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Table 4 Summary of key findings, outcomes and strength of evidence

From: A systematic review and meta-analysis of community and primary-care-based hepatitis C testing and treatment services that employ direct acting antiviral drug treatments

Outcome

Study designs/

No. Studies

Findings and Direction of Effect

GRAD E[21]

1. Uptake of HCV treatment

RCT – 2

Cohort – 3

Observational – 5

Two RCTs assessed as having low risk of bias reported a positive effect on uptake with precision and a consistent positive direction of effect. One cohort study assessed as having medium-grade study limitations also reported a positive effect on uptake.

Medium

2. Completion of Treatment

Cohort - 1

Observational - 2

One cohort study with medium study limitations reported a positive direction of effect on uptake.

Low

3. Sustained Viral Response at 12 weeks (%)(SVR12)

RCT −2

Cohort - 4

Observational - 11

Two RCTs assessed as having low risk of bias reported a positive effect on SVR but were imprecise in the estimate of effect size. Four cohort studies and 11 observational studies with over 10,000 participants all reported a consistent positive direction of effect, but with significant study limitations.

Medium