The epidemiology of hepatitis C virus in Central Asia: Systematic review, meta-analyses, and meta-regression analyses

<div><p>The objective was to delineate hepatitis C virus (HCV) epidemiology in countries of Central Asia (CA), specifically Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan. A systematic review was conducted guided by the Cochrane Collaboration Handbook, and reported usin...

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Main Author: Welathanthrige S. P. Botheju (18618643) (author)
Other Authors: Fawzi Zghyer (14779651) (author), Sarwat Mahmud (4557208) (author), Assel Terlikbayeva (310190) (author), Nabila El-Bassel (654680) (author), Laith J. Abu-Raddad (9262524) (author)
Published: 2019
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author Welathanthrige S. P. Botheju (18618643)
author2 Fawzi Zghyer (14779651)
Sarwat Mahmud (4557208)
Assel Terlikbayeva (310190)
Nabila El-Bassel (654680)
Laith J. Abu-Raddad (9262524)
author2_role author
author
author
author
author
author_facet Welathanthrige S. P. Botheju (18618643)
Fawzi Zghyer (14779651)
Sarwat Mahmud (4557208)
Assel Terlikbayeva (310190)
Nabila El-Bassel (654680)
Laith J. Abu-Raddad (9262524)
author_role author
dc.creator.none.fl_str_mv Welathanthrige S. P. Botheju (18618643)
Fawzi Zghyer (14779651)
Sarwat Mahmud (4557208)
Assel Terlikbayeva (310190)
Nabila El-Bassel (654680)
Laith J. Abu-Raddad (9262524)
dc.date.none.fl_str_mv 2019-02-14T03:00:00Z
dc.identifier.none.fl_str_mv 10.1038/s41598-019-38853-8
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/The_epidemiology_of_hepatitis_C_virus_in_Central_Asia_Systematic_review_meta-analyses_and_meta-regression_analyses/25907569
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Health sciences
Epidemiology
Mathematical sciences
Statistics
Hepatitis C Virus (HCV)
Epidemiology
Central Asia (CA)
Prevalence
Incidence
Genotypes
Clinical Populations
dc.title.none.fl_str_mv The epidemiology of hepatitis C virus in Central Asia: Systematic review, meta-analyses, and meta-regression analyses
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <div><p>The objective was to delineate hepatitis C virus (HCV) epidemiology in countries of Central Asia (CA), specifically Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan. A systematic review was conducted guided by the Cochrane Collaboration Handbook, and reported using PRISMA guidelines. Meta-analyses were performed using DerSimonian-Laird random-effects models with inverse variance weighting. Random-effects meta-regression analyses were performed on general population studies. The systematic review identified a total of 208 HCV prevalence measures. No incidence or Turkmenistan studies were identified. Meta-analyses estimated HCV prevalence among the general population at 0.7% (95%CI: 0.7–0.8%) in Kazakhstan, 2.0% (95%CI: 1.7–2.4%) in Kyrgyzstan, 2.6% (95%CI: 1.7–3.6%) in Tajikistan, and 9.6 (95%CI: 5.8–14.2%) in Uzbekistan. Across CA, the pooled mean prevalence was 13.5% (95%CI: 10.9–16.4%) among non-specific clinical populations, 31.6% (95%CI: 25.8–37.7%) among populations with liver-related conditions, and 51.3% (95%CI: 46.9–55.6%) among people who inject drugs. Genotypes 1 (52.6%) and 3 (38.0%) were most frequent. Evidence was found for statistically-significant differences in prevalence by country, but not for a temporal decline in prevalence. CA is one of the most affected regions by HCV infection with Uzbekistan enduring one of the highest prevalence levels worldwide. Ongoing HCV transmission seems to be driven by injecting drug use and healthcare exposures.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Scientific Reports<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1038/s41598-019-38853-8" target="_blank">https://dx.doi.org/10.1038/s41598-019-38853-8</a></p>
eu_rights_str_mv openAccess
id Manara2_cbd90e13d31c7c8665848832f33764e8
identifier_str_mv 10.1038/s41598-019-38853-8
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/25907569
publishDate 2019
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rights_invalid_str_mv CC BY 4.0
spelling The epidemiology of hepatitis C virus in Central Asia: Systematic review, meta-analyses, and meta-regression analysesWelathanthrige S. P. Botheju (18618643)Fawzi Zghyer (14779651)Sarwat Mahmud (4557208)Assel Terlikbayeva (310190)Nabila El-Bassel (654680)Laith J. Abu-Raddad (9262524)Health sciencesEpidemiologyMathematical sciencesStatisticsHepatitis C Virus (HCV)EpidemiologyCentral Asia (CA)PrevalenceIncidenceGenotypesClinical Populations<div><p>The objective was to delineate hepatitis C virus (HCV) epidemiology in countries of Central Asia (CA), specifically Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan. A systematic review was conducted guided by the Cochrane Collaboration Handbook, and reported using PRISMA guidelines. Meta-analyses were performed using DerSimonian-Laird random-effects models with inverse variance weighting. Random-effects meta-regression analyses were performed on general population studies. The systematic review identified a total of 208 HCV prevalence measures. No incidence or Turkmenistan studies were identified. Meta-analyses estimated HCV prevalence among the general population at 0.7% (95%CI: 0.7–0.8%) in Kazakhstan, 2.0% (95%CI: 1.7–2.4%) in Kyrgyzstan, 2.6% (95%CI: 1.7–3.6%) in Tajikistan, and 9.6 (95%CI: 5.8–14.2%) in Uzbekistan. Across CA, the pooled mean prevalence was 13.5% (95%CI: 10.9–16.4%) among non-specific clinical populations, 31.6% (95%CI: 25.8–37.7%) among populations with liver-related conditions, and 51.3% (95%CI: 46.9–55.6%) among people who inject drugs. Genotypes 1 (52.6%) and 3 (38.0%) were most frequent. Evidence was found for statistically-significant differences in prevalence by country, but not for a temporal decline in prevalence. CA is one of the most affected regions by HCV infection with Uzbekistan enduring one of the highest prevalence levels worldwide. Ongoing HCV transmission seems to be driven by injecting drug use and healthcare exposures.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Scientific Reports<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1038/s41598-019-38853-8" target="_blank">https://dx.doi.org/10.1038/s41598-019-38853-8</a></p>2019-02-14T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1038/s41598-019-38853-8https://figshare.com/articles/journal_contribution/The_epidemiology_of_hepatitis_C_virus_in_Central_Asia_Systematic_review_meta-analyses_and_meta-regression_analyses/25907569CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/259075692019-02-14T03:00:00Z
spellingShingle The epidemiology of hepatitis C virus in Central Asia: Systematic review, meta-analyses, and meta-regression analyses
Welathanthrige S. P. Botheju (18618643)
Health sciences
Epidemiology
Mathematical sciences
Statistics
Hepatitis C Virus (HCV)
Epidemiology
Central Asia (CA)
Prevalence
Incidence
Genotypes
Clinical Populations
status_str publishedVersion
title The epidemiology of hepatitis C virus in Central Asia: Systematic review, meta-analyses, and meta-regression analyses
title_full The epidemiology of hepatitis C virus in Central Asia: Systematic review, meta-analyses, and meta-regression analyses
title_fullStr The epidemiology of hepatitis C virus in Central Asia: Systematic review, meta-analyses, and meta-regression analyses
title_full_unstemmed The epidemiology of hepatitis C virus in Central Asia: Systematic review, meta-analyses, and meta-regression analyses
title_short The epidemiology of hepatitis C virus in Central Asia: Systematic review, meta-analyses, and meta-regression analyses
title_sort The epidemiology of hepatitis C virus in Central Asia: Systematic review, meta-analyses, and meta-regression analyses
topic Health sciences
Epidemiology
Mathematical sciences
Statistics
Hepatitis C Virus (HCV)
Epidemiology
Central Asia (CA)
Prevalence
Incidence
Genotypes
Clinical Populations