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Article: The Challenging Road to Hepatitis C Virus Eradication.

Martínez, Isidoro / Ryan, Pablo / Valencia, Jorge / Resino, Salvador

2021 Volume 10, Issue 4

Abstract: Hepatitis C virus (HCV) infection remains a substantial health problem as a leading cause of chronic liver disease worldwide [ ... ]. ...

Abstract	Hepatitis C virus (HCV) infection remains a substantial health problem as a leading cause of chronic liver disease worldwide [...].
Language	English
Publishing date	2021-02-05
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm10040611
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Article ; Online: Neighborhood environmental factors linked to hospitalizations of older people for viral lower respiratory tract infections in Spain: a case-crossover study.

Álvaro-Meca, Alejandro / Sepúlveda-Crespo, Daniel / Resino, Rosa / Ryan, Pablo / Martínez, Isidoro / Resino, Salvador

Environmental health : a global access science source

2022 Volume 21, Issue 1, Page(s) 107

Abstract: Background: Lower respiratory tract viral infection (LRTI) is a significant cause of morbidity-mortality in older people worldwide. We analyzed the association between short-term exposure to environmental factors (climatic factors and outdoor air ... ...

Abstract	Background: Lower respiratory tract viral infection (LRTI) is a significant cause of morbidity-mortality in older people worldwide. We analyzed the association between short-term exposure to environmental factors (climatic factors and outdoor air pollution) and hospital admissions with a viral LRTI diagnosis in older adults. Methods: We conducted a bidirectional case-crossover study in 6367 patients over 65 years of age with viral LRTI and residential zip code in the Spanish Minimum Basic Data Set. Spain's State Meteorological Agency was the source of environmental data. Associations were assessed using conditional logistic regression. P-values were corrected for false discovery rate (q-values). Results: Almost all were hospital emergency admissions (98.13%), 18.64% were admitted to the intensive care unit (ICU), and 7.44% died. The most frequent clinical discharge diagnosis was influenza (90.25%). LRTI hospital admissions were more frequent when there were lower values of temperature and O Conclusion: Unfavorable environmental factors (low temperatures, high relative humidity, and high concentrations of NO
MeSH term(s)	Humans ; Aged ; Cross-Over Studies ; Air Pollutants/adverse effects ; Air Pollutants/analysis ; Nitrogen Dioxide/analysis ; Spain/epidemiology ; Air Pollution/adverse effects ; Air Pollution/analysis ; Hospitalization ; Respiratory Tract Infections/epidemiology ; Particulate Matter/analysis
Chemical Substances	Air Pollutants ; Nitrogen Dioxide (S7G510RUBH) ; Particulate Matter
Language	English
Publishing date	2022-11-08
Publishing country	England
Document type	Journal Article
ZDB-ID	2092232-2
ISSN	1476-069X ; 1476-069X
ISSN (online)	1476-069X
ISSN	1476-069X
DOI	10.1186/s12940-022-00928-x
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Article ; Online: A 12-week multicomponent exercise program enhances frailty by increasing robustness, improves physical performance, and preserves muscle mass in older adults with HIV: MOVIhNG study.

Brañas, Fátima / Díaz-Álvarez, Jorge / Fernández-Luna, Jesús / Vásquez-Brolen, Brian D / García-Molina, Rafael / Moreno, Elena / Ryan, Pablo / Martínez-Sanz, Javier / Luna, Laura / Martínez, Marta / Dronda, Fernando / Sánchez-Conde, Matilde

Frontiers in public health

2024 Volume 12, Page(s) 1373910

MeSH term(s)	Humans ; Female ; Male ; HIV Infections ; Middle Aged ; Prospective Studies ; Frailty ; Longitudinal Studies ; Aged ; Physical Functional Performance ; Exercise Therapy/methods ; Muscle Strength/physiology ; Exercise ; Frail Elderly ; Muscle, Skeletal
Language	English
Publishing date	2024-04-17
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2024.1373910
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Article: Epidemiological Trend of Sepsis in Patients with Hospital Admissions Related to Hepatitis C in Spain (2000-2015): A Nationwide Study.

Alvaro-Meca, Alejandro / Maté-Cano, Irene / Ryan, Pablo / Briz, Verónica / Resino, Salvador

Journal of clinical medicine

2020 Volume 9, Issue 6

Abstract: Background: Hepatitis C virus (HCV) infection predisposes patients to other infectious diseases, such as sepsis. We aimed to analyze epidemiological trends of sepsis-related admissions, deaths, and costs in hospital admissions with chronic hepatitis C ... ...

Abstract	Background: Hepatitis C virus (HCV) infection predisposes patients to other infectious diseases, such as sepsis. We aimed to analyze epidemiological trends of sepsis-related admissions, deaths, and costs in hospital admissions with chronic hepatitis C who had a hospital admission in Spain. Methods: We performed a retrospective study of all hospitalizations involving chronic hepatitis C in the Spanish Minimum Basic Data Set (MBDS) between 2000 and 2015. This period was divided into four calendar periods (2000-2004, 2005-2007, 2008-2011, and 2012-2015). Results: We selected 868,523 hospital admissions of patients with chronic hepatitis C over 16 years in the Spanish MBDS. Among them, we found 70,976 (8.17%) hospital admissions of patients who developed sepsis, of which 13,915 (19.61%) died during admission. We found an upward trend, from 2000-2003 to 2012-2015, in the rate of sepsis-related admission (from 6.18% to 10.64%; Conclusions: Sepsis, in chronic hepatitis C patients admitted to the hospital, has increased the period 2000-2015 and has been an increasing burden for the Spanish public health system. However, there has also been a significant reduction in lethality and LOHS during the study period. In addition, the most prevalent specific microorganisms have also changed in this period.
Language	English
Publishing date	2020-05-26
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm9061607
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Article ; Online: Epidemiological trend of hepatitis C-related liver events in Spain (2000-2015): A nationwide population-based study.

Mate-Cano, Irene / Alvaro-Meca, Alejandro / Ryan, Pablo / Resino, Salvador / Briz, Verónica

European journal of internal medicine

2020 Volume 75, Page(s) 84–92

Abstract: Objective: Analysis the epidemiological trends of hospital admissions, intra-hospital deaths, and costs related to chronic hepatitis C (CHC) taking into account four major clinical stages [compensated cirrhosis (CC), end-stage liver disease (ESLD), ... ...

Abstract	Objective: Analysis the epidemiological trends of hospital admissions, intra-hospital deaths, and costs related to chronic hepatitis C (CHC) taking into account four major clinical stages [compensated cirrhosis (CC), end-stage liver disease (ESLD), hepatocellular carcinoma (HCC), and liver transplantation (LT)] in Spain. Methods: Retrospective study in patients with chronic hepatitis C and a hospital admission in the Spanish Minimum Basic Data Set from 2000 to 2015. Outcome variables were admission, death, length of hospital stay and costs. Results: A total of 868,523 hospital admissions with CHC (25.5% CC, 25.3% ESLD, 8.6% HCC, and 2.5% LT) were identified. Overall rates of admission and mortality increased from 2000-2003 to 2004-2007, but after 2008, these rates stabilized and/or decreased. An upward trend was found for hospitalization percentage in CC (from 22.3% to 30%; p < 0.001), ESLD (from 23.9% to 27.1%; p < 0.001), HCC (from 7.4% to 11%; p < 0.001), and LT (from 0.07% to 0.10%; p = 0.003). An upward trend was also found for case fatality rate, except in ESLD (p = 0.944). Gender and age influenced the evolution of hospitalization rates and mortality differently. The length of hospital stay showed a significant downward trend in all strata analyzed (p < 0.001). Cost per patient had a significant upward trend (p < 0.001), except in LT, and a decrease from 2008-2011 to 2012-2015 in CC (p = 0.025), HCC (p < 0.001), and LT (p = 0.050) was found. Conclusion: The initial upward trend of the disease burden in CHC has changed from 2000 to 2015 in Spain, improving in many parameters after 2004-2007, particularly in the 2012-2015 calendar period.
MeSH term(s)	Carcinoma, Hepatocellular/epidemiology ; Hepatitis C ; Hepatitis C, Chronic/epidemiology ; Humans ; Liver Cirrhosis/epidemiology ; Liver Neoplasms/epidemiology ; Retrospective Studies ; Spain/epidemiology
Language	English
Publishing date	2020-03-03
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1038679-8
ISSN	1879-0828 ; 0953-6205
ISSN (online)	1879-0828
ISSN	0953-6205
DOI	10.1016/j.ejim.2020.02.002
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Article ; Online: HCV, HIV AND HBV rapid test diagnosis in non-clinical outreach settings can be as accurate as conventional laboratory tests.

Muñoz-Chimeno, Milagros / Valencia, Jorge / Rodriguez-Recio, Alvaro / Cuevas, Guillermo / Garcia-Lugo, Alejandra / Manzano, Samuel / Rodriguez-Paredes, Vanessa / Fernandez, Beatriz / Morago, Lucía / Casado, Concepción / Avellón, Ana / Ryan, Pablo

Scientific reports

2023 Volume 13, Issue 1, Page(s) 7554

Abstract: Point of care rapid diagnostic tests (POC-RDT) for Hepatitis C virus (HCV), Human Immunodeficiency virus (HIV) and Hepatitis B virus (HBV), are ideal for screening in non-clinical outreach settings as they can provide immediate results and facilitate ... ...

Abstract	Point of care rapid diagnostic tests (POC-RDT) for Hepatitis C virus (HCV), Human Immunodeficiency virus (HIV) and Hepatitis B virus (HBV), are ideal for screening in non-clinical outreach settings as they can provide immediate results and facilitate diagnosis, allowing high risk population screening. The aim of this study was to compare POC-RDT with laboratory conventional tests. A total of 301 vulnerable evaluable subjects (drug users, migrants and homeless population) were recruited at a mobile screening unit in outreach settings in Madrid. Fingerprick whole blood capillary samples were tested using the SD BIOLINE HCV POC-RDT, Determine HIV Early Detect and Determine HBsAg 2, and the results were assessed against the LIAISON XL HCV, HIV and Murex-HBsAg-Quant, reference assays, respectively. The feasibility and user satisfaction of the POC-RDT were evaluated through a questionnaire. The resolved sensitivity and resolved specificity and their 95% confidence intervals (95% CI) were as follows, respectively: SD-BIOLINE-HCV: 98.8% (95% CI 93.4, 100.0) and 100.0% (95% CI 98.3, 100.0); Determine HIV Early Detect: 100% (95% CI 85.2, 100.0) and 100% (95% CI 98.7, 100); and Determine HBsAg 2: 66.7% (95% CI 9.4, 99.2) and 100.0% (95% CI 98.7, 100.0). As expected, the number of subjects with a confirmed positive result for HBsAg was very low (n = 4). Therefore, the analytical sensitivity has been evaluated in addition: The Determine HBsAg 2 test demonstrated 100% sensitivity for standard concentrations ≥ 0.125 IU/mL. The subject questionnaire yielded positive feedback for most subjects. The POC-RDT fingerprick blood collection method was well received, and the tests demonstrated a comparable clinical performance with conventional tests in outreach settings and vulnerable high-risk populations.
MeSH term(s)	Humans ; Hepacivirus ; Hepatitis B virus ; HIV ; Hepatitis B Surface Antigens ; Hepatitis C/diagnosis ; HIV Infections/diagnosis
Chemical Substances	Hepatitis B Surface Antigens
Language	English
Publishing date	2023-05-09
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-023-33925-2
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Article ; Online: Combined COVID-19 vaccination and hepatitis C virus screening intervention in marginalised populations in Spain.

Lazarus, Jeffrey V / Villota-Rivas, Marcela / Ryan, Pablo / Buti, Maria / Grau-López, Lara / Cuevas, Guillermo / Espada, José Luis / Morón, William / Palma-Álvarez, Raul Felipe / Feld, Jordan J / Valencia, Jorge

Communications medicine

2023 Volume 3, Issue 1, Page(s) 66

Abstract: Background: COVID-19 has hindered hepatitis C virus (HCV) and HIV screening, particularly in marginalised groups, who have some of the highest rates of these conditions and lowest rates of COVID-19 vaccination. We assessed the acceptability of combining ...

Abstract	Background: COVID-19 has hindered hepatitis C virus (HCV) and HIV screening, particularly in marginalised groups, who have some of the highest rates of these conditions and lowest rates of COVID-19 vaccination. We assessed the acceptability of combining HCV testing with COVID-19 vaccination in a centre for addiction services (CAS) in Barcelona and a mobile testing unit (MTU) in Madrid, Spain. Methods: From 28/09/2021 to 30/06/2022, 187 adults from marginalised populations were offered HCV antibody (Ab) testing along with COVID-19 vaccination. If HCV Ab+, they were tested for HCV-RNA. MTU participants were also screened for HIV. HCV-RNA+ and HIV+ participants were offered treatment. Data were analysed descriptively. Results: Findings show how of the 86 CAS participants: 80 (93%) had been previously vaccinated for COVID-19, of whom 72 (90%) had the full first round schedule; none had a COVID-19 vaccine booster and all received a COVID-19 vaccine; 54 (62.8%) were tested for HCV Ab, of whom 17 (31.5%) were positive, of whom all were tested for HCV-RNA and none were positive. Of the 101 MTU participants: none had been vaccinated for COVID-19 and all received a COVID-19 vaccine; all were tested for HCV Ab and HIV and 15 (14.9%) and 9 (8.9%) were positive, respectively; of those HCV Ab+, 9 (60%) were HCV-RNA+, of whom 8 (88.9%) have started treatment; 5 (55.6%) of those HIV+ had abandoned antiretroviral therapy, of whom 3 (60%) have re-started it. Conclusions: The intervention was accepted by 54 (62.8%) CAS participants and all MTU participants and can be used in marginalised communities.
Language	English
Publishing date	2023-05-12
Publishing country	England
Document type	Journal Article
ISSN	2730-664X
ISSN (online)	2730-664X
DOI	10.1038/s43856-023-00292-y
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Article ; Online: Effects of frailty, geriatric syndromes, and comorbidity on mortality and quality of life in older adults with HIV.

Brañas, Fátima / Torralba, Miguel / Antela, Antonio / Vergas, Jorge / Ramírez, Margarita / Ryan, Pablo / Dronda, Fernando / Galindo, María José / Machuca, Isabel / Bustinduy, María Jesús / Cabello, Alfonso / Montes, María Luisa / Sánchez-Conde, Matilde

BMC geriatrics

2023 Volume 23, Issue 1, Page(s) 4

Abstract: Background: To understand the effects of frailty, geriatric syndromes, and comorbidity on quality of life and mortality in older adults with HIV (OAWH).: Methods: Cross-sectional study of the FUNCFRAIL multicenter cohort. The setting was outpatient ... ...

Abstract	Background: To understand the effects of frailty, geriatric syndromes, and comorbidity on quality of life and mortality in older adults with HIV (OAWH). Methods: Cross-sectional study of the FUNCFRAIL multicenter cohort. The setting was outpatient HIV-Clinic. OAWH, 50 year or over were included. We recorded sociodemographic data, HIV infection-related data, comorbidity, frailty, geriatric syndromes (depression, cognitive impairment, falls and malnutrition), quality of life (QOL) and the estimated risk of all-cause 5-year mortality by VACS Index. Association of frailty with geriatric syndromes and comorbidity was evaluated using the Cochran-Mantel-Haenszel test. Results: Seven hundred ninety six patients were included. 24.7% were women, mean age was 58.2 (6.3). 14.7% were 65 or over. 517 (65%) patients had ≥3 comorbidities, ≥ 1 geriatric syndrome and/or frailty. There were significant differences in the estimated risk of mortality [(frailty 10.8%) vs. (≥ 3 comorbidities 8.2%) vs. (≥ 1 geriatric syndrome 8.2%) vs. (nothing 6.2%); p = 0.01] and in the prevalence of fair or poor QOL [(frailty 71.7%) vs. (≥ 3 comorbidities 52%) vs. (≥ 1 geriatric syndrome 58.4%) vs. (nothing 51%); p = 0.01]. Cognitive impairment was significantly associated to mortality (8.7% vs. 6.2%; p = 0.02) and depression to poor QOL [76.5% vs. 50%; p = 0.01]. Conclusions: Frailty, geriatric syndromes, and comorbidity had negative effects on mortality and QOL, but frailty had the greatest negative effect out of the three factors. Our results should be a wake-up call to standardize the screening for frailty and geriatric syndromes in OAWH in the clinical practice. Trial registration: NCT03558438.
MeSH term(s)	Humans ; Female ; Aged ; Male ; Frailty/diagnosis ; Frailty/epidemiology ; Frailty/psychology ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; Quality of Life ; HIV ; Syndrome ; Cross-Sectional Studies ; Comorbidity ; Geriatric Assessment/methods ; Frail Elderly
Language	English
Publishing date	2023-01-03
Publishing country	England
Document type	Multicenter Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2059865-8
ISSN	1471-2318 ; 1471-2318
ISSN (online)	1471-2318
ISSN	1471-2318
DOI	10.1186/s12877-022-03719-8
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Article ; Online: Diagnostic performance of hepatitis C core antigen assay to identify active infections: A systematic review and meta-analysis.

Sepúlveda-Crespo, Daniel / Treviño-Nakoura, Ana / Bellón, José M / Fernández-Rodríguez, Amanda / Ryan, Pablo / Martínez, Isidoro / Jiménez-Sousa, María A / Resino, Salvador

Reviews in medical virology

2023 Volume 33, Issue 3, Page(s) e2436

Abstract: Hepatitis C virus (HCV) core antigen (HCVcAg) assay is an alternative for diagnosing HCV infection in a single step. This meta-analysis aimed to evaluate the Abbott ARCHITECT HCV Ag assay's diagnostic performance (validity and utility) for diagnosing ... ...

Abstract	Hepatitis C virus (HCV) core antigen (HCVcAg) assay is an alternative for diagnosing HCV infection in a single step. This meta-analysis aimed to evaluate the Abbott ARCHITECT HCV Ag assay's diagnostic performance (validity and utility) for diagnosing active hepatitis C. PubMed, EMBASE, Scopus, Web of Science, and Cochrane Library were searched until 10 January 2023. The protocol was registered at the prospective international register of systematic reviews (PROSPERO: CRD42022337191). Abbott ARCHITECT HCV Ag assay was the test for evaluation, and nucleic acid amplification tests with a cut-off ≤50 IU/mL were the gold standard. Statistical analysis was performed using STATA with the MIDAS module and random-effects models. The bivariate analysis was conducted on 46 studies (18,116 samples). The pooled sensitivity was 0.96 (95% CI = 0.94-0.97), specificity 0.99 (95% CI = 0.99-1.00), positive likelihood ratio 141.81 (95% CI = 72.39-277.79), and negative likelihood ratio 0.04 (95% CI = 0.03-0.06). The area under the summary receiver operating characteristic curve was 1.00 (95% CI = 0.34-1.00). For active hepatitis C prevalence values of 0.1%-15%, the probability that a positive test was a true positive was 12%-96%, respectively, indicating that a confirmatory test should be necessary, particularly with a prevalence ≤5%. However, the probability that a negative test was a false negative was close to zero, indicating the absence of HCV infection. The validity (accuracy) of the Abbott ARCHITECT HCV Ag assay for screening active HCV infection in serum/plasma samples was excellent. Although the HCVcAg assay showed limited diagnostic utility in low prevalence settings (≤1%), it might help diagnose hepatitis C in high prevalence scenarios (≥5%).
MeSH term(s)	Humans ; Hepatitis C Antigens/analysis ; Sensitivity and Specificity ; Prospective Studies ; RNA, Viral ; Hepacivirus/genetics ; Hepatitis C
Chemical Substances	Hepatitis C Antigens ; RNA, Viral
Language	English
Publishing date	2023-02-22
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
ZDB-ID	1086043-5
ISSN	1099-1654 ; 1052-9276
ISSN (online)	1099-1654
ISSN	1052-9276
DOI	10.1002/rmv.2436
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Article: Geriatric-HIV Medicine: the geriatrician's role.

Brañas, Fátima / Ryan, Pablo / Troya, Jesús / Sánchez-Conde, Matilde

European geriatric medicine

2018 Volume 10, Issue 2, Page(s) 259–265

Abstract: The scenario of people living with HIV has dramatically changed, and nowadays older adults with HIV constitute almost half of the HIV population-and the percentage is growing. Frailty and geriatric syndromes have been highly demonstrated among older ... ...

Abstract	The scenario of people living with HIV has dramatically changed, and nowadays older adults with HIV constitute almost half of the HIV population-and the percentage is growing. Frailty and geriatric syndromes have been highly demonstrated among older adults with HIV; therefore, the application of geriatric medicine principles to their approach has become essential. Geriatric-HIV Medicine, specific, collaborative work between HIV specialists and geriatricians, is a young discipline that has the goal of ensuring a global and specific approach to older patients that is focused on function and the continuum of care. The geriatrician's role adds value to the care of older people living with HIV through Comprehensive Geriatric Assessment for those patients who can benefit but goes beyond the clinical approach and involves generating scientific evidence that impacts and changes the current model of care.
Language	English
Publishing date	2018-12-10
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2556794-9
ISSN	1878-7657 ; 1878-7649
ISSN (online)	1878-7657
ISSN	1878-7649
DOI	10.1007/s41999-018-0144-1
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