pakistan so this study aimed to assess the prevalence of TTIs among blood donors in the district, to update and enhance the management of a secure blood supply. METHODS: A cross-sectional observational study was conducted at…
Incidence of antiretroviral therapy regimen modification and associated factors among People Living with HIV in Beijing, China.
PLOS global public health · 2025 · PMID 41183094
Durability of the initially prescribed antiretroviral therapy (ART) regimen is critical for long-term virologic suppression among people living with human immunodeficiency virus (HIV). However, data on the incidence of regimen modification and its associated factors remain limited in China. We aim to quantify the incidence of initially prescribed ART modification and identify associated baseline factors in China. Treatment-naïve adults (≥18 years) who initiated ART with complete regimen records and have documented …
Health Outcomes Associated with Asymptomatic Toxoplasma gondii Seropositivity in Young Adults: A Nationwide Matched Cohort Study.
Microorganisms · 2026 · PMID 42075177
Toxoplasma gondii establishes latent infection in a substantial proportion of the global population, yet the long-term health consequences of this infection remain incompletely characterized. We conducted a retrospective observational matched cohort study using longitudinal electronic health record data from a nationwide integrated healthcare provider, including members aged 18-45 years who underwent routine Toxoplasma serologic screening, typically performed in obstetric evaluation, excluding patients with clinica…
Beyond Risk Factors: Rethinking Hepatitis B and Hepatitis C Screening in Primary Care.
Liver international : official journal of the International Association for the Study of the Liver · 2025 · PMID 40970664
INTRODUCTION: Most international guidelines recommend screening for hepatitis B virus (HBV) and hepatitis C virus (HCV) only for individuals with risk factors or elevated ALT levels. However, this approach may not suffice to eradicate viral hepatitis. This study evaluates the application of EASL HBV and HCV screening guidelines in primary care centres (PCCs). METHODS: The study included two components: (1) A retrospective review (January 2021-March 2023) of microbiology data to determine testing rates, analyse clin…
Seroepidemiological Prevalence of Hepatitis B and C Virus Coinfection: A Large-Scale Retrospective Cohort Study in Istanbul.
Diagnostics (Basel, Switzerland) · 2026 · PMID 42793680
Background/Objectives: Hepatitis B (HBV) and hepatitis C (HCV) coinfection leads to the progression of liver disease and results in clinically serious outcomes. Continuous monitoring of epidemiological data is crucial for managing the regional disease burden. This study investigates the current seroprevalence of HBV and HCV, the prevalence of coinfection, and the rates of active replication in Istanbul. Methods: This retrospective analysis included 7131 patients evaluated at the Infectious Diseases and Gastroentero…
Diagnostic Accuracy of Serum-Based Fibrosis Scores for Clinically Significant Liver Fibrosis in an East Asian Cohort.
The Kaohsiung journal of medical sciences · 2026 · PMID 42781769
Serum-based fibrosis scores are widely used for noninvasive risk stratification in chronic liver disease; however, direct comparisons across liver disease etiologies remain limited, particularly in Asian populations with a high prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) infection. This study retrospectively analyzed the data of adults who underwent transient elastography (FibroScan) at a university-affiliated hospital. Three fibrosis scores were evaluated: Fibrosis-4 index (FIB-4), aspartate …
Serological Screening for HIV, Hepatitis B, Hepatitis C, and Syphilis in Patients with Genital Molluscum Contagiosum: A Retrospective Cross-Sectional Study.
Viruses · 2026 · PMID 42797789
(1) Background: The available literature on sexually transmitted infections in patients with genital molluscum contagiosum is limited. In this study, we aimed to evaluate the serological test results and screening rate for sexually transmitted infections, including human immunodeficiency virus, hepatitis B virus, hepatitis C virus, and syphilis, among patients with genital molluscum contagiosum. (2) Methods: In this retrospective cross-sectional study, we reviewed the medical records of patients aged ≥18 years diag…
Serological Profile of Hepatitis B, C, and D and Factors Associated With Hepatitis B Exposure and Vaccination Among Hemodialysis Patients in Northeastern Brazil.
International journal of nephrology · 2026 · PMID 42666474
INTRODUCTION: Hemodialysis patients are at increased risk for viral hepatitis due to treatment-related exposures and transmission routes, potentially worsening liver and kidney disease. However, updated regional data in Brazil are scarce. This study evaluated the seroprevalence of hepatitis B, C, and D viruses (HBV, HCV, and HDV) and analyzed risk factors associated with HBV infection among patients undergoing hemodialysis in Northeast Brazil. METHODS: This study corresponds to a cross-sectional evaluation of 293 p…
Emergency Department-Based Screening and Linkage-to-Care for Hepatitis B, C, and D in a Referral Hospital in Barcelona, Spain: Reduction in Hepatitis C Prevalence After Five Years.
Viruses · 2026 · PMID 42797761
BACKGROUND: Emergency Department (ED) viral hepatitis screening programs typically report short-term outcomes. We evaluated the medium-term impact of an ED-based screening for Hepatitis C (HCV), Hepatitis B (HBV), and Hepatitis D (HDV) viruses. METHODS: Prospective opportunistic screening conducted between January 2020 and December 2024 at a referral hospital in Barcelona. Adults attending the ED were screened for HBV, HCV, and HDV. Positive cases were evaluated and linked to care when appropriate. To assess screen…
Serum Granzyme B in Parkinson's Disease: A Case-Control Study of Diagnostic Association.
Journal of clinical medicine · 2026 · PMID 42795888
Background/Objectives: Parkinson's disease (PD) is a neurodegenerative disease with a heterogeneous nature. Many molecular pathways are engaged in PD pathogenesis. Granzyme B (GrB) is an enzyme released by CTLs and has roles in neuroinflammation, axonal degeneration, demyelination, and neuronal ischemic death. However, little is reported about its role in PD pathogenesis and deterioration. To evaluate the role of GrB in PD. Method: A total of 94 participants were recruited from outpatient neurology clinics (47 PD p…
Association between LDL-R (exon 8 C.1171 G > A) polymorphisms and response to antiviral therapy in hepatitis C virus infection.
Scientific reports · 2026 · PMID 41720870
The entry of the hepatitis C virus (HCV) into liver cells is closely associated with its interaction with the low-density lipoprotein receptor (LDL-R), which plays a crucial role in facilitating viral uptake. This study aimed to investigate the association between the LDL-R (exon 8 C.1171 G/A) gene polymorphism and response to antiviral therapy in patients infected with HCV. Participants were divided into three groups. Group I included 30 patients positive for both anti-HCV antibodies and HCV-RNA who did not respon…
Prevalence and Spectrum of Chronic Liver Disease Among Patients Seeking Health Care in Ghana.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 41689365
BACKGROUND: Chronic liver diseases (CLD) leading to liver fibrosis and cirrhosis are a major cause of morbidity and mortality in sub-Saharan Africa and pose a significant burden on its health care systems. We aimed to elucidate the prevalence of fibrosis/cirrhosis in patients seeking health care in Kumasi, Ghana, and its underlying aetiologies. METHODS: In this cross-sectional study, we performed sonography, transient elastography as well as biochemical and virological analyses. RESULTS: Transient elastography indi…
[Effectiveness of donor selection in a blood bank].
Revista medica del Instituto Mexicano del Seguro Social · 2026 · PMID 42771817
Transfusion safety in Mexico depends on 2 essential pillars: The proper clinical selection of donors and the effective application of screening tests established in current regulations. Among these tests, it is included mandatory detection of human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), as well as Trypanosoma cruzi and Treponema pallidum, all considered highly relevant pathogens due to their potential for bloodborne transmission and their clinical impact. Each year, thousand…
Opt-Out Screening for Blood-Borne Viruses in Trauma and Orthopaedic Admissions From the Emergency Department: Are We Meeting the Standards?
Cureus · 2025 · PMID 41341364
Background In the United Kingdom, blood-borne viruses (BBVs) such as Hepatitis B, Hepatitis C, and HIV continue to pose a significant health risk to the public. The national guidelines currently recommend that everyone attending the Emergency Department (ED) and having routine blood tests done is automatically offered testing for BBV, unless they choose to opt out. During their management, patients under the care of Trauma and Orthopaedics (T&O) are admitted from several different ED areas, which makes them a key g…
Evidence Syntheses60 records
Guideline for the management of hepatitis B and C infection and subsequent liver disease surveillance (where indicated) in people with congenital bleeding disorders: A joint guideline from the British Society of Haematology and the British Viral Hepatitis Group.
British journal of haematology · 2026 · PMID 41431438
This is a new British Society of Haematology (BSH) guideline which focuses on the management of hepatitis B and C (HBV and HCV) infection affecting people with bleeding disorders (PwBD), including those who cleared the infection many years previously. It is based on the European Association for the Study of the Liver (EASL) guidance and is a succinct practical guide for haematologists to support joint care with hepatology. It is compatible with the joint international guidance from the European Association for Haem…
Prevention, surveillance, and early detection of hepatocellular carcinoma - a Brazilian multidisciplinary consensus.
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026 · PMID 42615769
BACKGROUND: Hepatocellular carcinoma is a major cause of cancer-related mortality and represents a growing public health challenge. AIMS: To develop multidisciplinary evidence-based recommendations for the prevention and early detection of hepatocellular carcinoma. METHODS: This consensus was coordinated by the Brazilian Society of Surgical Oncology, with the participation of 13 additional national societies. A steering committee defined the key clinical questions addressing prevention, surveillance, and early dete…
AASLD ISDA Practice Guideline on treatment of chronic hepatitis B.
Hepatology (Baltimore, Md.) · 2026 · PMID 41186418
BACKGROUND AND AIMS: Accumulating data related to prevention, surveillance and treatment of chronic hepatitis B (CHB) provided the impetus for this updated guideline, using the Grading of Recommendation Assessment, Development and Evaluation (GRADE) approach. METHODS: The guideline was developed in compliance with the National Academy of Medicine standards. The guideline panel developed structured questions following the Population, Intervention Comparison, Outcomes (PICO) framework. The panel addressed 6 PICO ques…
French guidelines on systemic treatments for moderate-to-severe psoriasis in adults: Update 2025.
Journal of the European Academy of Dermatology and Venereology : JEADV · 2026 · PMID 41469898
The current French guidelines for the treatment of psoriasis date from 2019 and do not include the most up-to-date interventions. The Psoriasis Research Group of the French Society of Dermatology has developed new guidelines to provide updated decision-making algorithms for the systemic treatment of adult patients with moderate-to-severe psoriasis. The algorithms were created following a thorough review of existing psoriasis treatment guidelines and recent publications on new systemic therapies not included in prev…
AGA Clinical Practice Update on Risk Stratification and Emerging Surveillance Strategies for Hepatocellular Carcinoma: Expert Review.
Gastroenterology · 2026 · PMID 42017860
DESCRIPTION: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related death in patients with cirrhosis. Although advancements in surgical, locoregional, and systemic therapies have improved outcomes for patients with early-stage HCC, most cases are diagnosed at later stages due to both the limitations of currently recommended surveillance modalities and their underuse, with fewer than 1 in 4 patients with cirrhosis receiving surveillance for this tumor. Current guidelines recommend semiannual surveillanc…
[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026 · PMID 42236454
Multidrug-resistant tuberculosis (MDR-TB) and rifampicin-resistant tuberculosis (RR-TB) pose significant challenges to global tuberculosis prevention and treatment efforts. At present, the chemotherapy of MDR/RR-TB is still hampered by prolonged treatment duration and suboptimal success rates. In 2019, the Chinese Medical Association Tuberculosis Branch issued the Chinese Expert Consensus on the Treatment of MDR-TB and RR-TB, which has provided essential guidance for standardizing the diagnosis, treatment, and clin…
Blood-Borne Infection Prevention in Combat Sports: Position Statement of the Association of Ringside Physicians.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026 · PMID 40197438
The Association of Ringside Physicians (ARP) emphasizes the importance of screening combat sports athletes for blood-borne infections, including hepatitis B, HIV, and hepatitis C, to mitigate transmission risks and ensure participant safety. Although transmission of hepatitis B and C and HIV in combat sports is rare, protecting athletes is of utmost importance. It is the recommendation of the ARP that all fighters participating in combat sports, in which the presence of blood is a common occurrence and is allowed d…
Association of ABO and Rh blood groups with hepatitis C virus infection: a systematic review and meta-analysis.
Infectious diseases (London, England) · 2026 · PMID 42036947
BACKGROUND: The association between ABO and Rhesus (Rh) blood groups and susceptibility to hepatitis C virus (HCV) infection remains uncertain. This systematic review and meta-analysis aimed to clarify these associations. METHODS: PubMed, Scopus, Embase, and MEDLINE were searched from inception to 23 January 2025. Studies reporting HCV infection by ABO and/or Rh blood group were eligible. Risk of bias was assessed using the NIH tools. Odds ratios (ORs) with 95% confidence intervals (CIs) were pooled using a random-…
The impact of HIV coinfection on mpox patients: a systematic review and meta-analysis.
Emerging microbes & infections · 2026 · PMID 42461714
A substantial proportion of mpox cases occur in people with HIV, but how HIV coinfection and immune status affect clinical outcomes remains unclear. We systematically searched major databases up to March 2025 for observational studies comparing mpox patients with and without HIV coinfection. Pooled effect sizes were calculated using random-effects models. Risk ratios (RRs) or standardized mean differences (SMDs) with 95% confidence intervals were used for dichotomous or continuous outcomes. Post hoc subgroup analys…
Efficacy and Long-Term Outcomes of Direct-Acting Antivirals in Patients with Hepatitis C Virus-Related Hepatocellular Carcinoma: A Systematic Review and Meta-Analysis.
Gut and liver · 2026 · PMID 42379830
BACKGROUND/AIMS: The role of direct-acting antivirals (DAAs) in patients with hepatocellular carcinoma (HCC) remains uncertain due to conflicting data on virologic efficacy and long-term outcomes. METHODS: This meta-analysis investigated studies reporting the sustained virologic response (SVR), recurrence, and overall survival in patients with HCC treated with DAAs. RESULTS: Eighty-eight studies were included, comprising 8,839 patients with HCC who were treated with DAAs. The pooled SVR rate in patients with HCC wa…
Modeling Approaches to the Economic Evaluation of Microelimination Strategies for Hepatitis C Virus in High-Risk Populations.
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2026 · PMID 42061676
OBJECTIVES: Mathematical models inform hepatitis C virus (HCV) microelimination strategies in high-risk groups, but their reliability depends on underlying methodological choices. We systematically appraised the modeling methods used in economic evaluations of HCV microelimination published between 2015 and 2026. METHODS: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (International Prospective Register of Systematic Reviews: CRD420251185978), we searched PubMed/MEDLINE, Emb…
Etiology-related differences in hepatic recompensation in decompensated cirrhosis under Baveno VII criteria: a systematic review and meta-analysis.
BMC gastroenterology · 2026 · PMID 42420862
BACKGROUND: Decompensated cirrhosis has different causes. These causes differ in how they damage the liver, how difficult they are to treat, and how well they can be controlled. This may lead to different prevalences of recompensation. However, existing studies have failed to elucidate the heterogeneity of recompensation across different etiologies. Therefore, this study aimed to summarize differences in recompensation prevalence among decompensated cirrhosis etiologies according to the Baveno VII consensus, and to…
First-line immunotherapy for advanced hepatocellular carcinoma: a network meta-analysis of randomized trials with overall and HBV/HCV-stratified efficacy and safety.
Frontiers in immunology · 2026 · PMID 42220514
BACKGROUND: Immune checkpoint inhibitors (ICIs) have revolutionized the front-line treatment of advanced hepatocellular carcinoma (HCC). However, the comparative efficacy and safety of different ICI-based regimens-and their consistency across etiologic subgroups [HBV, HCV, and non-HBV/non-HCV (NBNC)]-remain uncertain. This study conducted a Bayesian network meta-analysis (NMA) of recent randomized controlled trials (RCTs) to compare the first-line immunotherapy strategies both overall and by viral etiology. METHODS…
Viral hepatitis co-infections with tuberculosis in India: A systematic review and meta-analysis.
The Indian journal of medical research · 2026 · PMID 42295712
Background and objectives Tuberculosis (TB) and viral hepatitis (hepatitis B and C) co-infection is a significant threat in low-and middle-income countries like India. To optimise treatment protocols and prevent liver-related complications, it is essential to estimate the burden of these co-infections. This systematic review and meta-analysis were conducted to determine the prevalence of hepatitis B and C co-infection with tuberculosis in India. Methods In line with PRISMA guidelines, a systematic search of PubMed,…
Effect of Direct-Acting Antiviral Therapy on Glycemic Control in Patients with Chronic Hepatitis C and Type 2 Diabetes: A Systematic Review and Meta-Analysis.
Viruses · 2026 · PMID 41754582
The eradication of hepatitis C virus (HCV) with interferon-free direct-acting antivirals (DAAs) has transformed the management of chronic HCV infection. Chronic HCV infection is associated with an increased risk of type 2 diabetes mellitus (T2DM) and poor glycemic control. However, the magnitude and consistency of improvement in glycated hemoglobin (HbA1c) after DAA-induced sustained virologic response (SVR) in patients with established T2DM remain unclear. We conducted a systematic review and meta-analysis of six …
Prevalence and risk factors for key infectious diseases amongst migrants to the UK: a systematic review.
BMC infectious diseases · 2026 · PMID 41776448
BACKGROUND: Migrants are at increased risk of infections including HIV, tuberculosis and viral hepatitis, with poorer outcomes. Early diagnosis and management can reduce morbidity, mortality and onward transmission. This systematic review summarises prevalence of HIV, latent and active tuberculosis and hepatitis B and C among UK migrants and evaluates associated risk factors. METHODS: PubMed/Medline, EMBASE, Web of Science and the Cochrane Library were systematically searched from 2004 to 11 June 2025. The review w…
Incidence and risk factors of post-transplant diabetes mellitus after kidney transplantation: a systematic review and meta-analysis.
Frontiers in endocrinology · 2026 · PMID 42267307
OBJECTIVE: In order to investigate the incidence rate of post-transplant diabetes mellitus (PTDM) patients and identify the risk factors, we conducted a systematic review of studies published after 2014. DATA SOURCES: PubMed, EMBASE, Cochrane Library, as well as Web of Science were comprehensively retrieved until June 24, 2024. SELECTION OF STUDIES: Extracted data via EndNote reference management software and evaluated the risk of bias through the Newcastle-Ottawa Scale (NOS). DATA EXTRACTION: Statistical analyses …
Synchronous Telemedicine Versus In-Person Care in Hepatitis C Treatment: A Systematic Review and Meta-Analysis.
Journal of viral hepatitis · 2026 · PMID 41603321
Inequitable access to HCV treatment persists, particularly for rural and marginalised populations. Synchronous telemedicine (TM) could mitigate access barriers, but its comparative effectiveness versus in-person care is uncertain. We performed a systematic review and meta-analysis comparing synchronous TM with in-person care for HCV. The primary outcome was sustained virologic response (SVR); secondary outcomes were treatment initiation and completion. Subgroup analyses examined study design, therapy era (interfero…
Prevalence of circulating hepatitis C virus genotypes and drug-resistant variants in former Soviet Union countries: A scoping review with genotype meta-analysis.
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026 · PMID 42269919
BACKGROUND: Despite high hepatitis C virus (HCV) prevalence in the Former Soviet Union (FSU), data on genotype distribution and resistance-associated substitutions (RAS) remain fragmented. This study aims to map the breadth of molecular epidemiological evidence on HCV genotypes and resistance in FSU. METHOD: We performed a scoping review with a genotype meta-analysis of 24 cross-sectional studies published in PubMed, Web of Science, and Google Scholar from 1990 to 2025. The systematic review was registered with PRO…
Recombinant multiepitope proteins for hepatitis C virus diagnosis: Systematic review.
International journal of biological macromolecules · 2026 · PMID 41980690
Hepatitis C virus (HCV) infection remains as major global health concern given the more than 50 million chronic cases recorded and the significant barriers to its early diagnosis, mainly in low-resource settings. Conventional serological assays rely on recombinant or synthetic antigens accounting for higher production costs and for limiting diagnostic accessibility. Recombinant multiepitope proteins have emerged as promising alternative for incorporating conserved antigenic regions from multiple HCV proteins, such …
Evaluating Infections in Solid Organ Donors Before Transplantation: A Systematic Review of Clinical Practice Guidelines.
Transplantation · 2026 · PMID 41805905
BACKGROUND: Donor-derived infection remains a risk in solid organ transplantation. Clinical practice guidelines inform best practices for donor evaluation and acceptance, although they vary across centers and regions. This study aimed to evaluate the quality and consistency of guidelines for the evaluation of infections in solid organ donors and to summarize their recommendations. METHODS: We searched electronic databases and websites of professional organizations for clinical practice guidelines and consensus stat…
Comparative Impact of Active Versus Passive Surveillance on Hepatitis C Virus Testing Uptake, Diagnosis and Linkage to Care in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.
Tropical medicine & international health : TM & IH · 2026 · PMID 42153380
BACKGROUND: Hepatitis C virus (HCV) infection remains a major global health challenge, particularly in low- and middle-income countries (LMICs), where limited diagnostic access and weak surveillance hinder progress toward the World Health Organization's 2030 elimination targets. This review compared the effectiveness of active versus passive surveillance on HCV testing uptake, diagnosis, and linkage to care in LMICs. METHODS: A systematic review and meta-analysis were conducted in accordance with PRISMA 2020 guidel…
The global epidemiology of injecting drug use, HIV, viral hepatitis and tuberculosis among people who are incarcerated: a multistage systematic review.
The International journal on drug policy · 2026 · PMID 41651703
BACKGROUND: This global systematic review assesses the prevalence of injecting drug use (IDU) and key infectious diseases (HIV, hepatitis C virus [HCV], tuberculosis and hepatitis B virus [HBV]) among people who are incarcerated. METHODS: We conducted a systematic search of peer-reviewed (Medline, Embase, PsycINFO), internet, and grey literature databases, from January 2000 through 2nd June 2025 and engaged international experts and relevant agencies liaising with key agencies focused on incarcerated populations (W…
Global coverage of interventions for reduction of injecting drug use-related harm, HIV, viral hepatitis and tuberculosis in prisons and other carceral settings: A systematic review.
The International journal on drug policy · 2026 · PMID 41651702
BACKGROUND: People who are incarcerated experience disproportionately high rates of injecting drug use and infectious disease, including HIV, viral hepatitis and tuberculosis. However, comprehensive global data regarding the availability of services that prevent and manage infectious disease, injecting drug use and related harms remain limited and outdated. We provide the first systematic review to comprehensively examine the availability and coverage of infectious disease prevention, treatment, and harm reduction …
Seroprevalence of hepatitis C virus among refugees, asylum seekers, and internally displaced populations within Africa: A systematic review and meta-analysis.
Global public health · 2026 · PMID 41964104
Hepatitis C virus (HCV), an often overlooked public health concern, is highly prevalent among marginalized groups. Refugees, asylum seekers, and internally displaced people (RASIDP) constitute an underserved population in healthcare. Given that displacement rates are increasing and that HCV is endemic to many African countries, we aimed to determine the prevalence of HCV among RASIDP communities in Africa. Studies investigating HCV prevalence within RASIDP communities across Africa were identified via the following…
Landmark Evidence8 records
Effect of donor exclusion criteria on blood safety and volume of donations: a systematic review of modelling studies.
Bulletin of the World Health Organization · 2026 · PMID 41924344
OBJECTIVE: To assess the effect of easing bans and deferral policies on blood donation from men who have sex with men on blood safety and volume from modelling studies. METHODS: We searched four databases (PubMed®, Embase®, CINAHL and Web of Science) for modelling studies on the impact of replacing bans or deferrals on blood donations from men who have sex with men with shorter deferral periods or no deferrals. We synthesized and compared findings from the different modelling studies, and assessed risk of bias and …
Global Systematic Review of the Measurement of Stigma Associated With People Living With Hepatitis B or Hepatitis C Viruses.
Journal of viral hepatitis · 2025 · PMID 40856266
Chronic hepatitis B and C affect over 300 million people globally. Despite treatment advances, stigma towards people living with hepatitis B/C (PLWHB/C) remains a barrier to care and impacts health outcomes. Addressing this stigma is key to achieving hepatitis elimination goals. This systematic review aims to synthesise existing approaches to measuring stigma experienced by PLWHB/C and examine factors associated with stigma in different social contexts. Databases searched included PubMed, PsycInfo and Web of Scienc…
Recent Advancements in Known and Emerging Risk Factors of Hepatocellular Carcinoma.
Cancer medicine · 2025 · PMID 41201177
BACKGROUND: Hepatocellular carcinoma (HCC) is the most common primary liver malignancy and a leading cause of cancer-related deaths worldwide. Despite advancements in antiviral therapies for hepatitis B (HBV) and hepatitis C (HCV), HCC incidence continues to rise due to metabolic dysfunction-associated steatotic liver disease (MASLD), obesity, type 2 diabetes mellitus (T2DM), and emerging environmental and genetic risk factors. Understanding the evolving landscape of HCC pathogenesis is crucial for improved prevent…
The health status of incarcerated people in Canada: a narrative review.
Frontiers in public health · 2026 · PMID 42798424
BACKGROUND: People who experience incarceration in Canada have been historically more likely to experience poor health than community-based populations. Although incarcerated people are entitled to health care equivalent to community standards, evidence suggests this is inconsistently achieved in Canada. We conducted a narrative review to synthesize contemporary evidence on health status and health care utilization by incarcerated people in Canada, including changes observed during and after the COVID-19 pandemic. …
Hepatitis C distribution across diverse population groups in the Eastern Mediterranean Region: An umbrella review.
PloS one · 2026 · PMID 42013172
BACKGROUND: Hepatitis C virus (HCV) remains a major public health challenge in the Eastern Mediterranean Region (EMR), with prevalence varying across population groups. This umbrella review summarizes the distribution of HCV infection across diverse populations in the region. METHODS: We conducted an umbrella review of systematic reviews with meta-analyses reporting HCV prevalence in the EMR. PubMed, Web of Science, Scopus, Iranian databases, including Magiran and the Scientific Information Database (SID), were sea…
Acceptability and Effectiveness of Point-of-Care HCV Testing in Low- and Middle-Income Countries: A Systematic Review.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 42613632
Hepatitis C virus (HCV) diagnosis in low- and middle-income countries (LMICs) relies on costly and technically demanding centralized laboratory services. This review aims to synthesize evidence on Point-of-Care (POC) HCV testing in LMICs to inform scale-up for HCV elimination. We searched Medline, Embase, PsycINFO, and the Cochrane Library for studies on decentralized POC HCV testing in LMICs between 2010 and 2022. Two reviewers independently conducted eligibility assessment and full text review. Testing uptake and…
A precision randomized trial to evaluate the impact of tailored hepatitis C treatment adherence support on HCV treatment outcomes among people who inject drugs in India: design and baseline characteristics of the STOP-C trial.
American journal of epidemiology · 2025 · PMID 39572371
Efforts to eliminate the hepatitis C virus (HCV) as a public health problem must include people who inject drugs (PWID). We describe the design and baseline characteristics of the Supporting Treatment Outcomes among PWID trial, which evaluates whether HCV treatment outcomes in PWID can be optimized by tailoring treatment support in 7 PWID-focused integrated HIV/HCV prevention/treatment centers across India. The design is a 3-arm, individual-level precision-randomized trial. Leveraging empirical data, a prediction m…
Impact of the COVID-19 pandemic on hepatitis C care across the cascade of care: a scoping review.
BMC infectious diseases · 2026 · PMID 42288770
BACKGROUND: The COVID-19 pandemic was associated with widespread health services disruption, including challenges in the management of chronic infectious diseases. However, evidence regarding reported changes in hepatitis C virus (HCV) care during this period remains limited and fragmented. We aimed to map the available evidence on reported changes in HCV care during the COVID-19 pandemic across the HCV cascade of care. METHOD: We conducted a scoping review following the Arksey and O'Malley methodological framework…
Most Effective Evidence Supported Treatments11 records
Etiology-related differences in hepatic recompensation in decompensated cirrhosis under Baveno VII criteria: a systematic review and meta-analysis.
BMC gastroenterology · 2026 · PMID 42420862
BACKGROUND: Decompensated cirrhosis has different causes. These causes differ in how they damage the liver, how difficult they are to treat, and how well they can be controlled. This may lead to different prevalences of recompensation. However, existing studies have failed to elucidate the heterogeneity of recompensation across different etiologies. Therefore, this study aimed to summarize differences in recompensation prevalence among decompensated cirrhosis etiologies according to the Baveno VII consensus, and to…
Global Systematic Review of the Measurement of Stigma Associated With People Living With Hepatitis B or Hepatitis C Viruses.
Journal of viral hepatitis · 2025 · PMID 40856266
Chronic hepatitis B and C affect over 300 million people globally. Despite treatment advances, stigma towards people living with hepatitis B/C (PLWHB/C) remains a barrier to care and impacts health outcomes. Addressing this stigma is key to achieving hepatitis elimination goals. This systematic review aims to synthesise existing approaches to measuring stigma experienced by PLWHB/C and examine factors associated with stigma in different social contexts. Databases searched included PubMed, PsycInfo and Web of Scienc…
Acceptability and Effectiveness of Point-of-Care HCV Testing in Low- and Middle-Income Countries: A Systematic Review.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 42613632
Hepatitis C virus (HCV) diagnosis in low- and middle-income countries (LMICs) relies on costly and technically demanding centralized laboratory services. This review aims to synthesize evidence on Point-of-Care (POC) HCV testing in LMICs to inform scale-up for HCV elimination. We searched Medline, Embase, PsycINFO, and the Cochrane Library for studies on decentralized POC HCV testing in LMICs between 2010 and 2022. Two reviewers independently conducted eligibility assessment and full text review. Testing uptake and…
Efficacy of antiviral therapy in adults with chronic hepatitis B according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41839198
BACKGROUND: In the 2015 WHO guidelines for chronic hepatitis B (CHB), antiviral therapy was recommended for individuals with cirrhosis and individuals without cirrhosis with persistently elevated alanine aminotransferase (ALT) concentrations and hepatitis B virus (HBV) DNA >20 000 IU/mL, whereas treatment was deferred for individuals with persistently normal ALT concentrations and HBV DNA <2000 IU/mL. To inform 2024 WHO guidelines on CHB and the potential expansion of treatment threshold recommendations, we conduct…
Natural history of chronic hepatitis B in untreated adults without cirrhosis according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41839199
BACKGROUND: Chronic hepatitis B (CHB) affects an estimated 254 million people globally. Historically, WHO and professional society guidelines have recommended treatment for individuals at high risk of disease progression, including those with hepatitis B virus (HBV) DNA concentrations >20 000 IU/mL. Whether individuals at lower risk, including those with HBV DNA <20 000 IU/mL and normal alanine aminotransferase concentrations, benefit from treatment remains uncertain. To inform 2024 WHO guidelines and the potential…
Recent Advancements in Known and Emerging Risk Factors of Hepatocellular Carcinoma.
Cancer medicine · 2025 · PMID 41201177
BACKGROUND: Hepatocellular carcinoma (HCC) is the most common primary liver malignancy and a leading cause of cancer-related deaths worldwide. Despite advancements in antiviral therapies for hepatitis B (HBV) and hepatitis C (HCV), HCC incidence continues to rise due to metabolic dysfunction-associated steatotic liver disease (MASLD), obesity, type 2 diabetes mellitus (T2DM), and emerging environmental and genetic risk factors. Understanding the evolving landscape of HCC pathogenesis is crucial for improved prevent…
Management of mixed cryoglobulinemia with rituximab: evidence and consensus-based recommendations from the Italian Study Group of Cryoglobulinemia (GISC).
Clinical rheumatology · 2023 · PMID 36169798
Cryoglobulinemic vasculitis (CV) or mixed cryoglobulinemic syndrome (MCS) is a systemic small-vessel vasculitis characterized by the proliferation of B-cell clones producing pathogenic immune complexes, called cryoglobulins. It is often secondary to hepatitis C virus (HCV), autoimmune diseases, and hematological malignancies. CV usually has a mild benign clinical course, but severe organ damage and life-threatening manifestations can occur. Recently, evidence in favor of rituximab (RTX), an anti-CD 20 monoclonal an…
A precision randomized trial to evaluate the impact of tailored hepatitis C treatment adherence support on HCV treatment outcomes among people who inject drugs in India: design and baseline characteristics of the STOP-C trial.
American journal of epidemiology · 2025 · PMID 39572371
Efforts to eliminate the hepatitis C virus (HCV) as a public health problem must include people who inject drugs (PWID). We describe the design and baseline characteristics of the Supporting Treatment Outcomes among PWID trial, which evaluates whether HCV treatment outcomes in PWID can be optimized by tailoring treatment support in 7 PWID-focused integrated HIV/HCV prevention/treatment centers across India. The design is a 3-arm, individual-level precision-randomized trial. Leveraging empirical data, a prediction m…
Responding to the increase in substance use, HIV, HCV, and overdose in New England (RISE-NE): Protocol for a prospective cohort study.
PloS one · 2026 · PMID 42789600
BACKGROUND: High levels of opioid use, early introduction of drug supply contaminants, and increasing polysubstance use have led to intersecting epidemics of HIV, HCV, and overdose among people who use drugs (PWUD) in New England. Prevention services (e.g., syringe service programs, HIV testing) have been available in parts of New England for decades, yet significant service delivery gaps exist outside of major metropolitan areas. Further, racially minoritized PWUD face heightened discrimination in service settings…
Impact of the COVID-19 pandemic on hepatitis C care across the cascade of care: a scoping review.
BMC infectious diseases · 2026 · PMID 42288770
BACKGROUND: The COVID-19 pandemic was associated with widespread health services disruption, including challenges in the management of chronic infectious diseases. However, evidence regarding reported changes in hepatitis C virus (HCV) care during this period remains limited and fragmented. We aimed to map the available evidence on reported changes in HCV care during the COVID-19 pandemic across the HCV cascade of care. METHOD: We conducted a scoping review following the Arksey and O'Malley methodological framework…
Hepatitis B virus prevalence, susceptibility and care engagement among vulnerable migrant populations in Rome.
BMC infectious diseases · 2026 · PMID 42414913
BACKGROUND: Hepatitis B virus (HBV) remains a leading cause of morbidity and liver-related mortality globally. Vulnerable migrant populations often experience challenges with accessing testing, vaccination and care, both before and after arrival. METHODS: Asylum seekers and undocumented migrants hosted in six reception facilities in metropolitan Rome were prospectively offered screening for hepatitis B surface antigen (HBsAg), surface antibodies (anti-HBs) and core antibodies (anti-HBc). Individuals with HBsAg posi…
New Research Last 24 Months142 records
Discrete Choice Experiments and Conjoint Analyses in Health Screening Programs for Type 2 Diabetes and Liver Disease: A Scoping Review.
Canadian liver journal · 2025 · PMID 40678664
BACKGROUND: We aimed to summarize the evidence on the use of discrete choice experiments (DCEs) and conjoint analyses to quantify stakeholders' preferences for screening programs for type 2 diabetes (T2D) and liver diseases, with a specific focus on metabolic dysfunction-associated steatotic liver disease (MASLD). METHODS: For this scoping review, five databases (MEDLINE [PubMed], PubMed Central, EMBASE [Ovid], Europe PMC, Google Scholar) were searched with the assistance of a librarian, and deduplicated records we…
Effect of donor exclusion criteria on blood safety and volume of donations: a systematic review of modelling studies.
Bulletin of the World Health Organization · 2026 · PMID 41924344
OBJECTIVE: To assess the effect of easing bans and deferral policies on blood donation from men who have sex with men on blood safety and volume from modelling studies. METHODS: We searched four databases (PubMed®, Embase®, CINAHL and Web of Science) for modelling studies on the impact of replacing bans or deferrals on blood donations from men who have sex with men with shorter deferral periods or no deferrals. We synthesized and compared findings from the different modelling studies, and assessed risk of bias and …
Global Systematic Review of the Measurement of Stigma Associated With People Living With Hepatitis B or Hepatitis C Viruses.
Journal of viral hepatitis · 2025 · PMID 40856266
Chronic hepatitis B and C affect over 300 million people globally. Despite treatment advances, stigma towards people living with hepatitis B/C (PLWHB/C) remains a barrier to care and impacts health outcomes. Addressing this stigma is key to achieving hepatitis elimination goals. This systematic review aims to synthesise existing approaches to measuring stigma experienced by PLWHB/C and examine factors associated with stigma in different social contexts. Databases searched included PubMed, PsycInfo and Web of Scienc…
Recent Advancements in Known and Emerging Risk Factors of Hepatocellular Carcinoma.
Cancer medicine · 2025 · PMID 41201177
BACKGROUND: Hepatocellular carcinoma (HCC) is the most common primary liver malignancy and a leading cause of cancer-related deaths worldwide. Despite advancements in antiviral therapies for hepatitis B (HBV) and hepatitis C (HCV), HCC incidence continues to rise due to metabolic dysfunction-associated steatotic liver disease (MASLD), obesity, type 2 diabetes mellitus (T2DM), and emerging environmental and genetic risk factors. Understanding the evolving landscape of HCC pathogenesis is crucial for improved prevent…
The health status of incarcerated people in Canada: a narrative review.
Frontiers in public health · 2026 · PMID 42798424
BACKGROUND: People who experience incarceration in Canada have been historically more likely to experience poor health than community-based populations. Although incarcerated people are entitled to health care equivalent to community standards, evidence suggests this is inconsistently achieved in Canada. We conducted a narrative review to synthesize contemporary evidence on health status and health care utilization by incarcerated people in Canada, including changes observed during and after the COVID-19 pandemic. …
Hepatitis C distribution across diverse population groups in the Eastern Mediterranean Region: An umbrella review.
PloS one · 2026 · PMID 42013172
BACKGROUND: Hepatitis C virus (HCV) remains a major public health challenge in the Eastern Mediterranean Region (EMR), with prevalence varying across population groups. This umbrella review summarizes the distribution of HCV infection across diverse populations in the region. METHODS: We conducted an umbrella review of systematic reviews with meta-analyses reporting HCV prevalence in the EMR. PubMed, Web of Science, Scopus, Iranian databases, including Magiran and the Scientific Information Database (SID), were sea…
Acceptability and Effectiveness of Point-of-Care HCV Testing in Low- and Middle-Income Countries: A Systematic Review.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 42613632
Hepatitis C virus (HCV) diagnosis in low- and middle-income countries (LMICs) relies on costly and technically demanding centralized laboratory services. This review aims to synthesize evidence on Point-of-Care (POC) HCV testing in LMICs to inform scale-up for HCV elimination. We searched Medline, Embase, PsycINFO, and the Cochrane Library for studies on decentralized POC HCV testing in LMICs between 2010 and 2022. Two reviewers independently conducted eligibility assessment and full text review. Testing uptake and…
Sustained Virological Response as a Surrogate Marker for Mortality, Decompensated Cirrhosis, or Hepatocellular Carcinoma in People With Chronic Hepatitis C Virus Infection Treated With Direct-Acting Antivirals: Protocol for a Bayesian and Causal Mediation Analysis.
JMIR research protocols · 2025 · PMID 40633094
BACKGROUND: Sustained virological response (SVR) is commonly used as a marker of treatment success in people with chronic hepatitis C virus (HCV) infection. However, there is uncertainty on whether SVR is a validated surrogate marker of successful chronic HCV infection treatment. OBJECTIVE: This research project aims to evaluate whether SVR is a good surrogate for all-cause mortality, decompensated cirrhosis, any specific aspect of liver decompensation (jaundice, ascites, hepatic encephalopathy, hepatorenal syndrom…
Psoriasis and Chronic Viral Infections (HIV, HBV, and HCV): Therapeutic Approach and Safety.
Medicina (Kaunas, Lithuania) · 2026 · PMID 42796402
Background and Objectives: Psoriasis is a chronic immune-mediated inflammatory disease that often requires long-term systemic therapy. Coexisting human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) infection complicates treatment selection because clinicians must balance control of skin and joint inflammation against risks of opportunistic infection, viral replication or reactivation, hepatotoxicity, and drug interactions. Materials and Methods: This narrative review summarizes e…
Accuracy of non-invasive tests for diagnosing liver fibrosis and steatosis: A systematic review.
World journal of gastrointestinal pathophysiology · 2026 · PMID 42780625
BACKGROUND: Liver fibrosis is a key determinant of prognosis and management in chronic liver diseases. Although liver biopsy is considered the gold standard for fibrosis assessment, its invasiveness, sampling variability, and associated risks have prompted increasing reliance on non-invasive tests. This systematic review evaluates the diagnostic accuracy and clinical applicability of non-invasive modalities for diagnosing liver fibrosis in adult patients with chronic liver diseases. AIM: To systematically evaluate …
Targeting Helicobacter pylori in liver-impaired populations: a systematic review of efficacy and safety.
Journal of clinical biochemistry and nutrition · 2025 · PMID 41312005
Liver impairment can alter the metabolic capacity of the organ significantly, potentially affecting the efficacy and safety of Helicobacter pylori (H. pylori) eradication regimens. Although this issue is highly significant, no standardized guidelines currently exist for H. pylori eradication therapy in patients with liver dysfunction. To bridge this gap, we systematically reviewed studies on the efficacy and safety of H. pylori eradication therapy in individuals with liver impairment. The systematic review included…
Associations Between Patient Language Preference and Hepatitis C Screening: Results From the DETECT Hep C Emergency Department Screening Trial.
Annals of emergency medicine · 2026 · PMID 42788928
STUDY OBJECTIVE: Hepatitis C virus (HCV) is the most common blood-borne infection in the United States, hence, emergency department (ED)-based HCV screening is effective for diagnosing HCV as an important step leading to referral for treatment. A patient's preferred language other than English (PLOE) may negatively affect overall care, although no prior research has evaluated the effect of language preference on HCV screening in EDs. Thus, the goal of this study was to estimate associations between language prefere…
A precision randomized trial to evaluate the impact of tailored hepatitis C treatment adherence support on HCV treatment outcomes among people who inject drugs in India: design and baseline characteristics of the STOP-C trial.
American journal of epidemiology · 2025 · PMID 39572371
Efforts to eliminate the hepatitis C virus (HCV) as a public health problem must include people who inject drugs (PWID). We describe the design and baseline characteristics of the Supporting Treatment Outcomes among PWID trial, which evaluates whether HCV treatment outcomes in PWID can be optimized by tailoring treatment support in 7 PWID-focused integrated HIV/HCV prevention/treatment centers across India. The design is a 3-arm, individual-level precision-randomized trial. Leveraging empirical data, a prediction m…
Temporal Dynamics and Treatment Outcomes of Hepatitis C Virus/Human Immunodeficiency Virus Coinfection: A Multicenter Retrospective Study from South Korea.
Gut and liver · 2025 · PMID 40675927
BACKGROUND/AIMS: Due to the very low incidence of human immunodeficiency virus (HIV) infection in South Korea, epidemiological data on hepatitis C virus (HCV)/HIV coinfection are limited. The aim of this study was to investigate the clinical characteristics and treatment outcomes of patients with HCV/HIV coinfection in South Korea. METHODS: We retrospectively collected data from patients diagnosed with HCV/HIV coinfection at 12 academic hospitals in South Korea from 2009 to 2020. RESULTS: A total of 124 patients we…
Validation of Texas Hepatocellular Carcinoma Consortium Risk Index in the Hepatocellular Carcinoma Early Detection Strategy Study.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026 · PMID 41672261
BACKGROUND & AIMS: We previously developed a hepatocellular carcinoma (HCC) risk stratification model, the Texas HCC Consortium Risk Index (THCC-RI), for patients with cirrhosis. In this cohort study, we aimed to externally validate THCC-RI in a prospective cohort of patients with cirrhosis. METHODS: We used data from the Hepatocellular Carcinoma Early Detection Strategy (HEDS) Study, a prospective cohort of patients with cirrhosis enrolled in regular HCC surveillance at 7 centers in the United States. Patients wer…
The evolving HIV epidemic in Ontario, Canada: A retrospective analysis of new HIV diagnoses to identify subpopulations with persistent risk of HIV transmission.
Canadian journal of public health = Revue canadienne de sante publique · 2025 · PMID 40100336
OBJECTIVE: The objective of this study was to characterize new HIV diagnoses in key Ontario cities, in order to understand current drivers of continued HIV transmission to inform HIV testing and prevention efforts. METHODS: Chart reviews were carried out at four clinical sites in Ontario, Canada. The study population included individuals who were diagnosed with HIV in Ottawa, Hamilton, and Toronto between January 1, 2018, and December 31, 2020, and had no previous evidence of HIV documented. RESULTS: The total numb…
Hepatitis C Eradication Improves Oncologic and Clinical Outcomes in Patients Treated With Atezolizumab Plus Bevacizumab.
Liver international : official journal of the International Association for the Study of the Liver · 2025 · PMID 40980951
BACKGROUND AND AIMS: Hepatitis C virus (HCV) is a key driver of hepatocellular carcinoma (HCC). However, the impact of HCV eradication on systemic therapy remains unclear. We aimed to assess the safety and efficacy of direct-acting antivirals (DAA) in patients treated with Atezolizumab plus Bevacizumab (AtezoBev). METHODS: This retrospective multicentre study included patients with HCV-related unresectable/advanced HCC treated with AtezoBev between 2021 and 2024. Three groups of patients were compared: Group A (n =…
Prevalence and Factors Associated With Hepatitis C in Danish Prisons, 2022-2024: A Multicentre Cross-Sectional Study.
Journal of viral hepatitis · 2026 · PMID 41772784
Prisons offer a critical opportunity for hepatitis C virus (HCV) elimination, yet current data from Danish correctional facilities are sparse. We conducted a cross-sectional study in 16 prisons across Eastern Denmark between October 2022 and August 2024, enrolling 651 incarcerated individuals. All participants underwent HCV antibody and RNA testing using dried blood spots and completed a bio-behavioural risk survey. The prevalence of HCV antibody and HCV RNA was 4.2% (n = 26) and 2.0% (n = 13) respectively. HCV exp…
Integrated biomarkers and renal Doppler for early acute kidney injury diagnosis in hepatitis C virus cirrhosis.
World journal of nephrology · 2026 · PMID 42626007
BACKGROUND: Acute kidney injury (AKI) complicates up to 65% of hospitalizations for decompensated cirrhosis and is associated with high short-term mortality. Traditional markers such as serum creatinine are unreliable in cirrhosis, while novel biomarkers like neutrophil gelatinase-associated lipocalin (NGAL), cystatin C, and Doppler renal resistive index (RRI) show promise but have not been systematically validated in hepatitis C virus-endemic, resource-limited settings such as Egypt. AIM: To evaluate the diagnosti…
Responding to the increase in substance use, HIV, HCV, and overdose in New England (RISE-NE): Protocol for a prospective cohort study.
PloS one · 2026 · PMID 42789600
BACKGROUND: High levels of opioid use, early introduction of drug supply contaminants, and increasing polysubstance use have led to intersecting epidemics of HIV, HCV, and overdose among people who use drugs (PWUD) in New England. Prevention services (e.g., syringe service programs, HIV testing) have been available in parts of New England for decades, yet significant service delivery gaps exist outside of major metropolitan areas. Further, racially minoritized PWUD face heightened discrimination in service settings…
The role of insulin resistance in the development of hepatocellular carcinoma with computational analysis of IRS-1 interaction with HCV genotype 3 core protein.
PloS one · 2026 · PMID 42789558
The link between insulin resistance (IR) and hepatocellular carcinoma (HCC), especially in relation to HCV genotype-3 infection, is still poorly understood. In South Asian countries and among the peoples of the United States, this problem remains a major public health concern. According to previous studies, metabolic and viral interactomes have not been analyzed together, and hence this is a limitation of the study. This cross-sectional observational study involved 110 people, categorized into control (n=20), chron…
Seroprevalence and Risk Factors for Transfusion-transmitted Infections among Blood Donors in Dera Ismail Khan, Pakistan: A Single-Center Cross-sectional Study.
Journal of epidemiology and global health · 2026 · PMID 42414835
BACKGROUND: Although the highly prophylactic precautions and measures for keeping safe blood transfusions, transfusion-transmitted infections (TTIs) still constitute a remarkably significant risk in medicine. Few documents recorded the situation of TTIs in Dera Ismail khan (D.I. Khan) district, Pakistan so this study aimed to assess the prevalence of TTIs among blood donors in the district, to update and enhance the management of a secure blood supply. METHODS: A cross-sectional observational study was conducted at…
Validation of Risk Models for Predicting Post-SVR HCC in Real-World Surveillance Across Global Geographic Regions.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 42257496
BACKGROUND & AIMS: Several clinical risk models have been proposed to stratify hepatocellular carcinoma (HCC) risk in patients with chronic hepatitis C virus (HCV) after sustained virologic response (SVR). However, validation efforts have focused on monocentric or country-specific cohorts, and it is unclear if clinical risk models can be broadly applied to global populations. We characterised regional variation in model performance for HCC risk stratification in post-SVR patients. METHODS: Four HCC clinical risk mo…
Incidence of antiretroviral therapy regimen modification and associated factors among People Living with HIV in Beijing, China.
PLOS global public health · 2025 · PMID 41183094
Durability of the initially prescribed antiretroviral therapy (ART) regimen is critical for long-term virologic suppression among people living with human immunodeficiency virus (HIV). However, data on the incidence of regimen modification and its associated factors remain limited in China. We aim to quantify the incidence of initially prescribed ART modification and identify associated baseline factors in China. Treatment-naïve adults (≥18 years) who initiated ART with complete regimen records and have documented …
Health Outcomes Associated with Asymptomatic Toxoplasma gondii Seropositivity in Young Adults: A Nationwide Matched Cohort Study.
Microorganisms · 2026 · PMID 42075177
Toxoplasma gondii establishes latent infection in a substantial proportion of the global population, yet the long-term health consequences of this infection remain incompletely characterized. We conducted a retrospective observational matched cohort study using longitudinal electronic health record data from a nationwide integrated healthcare provider, including members aged 18-45 years who underwent routine Toxoplasma serologic screening, typically performed in obstetric evaluation, excluding patients with clinica…
Preclinical Research4 records
First Detection and Phylogenetic Analysis of Equine Hepacivirus (EqHV) in Iran.
Veterinary medicine and science · 2026 · PMID 41420497
BACKGROUND: The recent identification of novel viruses associated with hepatitis in horses has prompted equine veterinarians to investigate the viral factors contributing to equine hepatitis. Hepacivirus equi (EqHV), a member of the Flaviviridae family within the Hepacivirus genus, has been detected in horses affected by hepatitis. Globally, EqHV is highly conserved, existing as a single genotype with three distinct subtypes (Subtypes 1-3). Numerous studies have detected the virus by PCR and identified EqHV-specifi…
Functional Antigen-Specific CD8 TSCM Responses Are Associated with Repeated Clearance of Hepatitis C Virus Infection.
European journal of immunology · 2025 · PMID 41410180
Natural clearance of hepatitis C virus (HCV) infection occurs in about 25% of primary infections, but offers only partial protective immunity against re-infections. This study hypothesised that long-lived polyfunctional HCV-specific CD8+ memory stem T cells (TSCM) contribute to protective immunity in rare super-clearer subjects who repeatedly clear viraemia. Six super-clearers and four clearer-chronic subjects who resolved a primary infection but subsequently developed chronic infection were studied at multiple tim…
Polyphenols as Antiviral Agents: Their Potential Against a Range of Virus Types.
Nutrients · 2025 · PMID 40732950
Polyphenols are structurally diverse plant metabolites that have attracted significant interest. Their compositions are versatile, depending on their structures, including the number of rings in the polyphenol composition. Based on these attributes, polyphenols can be classified as flavanols, anthocyanins, flavones, phenolic acids, stilbenes, and lignans. Polyphenols mainly possess inhibition of viral replication, interference with viral protein synthesis, and modulation of immune responses, providing significant a…
Distribution and structural diversity of type IV internal ribosome entry sites.
RNA (New York, N.Y.) · 2026 · PMID 41633772
Internal ribosome entry sites (IRESs) are RNA sequences that facilitate cap- and end-independent translation initiation in eukaryotes. Type IV IRESs, which include the hepatitis C virus IRES, directly bind the 40S ribosomal subunit and require only a subset of canonical initiation factors to function. As the full extent of diversity and species distribution of type IV IRESs was unknown, we sought to identify and classify the architectural variation of all members. Using a secondary structure homology-based search m…
Promising Experimental Therapies2 records
Evolutionary Complexity of Primate Immune System Uncovered by the Extensive Phylogenomic Sampling.
Genome biology and evolution · 2026 · PMID 41921952
The immune system mediates the complex interaction between pathogenic microorganisms and their hosts. Despite its significance, the evolutionary mechanisms underlying immune system complexity in primates remain largely elusive. In this study, we investigated the evolution of the primate immune system by generating the first comprehensive catalog of immune-related genes through extensive phylogenomic sampling. Our analyses uncovered substantial genetic diversity in the evolution of the primate immune system, in the …
Structural bioinformatics approaches for predicting novel drug targets in hepatitis C virus proteins: a comprehensive analysis.
Scientific reports · 2025 · PMID 40707671
This study employs structural bioinformatics approaches to identify and evaluate potential drug targets within the Hepatitis C virus (HCV) proteome. Through integration of homology modeling, molecular docking, and molecular dynamics simulations, we analyzed the structural features and druggability of key HCV proteins. The research focused on predicting binding sites, evaluating protein-ligand interactions, and assessing the therapeutic potential of identified targets. Our findings revealed promising drug targets in…
Prospective Cohort Studies6 records
Validation of Texas Hepatocellular Carcinoma Consortium Risk Index in the Hepatocellular Carcinoma Early Detection Strategy Study.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026 · PMID 41672261
BACKGROUND & AIMS: We previously developed a hepatocellular carcinoma (HCC) risk stratification model, the Texas HCC Consortium Risk Index (THCC-RI), for patients with cirrhosis. In this cohort study, we aimed to externally validate THCC-RI in a prospective cohort of patients with cirrhosis. METHODS: We used data from the Hepatocellular Carcinoma Early Detection Strategy (HEDS) Study, a prospective cohort of patients with cirrhosis enrolled in regular HCC surveillance at 7 centers in the United States. Patients wer…
Responding to the increase in substance use, HIV, HCV, and overdose in New England (RISE-NE): Protocol for a prospective cohort study.
PloS one · 2026 · PMID 42789600
BACKGROUND: High levels of opioid use, early introduction of drug supply contaminants, and increasing polysubstance use have led to intersecting epidemics of HIV, HCV, and overdose among people who use drugs (PWUD) in New England. Prevention services (e.g., syringe service programs, HIV testing) have been available in parts of New England for decades, yet significant service delivery gaps exist outside of major metropolitan areas. Further, racially minoritized PWUD face heightened discrimination in service settings…
Beyond Risk Factors: Rethinking Hepatitis B and Hepatitis C Screening in Primary Care.
Liver international : official journal of the International Association for the Study of the Liver · 2025 · PMID 40970664
INTRODUCTION: Most international guidelines recommend screening for hepatitis B virus (HBV) and hepatitis C virus (HCV) only for individuals with risk factors or elevated ALT levels. However, this approach may not suffice to eradicate viral hepatitis. This study evaluates the application of EASL HBV and HCV screening guidelines in primary care centres (PCCs). METHODS: The study included two components: (1) A retrospective review (January 2021-March 2023) of microbiology data to determine testing rates, analyse clin…
Scalp haircuts, keloids and blood-borne virus transmission risk in South Africa-The SHAKA study.
PloS one · 2025 · PMID 41259314
BACKGROUND: The most frequent transmission modes of blood-borne infections (BBI), including HIV, hepatitis B virus (HBV) and C (HCV), are well documented. South Africa, an HIV epicentre, with HBV endemicity and an additional HCV burden, raises the possibility of novel transmission means. A unique style of close shave haircut that can elicit folliculitis keloidalis nuchea (FKN), may produce bleeding during haircuts and possible BBI transmission. We designed a prospective case control study to evaluate the potential …
Emergency Department-Based Screening and Linkage-to-Care for Hepatitis B, C, and D in a Referral Hospital in Barcelona, Spain: Reduction in Hepatitis C Prevalence After Five Years.
Viruses · 2026 · PMID 42797761
BACKGROUND: Emergency Department (ED) viral hepatitis screening programs typically report short-term outcomes. We evaluated the medium-term impact of an ED-based screening for Hepatitis C (HCV), Hepatitis B (HBV), and Hepatitis D (HDV) viruses. METHODS: Prospective opportunistic screening conducted between January 2020 and December 2024 at a referral hospital in Barcelona. Adults attending the ED were screened for HBV, HCV, and HDV. Positive cases were evaluated and linked to care when appropriate. To assess screen…
Hepatitis B virus prevalence, susceptibility and care engagement among vulnerable migrant populations in Rome.
BMC infectious diseases · 2026 · PMID 42414913
BACKGROUND: Hepatitis B virus (HBV) remains a leading cause of morbidity and liver-related mortality globally. Vulnerable migrant populations often experience challenges with accessing testing, vaccination and care, both before and after arrival. METHODS: Asylum seekers and undocumented migrants hosted in six reception facilities in metropolitan Rome were prospectively offered screening for hepatitis B surface antigen (HBsAg), surface antibodies (anti-HBs) and core antibodies (anti-HBc). Individuals with HBsAg posi…
Quality Of Life3 records
Global Systematic Review of the Measurement of Stigma Associated With People Living With Hepatitis B or Hepatitis C Viruses.
Journal of viral hepatitis · 2025 · PMID 40856266
Chronic hepatitis B and C affect over 300 million people globally. Despite treatment advances, stigma towards people living with hepatitis B/C (PLWHB/C) remains a barrier to care and impacts health outcomes. Addressing this stigma is key to achieving hepatitis elimination goals. This systematic review aims to synthesise existing approaches to measuring stigma experienced by PLWHB/C and examine factors associated with stigma in different social contexts. Databases searched included PubMed, PsycInfo and Web of Scienc…
Assessment of Health-Related Quality of Life in Patients Suffering From Chronic Liver Disease in a Tertiary Care Hospital: A Cross-Sectional Study.
Health science reports · 2025 · PMID 40937011
BACKGROUND AND AIMS: Chronic liver disease (CLD) significantly impairs health-related quality of life (HRQoL) due to its multifaceted impact on physical, psychological, and social well-being. Despite its prevalence in Pakistan, there is limited data on the specific HRQoL challenges faced by patients with CLD. This study aims to assess HRQoL in CLD patients using the Chronic Liver Disease Questionnaire (CLDQ) and identify factors influencing their quality of life. METHODS: A cross-sectional study was conducted in a …
Post-treatment life-trajectories among people who inject drugs who completed hepatitis C treatment with direct acting antivirals: A thematic analysis.
British journal of health psychology · 2025 · PMID 40650350
BACKGROUND: Hepatitis C Virus is a global health burden, particularly affecting people who inject drugs. Direct-acting antiviral treatment can cure almost all people infected with hepatitis C. However, the longer-term impacts on within people's life trajectories are unknown, although some suggest it may lead to fundamental behavioural changes. DESIGN: A cross-sectional exploratory retrospective qualitative design. METHODS: We interviewed 30 people who inject(ed) drugs and who had previously been treated with direct…
Randomized Controlled Trials9 records
Efficacy of direct-acting antiviral regimens for acute HCV infection: a systematic review and meta-analysis.
Virology journal · 2026 · PMID 42850633
BACKGROUND: Acute and recently acquired hepatitis C virus (HCV) infection clusters in men who have sex with men living with HIV and in people who inject drugs, where early cure benefits both the individual and transmission control. The best interferon-free dual direct-acting antiviral (DAA) regimen and treatment duration, including short courses, remain undefined. METHODS: MEDLINE, Scopus, and the Cochrane Central Register of Controlled Trials were searched to 1 July 2026 for studies of interferon-free dual-DAA the…
Natural history of chronic hepatitis B in untreated adults without cirrhosis according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41839199
BACKGROUND: Chronic hepatitis B (CHB) affects an estimated 254 million people globally. Historically, WHO and professional society guidelines have recommended treatment for individuals at high risk of disease progression, including those with hepatitis B virus (HBV) DNA concentrations >20 000 IU/mL. Whether individuals at lower risk, including those with HBV DNA <20 000 IU/mL and normal alanine aminotransferase concentrations, benefit from treatment remains uncertain. To inform 2024 WHO guidelines and the potential…
Comparative efficacy of immune checkpoint inhibitor-based regimens versus tyrosine kinase inhibitors in advanced hepatocellular carcinoma stratified by etiology: a systematic review and meta-analysis.
International journal of clinical oncology · 2026 · PMID 41701457
BACKGROUND: Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality worldwide, with limited treatment success in advanced stages. Tyrosine kinase inhibitors (TKIs), such as sorafenib and lenvatinib, are the first-line treatments; however, their modest survival benefits and toxicity require better alternatives. Immune checkpoint inhibitors (ICIs) have shown promise; however, direct comparisons between ICI-based regimens and TKIs, particularly those stratified by hepatocellular carcinoma (H…
Efficacy of antiviral therapy in adults with chronic hepatitis B according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41839198
BACKGROUND: In the 2015 WHO guidelines for chronic hepatitis B (CHB), antiviral therapy was recommended for individuals with cirrhosis and individuals without cirrhosis with persistently elevated alanine aminotransferase (ALT) concentrations and hepatitis B virus (HBV) DNA >20 000 IU/mL, whereas treatment was deferred for individuals with persistently normal ALT concentrations and HBV DNA <2000 IU/mL. To inform 2024 WHO guidelines on CHB and the potential expansion of treatment threshold recommendations, we conduct…
Sofosbuvir/Daclatasvir versus Grazoprevir/Elbasvir in Patients with Chronic Hepatitis C on Haemodialysis: A Multicentre, Single-Blind, Randomised Controlled Trial.
Acta medica Indonesiana · 2026 · PMID 42845083
BACKGROUND: Patients with chronic kidney disease undergoing hemodialysis are at risk of hepatitis C virus exposure due to nosocomial transmission and the duration of hemodialysis. The treatment for hepatitis C in patients with chronic kidney disease undergoing hemodialysis is oral direct-acting antiviral (DAA) therapy, which works directly as an antiviral. Currently, the DAA considered safe for use in patients with chronic kidney disease is grazoprevir/elbasvir. However, this DAA is expensive and effective in patie…
Sustained Virological Response as a Surrogate Marker for Mortality, Decompensated Cirrhosis, or Hepatocellular Carcinoma in People With Chronic Hepatitis C Virus Infection Treated With Direct-Acting Antivirals: Protocol for a Bayesian and Causal Mediation Analysis.
JMIR research protocols · 2025 · PMID 40633094
BACKGROUND: Sustained virological response (SVR) is commonly used as a marker of treatment success in people with chronic hepatitis C virus (HCV) infection. However, there is uncertainty on whether SVR is a validated surrogate marker of successful chronic HCV infection treatment. OBJECTIVE: This research project aims to evaluate whether SVR is a good surrogate for all-cause mortality, decompensated cirrhosis, any specific aspect of liver decompensation (jaundice, ascites, hepatic encephalopathy, hepatorenal syndrom…
Long-term changes in hepatic reserve and prognosis after direct-acting antiviral treatment in patients with hepatitis C virus-related decompensated cirrhosis: a five-year follow-up study of a Japanese phase 3 trial.
Journal of gastroenterology · 2026 · PMID 41168423
BACKGROUND: Long-term effects of direct-acting antiviral (DAA) on hepatic reserve and prognosis in hepatitis C virus (HCV)-related decompensated cirrhosis remain unclear. METHODS: Ninety-four patients from a follow-up study of the Japanese phase 3 trial of DAA treatment for decompensated cirrhosis were included. RESULTS: Twelve, seventy-seven, and ten percent of patients had Child-Pugh class A/B/C, respectively. The sustained virologic response (SVR) rate was 93.6%. The proportion of Child-Pugh A patients was 21% a…
A precision randomized trial to evaluate the impact of tailored hepatitis C treatment adherence support on HCV treatment outcomes among people who inject drugs in India: design and baseline characteristics of the STOP-C trial.
American journal of epidemiology · 2025 · PMID 39572371
Efforts to eliminate the hepatitis C virus (HCV) as a public health problem must include people who inject drugs (PWID). We describe the design and baseline characteristics of the Supporting Treatment Outcomes among PWID trial, which evaluates whether HCV treatment outcomes in PWID can be optimized by tailoring treatment support in 7 PWID-focused integrated HIV/HCV prevention/treatment centers across India. The design is a 3-arm, individual-level precision-randomized trial. Leveraging empirical data, a prediction m…
Community-based interventions for hepatitis C virus elimination among people who use drugs in Shanghai, China.
Harm reduction journal · 2026 · PMID 42421061
BACKGROUND: The prevalence of hepatitis C virus (HCV) infection among people who use drugs (PWUD) in China remains high, yet diagnosis and treatment rates are low. Strategies are urgently needed to achieve the World Health Organization's goal of eliminating HCV as a public health threat by 2030. AIM: To improve HCV diagnosis and treatment rates among PWUD in Pudong New Area, Shanghai, China. METHODS: A non-randomized controlled intervention study was implemented among individuals with a substance addiction history …
Safety And Adverse Effects20 records
Effect of donor exclusion criteria on blood safety and volume of donations: a systematic review of modelling studies.
Bulletin of the World Health Organization · 2026 · PMID 41924344
OBJECTIVE: To assess the effect of easing bans and deferral policies on blood donation from men who have sex with men on blood safety and volume from modelling studies. METHODS: We searched four databases (PubMed®, Embase®, CINAHL and Web of Science) for modelling studies on the impact of replacing bans or deferrals on blood donations from men who have sex with men with shorter deferral periods or no deferrals. We synthesized and compared findings from the different modelling studies, and assessed risk of bias and …
Targeting Helicobacter pylori in liver-impaired populations: a systematic review of efficacy and safety.
Journal of clinical biochemistry and nutrition · 2025 · PMID 41312005
Liver impairment can alter the metabolic capacity of the organ significantly, potentially affecting the efficacy and safety of Helicobacter pylori (H. pylori) eradication regimens. Although this issue is highly significant, no standardized guidelines currently exist for H. pylori eradication therapy in patients with liver dysfunction. To bridge this gap, we systematically reviewed studies on the efficacy and safety of H. pylori eradication therapy in individuals with liver impairment. The systematic review included…
Psoriasis and Chronic Viral Infections (HIV, HBV, and HCV): Therapeutic Approach and Safety.
Medicina (Kaunas, Lithuania) · 2026 · PMID 42796402
Background and Objectives: Psoriasis is a chronic immune-mediated inflammatory disease that often requires long-term systemic therapy. Coexisting human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) infection complicates treatment selection because clinicians must balance control of skin and joint inflammation against risks of opportunistic infection, viral replication or reactivation, hepatotoxicity, and drug interactions. Materials and Methods: This narrative review summarizes e…
Hepatitis C Eradication Improves Oncologic and Clinical Outcomes in Patients Treated With Atezolizumab Plus Bevacizumab.
Liver international : official journal of the International Association for the Study of the Liver · 2025 · PMID 40980951
BACKGROUND AND AIMS: Hepatitis C virus (HCV) is a key driver of hepatocellular carcinoma (HCC). However, the impact of HCV eradication on systemic therapy remains unclear. We aimed to assess the safety and efficacy of direct-acting antivirals (DAA) in patients treated with Atezolizumab plus Bevacizumab (AtezoBev). METHODS: This retrospective multicentre study included patients with HCV-related unresectable/advanced HCC treated with AtezoBev between 2021 and 2024. Three groups of patients were compared: Group A (n =…
High Efficiency and Safety of Hepatitis C Treatment Among People Who Inject Drugs in Vietnam.
Journal of viral hepatitis · 2025 · PMID 41017776
People who inject drugs (PWID) are highly affected by hepatitis C (HCV) worldwide, particularly in low- and middle-income countries (LMICs), where access to addiction services is often limited. Reducing the burden of HCV, as promoted by WHO, requires effective interventions in this high-risk population. Here, we report the safety and efficacy of a pangenotypic generic HCV treatment among PWID in Vietnam, using a sofosbuvir/daclatasvir regimen. PWID were screened for HCV at two community-based organisations (CBO) pr…
Long-Term Outcomes of Heart Transplantation Using Hepatitis C-Positive Donors.
Transplantation proceedings · 2026 · PMID 42608263
BACKGROUND: The global shortage of donor organs has prompted the utilization of extended criteria donors, including those infected with hepatitis C virus (HCV). While direct-acting antivirals (DAAs) have made this strategy feasible, data regarding long-term outcomes in the Asian population remain limited. We aimed to evaluate the long-term survival outcomes of heart transplantation (HT) using HCV-positive donors in a single-center Asian cohort. METHODS: This retrospective study analyzed 451 adult HT recipients at a…
Serological Profile of Hepatitis B, C, and D and Factors Associated With Hepatitis B Exposure and Vaccination Among Hemodialysis Patients in Northeastern Brazil.
International journal of nephrology · 2026 · PMID 42666474
INTRODUCTION: Hemodialysis patients are at increased risk for viral hepatitis due to treatment-related exposures and transmission routes, potentially worsening liver and kidney disease. However, updated regional data in Brazil are scarce. This study evaluated the seroprevalence of hepatitis B, C, and D viruses (HBV, HCV, and HDV) and analyzed risk factors associated with HBV infection among patients undergoing hemodialysis in Northeast Brazil. METHODS: This study corresponds to a cross-sectional evaluation of 293 p…
Safety and Drug-Drug Interaction Burden of Direct-Acting Antiviral Therapy for Hepatitis C: A Single-Center Community Hospital Analysis.
International journal of hepatology · 2026 · PMID 42089097
BACKGROUND: Polypharmacy leads to drug-drug interactions (DDIs) with direct-acting antivirals (DAAs). We quantified the DDI burden (Liverpool categories) and evaluated its association with effectiveness and safety. We assessed renal function as a predictor of adverse events (AEs) and reported loss to follow-up (LTFU). METHODS: We retrospectively analyzed 145 adults with chronic hepatitis C treated with glecaprevir/pibrentasvir (GLE/PIB) or sofosbuvir/velpatasvir (SOF/VEL) between February 2018 and October 2024. The…
[Effectiveness of donor selection in a blood bank].
Revista medica del Instituto Mexicano del Seguro Social · 2026 · PMID 42771817
Transfusion safety in Mexico depends on 2 essential pillars: The proper clinical selection of donors and the effective application of screening tests established in current regulations. Among these tests, it is included mandatory detection of human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), as well as Trypanosoma cruzi and Treponema pallidum, all considered highly relevant pathogens due to their potential for bloodborne transmission and their clinical impact. Each year, thousand…
Comparative Diagnostic Yield of Rapid Immunoassay-Based Tests and Nucleic Acid Testing for Transfusion-Transmissible Infections in a Tertiary Care Setting.
Cureus · 2026 · PMID 42787376
BACKGROUND: Transfusion-transmissible infections (TTIs), particularly human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV), continue to compromise blood safety, especially in high-burden and resource-limited settings. Variability in diagnostic performance across screening modalities contributes to residual risk, particularly during the immunological window period. OBJECTIVE: To comparatively evaluate the diagnostic performance and incremental yield of Rapid tests, enzyme-linked i…
Donor-derived viral infections: the usual suspects and the new kids on the block.
Transplant international : official journal of the European Society for Organ Transplantation · 2026 · PMID 42787256
The expansion of the transplant donor pool, driven by the need to reduce the disparity between supply and demand, carries the risk of use of marginal donors with viral infections, including classic viruses and emerging threats. This narrative review analyzes these challenges, including new opportunities in managing well known viruses such as Hepatitis B, Hepatitis C and Human Immunodeficiency Virus in both donors and recipients, thanks to new effective antivirals. Furthermore, we highlight the importance of monitor…
Real-world effectiveness of pangenotypic direct-acting antivirals in chronic hepatitis C: A retrospective cohort study.
Medicine · 2026 · PMID 42798105
The aim of this study was to evaluate virological response, biochemical changes, and treatment tolerability in patients with chronic hepatitis C receiving pangenotypic direct-acting antiviral (DAA) therapy. The study included patients with chronic hepatitis C virus infection followed at a tertiary care center between 2018 and 2023. Data were evaluated retrospectively. Patients who completed pangenotypic DAA treatment and had an available SVR12 (sustained virologic response 12 weeks after treatment completion) resul…
Recent Advances in the Epidemiology, Screening, and Management of Hepatitis C Virus Infection in Pregnancy.
Gastroenterology & hepatology · 2026 · PMID 41884643
Hepatitis C virus (HCV) affects an estimated 58 million people worldwide, with rising rates among women of reproductive age. This trend has important implications in pregnancy, as HCV infection can lead to adverse maternal outcomes, mother-to-child transmission, and adverse neonatal outcomes. The perinatal period is a critical time both to identify cases of HCV infection and to initiate treatment, as patients have greater access to care during this time. There has been a guideline shift from risk-based screening fo…
A Case Report of Direct-Acting Antiviral Therapy for Chronic Hepatitis C in a Patient With Dementia Treated in Collaboration With Multiple Specialists.
Case reports in hepatology · 2026 · PMID 41607712
A 77-year-old female with dementia was transferred from her family clinic to our hospital with a 2-day history of appetite loss and was diagnosed with pneumonia and urinary tract infection upon admission. Laboratory investigation revealed hepatitis C virus antibody positivity and an elevated hepatitis C virus ribonucleic acid level of 3.6 Log IU/mL; therefore, direct-acting antiviral therapy was initiated. Although the patient requested treatment for hepatitis C, managing her medication was difficult because of dem…
Knowledge and Prevalence of Hepatitis B and C Viral Infections Among Beauticians: A Cross-Sectional Study in the Ejisu-Juaben Municipality of the Ashanti Region, Ghana.
Health science reports · 2026 · PMID 41492334
BACKGROUND AND AIMS: Procedures used by beauticians pose a significant risk of transmitting blood-borne viruses, including hepatitis B virus (HBV) and hepatitis C virus (HCV). Despite this risk, data on HBV and HCV prevalence and knowledge among beauticians in Ghana are limited. This study aimed to assess the knowledge, prevalence, and workplace safety practices related to HBV and HCV infections among beauticians in the Ejisu-Juaben Municipality. METHODS: A cross-sectional study was conducted from June to August 20…
Seroprevalence and Risk Factors of Transfusion-Related Infections Among Blood Donors in Central China During and After the COVID-19 Pandemic: Evaluation of TTIs in Shiyan.
Journal of tropical medicine · 2025 · PMID 41467084
OBJECTIVE: Bloodborne pathogens including hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV), and Treponema pallidum pose a significant menace to transfusion medicine and the public health system. Conducted during the unprecedented global COVID-19 pandemic, this retrospective analysis (2020-2024) evaluated blood donors from Shiyan, China, aiming to ensure blood safety amidst the challenges posed by the pandemic. METHODS: Cases of transfusion-transmitted infections (TTIs) were analy…
Silent mutations in coding regions of Hepatitis C virus affect patterns of HCV RNA structures and attenuate viral replication and pathogenesis.
Genome biology · 2025 · PMID 41053842
BACKGROUND: Vaccines based on live attenuated viruses are the most effective strategy for controlling infections, since they elicit long-lasting natural and effective immune response, but entail challenges for safety and virulence. Hepatitis C Virus (HCV) causes liver diseases and liver cancer, with millions infected each year and hundreds of thousands of annual fatalities; but no vaccine is currently available for the virus. Here, we present a novel computational approach for the accurate prediction of virus atten…
Challenges in coverage of future hepatitis C vaccines: Review and potential solutions.
Vaccine · 2025 · PMID 40412331
BACKGROUND: Motivated by the high mortality burden of hepatitis C virus (HCV) and the unprecedented rapid development of the COVID-19 and respiratory syncytial virus (RSV) vaccines, we note that a prompt HCV vaccine rollout may streamline the World Health Organization's goal to eliminate HCV before 2030. While progress in the development of HCV vaccine candidates has rapidly flourished, vaccine hesitancy and HCV incidence are both particularly prevalent in people who inject drugs (PWID). The aim of this paper is to…
Exploring the impact of graded alcohol use on atherogenic lipid profiles among Latinos with underlying chronic liver disease.
Alcohol, clinical & experimental research · 2025 · PMID 40022301
BACKGROUND: Alcohol use and hepatitis C virus (HCV) often coexist and are associated with cardiovascular disease. One of the underlying drivers is dyslipidemia. We assessed lipid and lipoprotein levels and the relationship between alcohol use and atherogenic lipid profiles, specifically small dense low-density lipoprotein cholesterol (sdLDL-C), in Latinos with and without HCV. METHODS: From June 1, 2002, to January 1, 2016, 150 Latino adults underwent demographic, clinical, metabolic, lipid/lipoprotein, and genetic…
Atezolizumab-bevacizumab rechallenge after immune checkpoint inhibitor-associated myocarditis in advanced hepatocellular carcinoma: a case report.
Frontiers in oncology · 2026 · PMID 42787141
BACKGROUND: atezolizumab-bevacizumab is the standard first-line systemic treatment for unresectable hepatocellular carcinoma (HCC). Immune checkpoint inhibitor (ICI)-associated myocarditis is a rare but potentially life-threatening immune-related adverse event. Evidence regarding ICI rechallenge after myocarditis remains limited, particularly in patients with HCC. CASE PRESENTATION: We report the case of a 59-year-old man with hepatitis C-related cirrhosis and advanced HCC with portal vein tumor thrombosis, treated…
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