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Screening for hepatitis C virus infection in adults: U.S. Preventive Services Task Force recommendation statement.
Abstract
DESCRIPTION: Update of the 2004 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for and treatment of hepatitis C virus (HCV) infection in asymptomatic adults. METHODS: The Agency for Healthcare Research and Quality commissioned 2 systematic reviews on screening for and treatment of HCV infection in asymptomatic adults, focusing on evidence gaps identified in the previous USPSTF recommendation and new studies published since 2004. The evidence on screening for HCV in pregnant women was also considered. POPULATION: This recommendation applies to all asymptomatic adults without known liver disease or functional abnormalities. RECOMMENDATION: The USPSTF recommends screening for HCV infection in persons at high risk for infection. The USPSTF also recommends offering 1-time screening for HCV infection to adults born between 1945 and 1965. (B recommendation).
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“The most important risk factor for HCV infection is past or current injecting drug use (157).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [157]
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Limited Coverage of Hepatitis C Virus Testing in the United States, 2013–2017
Patel, E. U., Mehta, S. H., Boon, D., Quinn, T. C., Thomas, D. L., & Tobian, A. A. R. (2018) · Clinical Infectious Diseases · doi:10.1093/cid/ciy803 · Cited by 19
Management of Hepatitis C in 2019
Marks, K., & Naggie, S. (2019) · JAMA · doi:10.1001/jama.2019.5353 · Cited by 19
Novikov, D., Feng, J. E., Anoushiravani, A. A., Vigdorchik, J. M., Lajam, C. M., Seyler, T. M., & Schwarzkopf, R. M. (2019) · The Journal of Arthroplasty · doi:10.1016/j.arth.2019.06.058 · Cited by 19
Expanded Hepatitis C Virus Screening Recommendations Promote Opportunities for Care and Cure
Ngo‐Metzger, Q., Ward, J. W., & Valdiserri, R. O. (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-159-5-201309030-00675 · Cited by 19
Universal Screening for Hepatitis C: An Important Step in Virus Elimination
Chhatwal, J., & Sussman, N. (2018) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2018.12.002 · Cited by 19
Shaukat, A., Ladabaum, U., Kanth, P., & Lieberman, D. A. (2025) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2025.04.003 · Cited by 18
Enhancing the detection and management of acute hepatitis C virus infection
Martinello, M., & Matthews, G. V. (2015) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2015.07.003 · Cited by 18
Wang, A. E., Hsieh, E. P., Turner, B. J., & Terrault, N. A. (2022) · Journal of General Internal Medicine · doi:10.1007/s11606-022-07628-9 · Cited by 18
“In regard to health system–related barriers, the older USPSTF guidelines on HCV screening were risk-based or confined to a limited age group, which added an additional layer of complexity to screening efforts.(18) It is also important to note that HCV screening is not a quality of care metric, so it has lower priority…”
Relationship Between Hepatitis C Clinical Testing Site and Linkage to Care
Assoumou, S. A., Huang, W., Horsburgh, C. R., Drainoni, M., & Linas, B. P. (2014) · Open Forum Infectious Diseases · doi:10.1093/ofid/ofu009 · Cited by 18
“In addition, the Centers for Disease Control and Prevention (CDC) and the United States Preventive Services Task Force (USPSTF) have been recommending one-time HCV testing for persons born between 1945 and 1965 [4, 5] since 2012 and 2013, respectively.”
BackgroundSarpel, D., Baichoo, E., & Dieterich, D. T. (2016) · Expert Review of Anti-infective Therapy · doi:10.1586/14787210.2016.1174066 · Cited by 18
Building a Hepatitis C Clinical Program: Strategies to Optimize Outcomes
Zuckerman, A. D., Carver, A. B., & Chastain, C. A. (2018) · Current treatment options in infectious diseases/Current treatment options in infectious disease · doi:10.1007/s40506-018-0177-5 · Cited by 18
Cornett, J. K., Bodiwala, V., Razuk, V., Shukla, D., & Narayanan, N. (2018) · Open Forum Infectious Diseases · doi:10.1093/ofid/ofy065 · Cited by 18
Hepatitis C virus: The 25-year journey from discovery to cure
Ward, J. W. (2014) · Hepatology · doi:10.1002/hep.27377 · Cited by 18
“recommendations for HCV testing (1-5); and most recently, by licensure of safe HCV therapeutics capable of curing almost all persons of their HCV infection(6).”
BackgroundHepatitis C Virus Treatment: The Unyielding Chasm Between Efficacy and Effectiveness
Kanwal, F., & El‐Serag, H. B. (2014) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2014.02.031 · Cited by 17
Prevalence of Hepatitis C Virus Testing in Cohorts Born Between 1945 and 1965 in the U.S.
Jemal, A., & Fedewa, S. A. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.12.002 · Cited by 17
Haukoos, J. S., Hopkins, E., Bucossi, M. M., Lyons, M. S., Rothman, R. E., White, D. A. E., Al‐Tayyib, A., Bradley‐Springer, L. A., Campbell, J. D., Sabel, A. L., et al. (2015) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000000518 · Cited by 17
Kim, A. Y. (2016) · Annals of Internal Medicine · doi:10.7326/aitc201609060 · Cited by 17
Han, S. S., Kelly, S. P., Li, Y., Yang, B., Nguyen, M. H., So, S. K., Rosenberg, P. S., & Hsing, A. W. (2018) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djy180 · Cited by 17
Hepatitis C in Black Individuals in the US
Falade-Nwulia, O. O., Kelly, S. M., Amanor-Boadu, S., Nnodum, B. N., Lim, J. K., & Sulkowski, M. (2023) · JAMA · doi:10.1001/jama.2023.21981 · Cited by 16
Metadata
- Authors
- Moyer, V. A.
- Affiliations
- United States Preventive Services Task Force (US)
- Corresponding author
- Moyer, Virginia A.
- ORCID
- Moyer, Virginia A.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 2013-09
- Volume
- 159
- Issue
- 5
- Pages
- 349-357
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2148959572
- Cited by
- 475
- References
- 18
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 5 · 2023: 8 · 2022: 21 · 2021: 23 · 2020: 40 · 2019: 50 · 2018: 59 · 2017: 57 · 2016: 68 · 2015: 59 · 2014: 52 · 2013: 19
- FWCI
- 41.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hepatology › Hepatitis C virus research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Medicine › Hepatology › Liver Disease Diagnosis and Treatment
- Keywords
- hepatitis C virus, HCV screening, asymptomatic adults, vulnerable populations, hepatitis C treatment, baby boomers, screening guidelines
- MeSH terms
- Adult, Age Factors, Antiviral Agents, Female, Humans, Mass Screening, Pregnancy, Pregnancy Complications, Infectious, Cost of Illness, Risk Assessment, Hepatitis C, Chronic, Early Diagnosis, Asymptomatic Diseases
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