Abstract:
INTRODUCTION:Hepatitis C is a blood-borne virus (HCV) that can seriously damage the liver and is spread mainly through blood-to-blood contact with an infected person. Over 85% of individuals who have HCV in Scotland became infected following injecting drug use. Since people who inject drugs (PWID) are the main source of new infections, theoretical modelling has suggested that treatment of HCV infection in PWID may effectively reduce HCV prevalence and accomplish elimination. This protocol describes a clinical trial delivering HCV treatment within injecting equipment provision sites (IEPS) in Tayside, Scotland. METHODS AND ANALYSIS:PWID attending IEPS are tested for HCV and, if they are chronically infected with HCV and eligible, invited to receive treatment within the IEPS. They are randomised to one of three treatment regimens; daily observed treatment, treatment dispensed every 2 weeks and treatment dispensed every 2 weeks together with an adherence psychological intervention (administered before treatment begins). The primary outcome is comparison of the rate of successful treatment (SVR12) in each treatment group. Secondary analyses include assessment of adherence, reinfection rates, viral resistance to treatment and interaction of the treatment with illicit drugs. ETHICS AND DISSEMINATION:The ADVANCE (A Direct obserVed therApy versus fortNightly CollEction) HCV trial was given favourable opinion by East of Scotland Research Ethics Committee (LR/17/ES/0089) prior to commencement. TRIAL REGISTRATION NUMBERS:European Clinical Trials Database (EudraCT) (2017-001039-38) and ClinicalTrials.gov (NCT03236506).
journal_name
BMJ Openjournal_title
BMJ openauthors
Inglis SK,Beer LJ,Byrne C,Malaguti A,Robinson E,Sharkey C,Gillings K,Stephens B,Dillon JFdoi
10.1136/bmjopen-2019-029516subject
Has Abstractpub_date
2019-08-08 00:00:00pages
e029516issue
8issn
2044-6055pii
bmjopen-2019-029516journal_volume
9pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Chronic lower back pain (CLBP) is a major healthcare problem with wide ranging effects. It is a priority for appropriate management of CLBP to get individuals back to work as early as possible. Interventions that identify biopsychosocial barriers to recovery have been observed to lead to successfully reduc...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2015-010407
更新日期:2016-05-26 00:00:00
abstract:OBJECTIVES:To determine the proportion of maternal and perinatal mortality and morbidity cases, identified by the Perinatal and Maternal Mortality Review Committee (PMMRC), that are also reported within the annual serious adverse events (SAEs) reports published by the Health Quality and Safety Commission (HQSC). SETTI...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-007970
更新日期:2015-07-23 00:00:00
abstract:OBJECTIVE:Concerns have been raised regarding the quality and completeness of abstract reporting in evidence reviews, but this had not been evaluated in meta-analyses of diagnostic accuracy. Our objective was to evaluate reporting quality and completeness in abstracts of systematic reviews with meta-analyses of depress...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012867
更新日期:2016-11-18 00:00:00
abstract:INTRODUCTION:Mobility limitation is common and often results from neurological and musculoskeletal health conditions, ageing and/or physical inactivity. In consultation with consumers, clinicians and policymakers, we have developed two affordable and scalable intervention packages designed to enhance physical activity ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034696
更新日期:2020-11-03 00:00:00
abstract:INTRODUCTION:Asthma-related morbidity and mortality in the UK is higher than elsewhere in Europe. Although the reasons for this are largely unclear, one explanation could be a higher prevalence of poorly controlled asthma in the UK. Findings from our earlier study found that, in a sample of 766 children with asthma, 45...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025867
更新日期:2019-04-23 00:00:00
abstract:BACKGROUND:Mentoring is frequently suggested as an intervention to address gender inequalities in the workplace. OBJECTIVES:To systematically review evidence published since a definitive review in 2006 on the effectiveness of mentoring interventions aimed at achieving gender equality in academic medicine. DESIGN:Syst...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040355
更新日期:2021-01-26 00:00:00
abstract:OBJECTIVE:To investigate if continuation rates in first-time users of oral hormonal contraceptives differed between different formulations and to measure if the rates were related to the prescribing categories, that is, physicians and midwives. DESIGN:A longitudinal national population-based registry study. SETTING:T...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003401
更新日期:2013-10-18 00:00:00
abstract:OBJECTIVES:To identify the reasons why some people do not participate in bowel cancer screening so that steps can be taken to improve informed decision-making. DESIGN:Qualitative study, using focus groups with thematic analysis of data to identify, analyse and report patterns. Transcripts were repeatedly read and indu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008266
更新日期:2015-09-09 00:00:00
abstract:OBJECTIVES:To evaluate surgical experience among current doctors appointed into ophthalmology training posts since the introduction of the Modernising Medical Careers programme. Additionally, to identify regional variations in surgical experience and training programme delivery. DESIGN:A cross-sectional survey. SETTI...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002578
更新日期:2013-05-06 00:00:00
abstract:INTRODUCTION:School canteens represent an opportune setting in which to deliver public health nutrition strategies given their wide reach, and frequent use by children. Online school canteen ordering systems, where students order and pay for their lunch online, provide an avenue to improve healthy canteen purchases thr...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-014569
更新日期:2017-04-17 00:00:00
abstract::Objectives Diagnoses-specific sickness certification guidelines were recently introduced in Sweden. The aim of this study was to investigate to which extent general practitioners (GPs) used these guidelines and how useful they found them, 1 year after introduction. Design A cross-sectional questionnaire study. A comp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000303
更新日期:2011-12-20 00:00:00
abstract:OBJECTIVE:To investigate whether two primary care activities that are framed as indicators of primary care quality (comprehensive care plans and annual reviews of physical health) influence unplanned utilisation of hospital services for people with serious mental illness (SMI). DESIGN, SETTING, PARTICIPANTS:Retrospect...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023135
更新日期:2018-11-28 00:00:00
abstract:OBJECTIVE:The aims of this point-prevalence study were to investigate a representative inpatient population to determine the prevalence of people admitted to hospital for the reason of a foot-related condition, and identify associated independent factors. METHODS:Participants were adult inpatients in 5 different repre...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2015-010811
更新日期:2016-06-20 00:00:00
abstract:OBJECTIVE:We aimed to determine the key predictors of perinatal deaths using machine learning models compared with the logistic regression model. DESIGN:A secondary data analysis using the Kilimanjaro Christian Medical Centre (KCMC) Medical Birth Registry cohort from 2000 to 2015. We assessed the discriminative abilit...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040132
更新日期:2020-10-19 00:00:00
abstract:OBJECTIVES:'Horizontal inequity' in healthcare finance occurs when people with equal income contribute unequally to healthcare payments. Prior research is lacking on horizontal inequity in China. Accordingly, this study set out to examine horizontal inequity in the Chinese healthcare financing system in 2002 and 2007 t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025184
更新日期:2019-01-09 00:00:00
abstract:OBJECTIVE:The COVID-19 pandemic has set unprecedented demand on the healthcare workforce around the world. The UK has been one of the most affected countries in Europe. The aim of this study was to explore the perceptions and experiences of healthcare workers (HCWs) in relation to COVID-19 and care delivery models impl...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040503
更新日期:2020-11-05 00:00:00
abstract:INTRODUCTION:Sepsis is defined as detrimental immune response to an infection. This overwhelming reaction often abolishes a normal reconstitution of the immune cell homeostasis that in turn increases the risk for further complications. Recent studies revealed a favourable impact of ketone bodies on resolution of inflam...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038532
更新日期:2020-07-08 00:00:00
abstract:OBJECTIVE:To investigate the prevalence and factors associated with caesarean delivery in Nigeria. DESIGN:This is a secondary analysis of the nationally representative 2013 Nigeria Demographic and Health Survey (NDHS) data. We carried out frequency tabulation, χ2 test, simple logistic regression and multivariable bina...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027273
更新日期:2019-06-17 00:00:00
abstract:OBJECTIVE:This study aimed to define the end-of-life (EOL) healthcare utilisation and its cost and determinants for cancer patients and to proactively inform related strategies in mainland China. DESIGN:A population-based retrospective study. SETTING AND PARTICIPANTS:Data from 894 cancer patients were collected in ur...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026309
更新日期:2019-03-20 00:00:00
abstract:OBJECTIVES:To determine if point-of-care (POC) glycated haemoglobin (HbA₁c) is sufficiently accurate in real-world remote settings to predict or exclude the diagnosis of diabetes based on laboratory HbA1c measurements. DESIGN:Cross-sectional study comparing POC capillary HbA₁c results with corresponding venous HbA₁c l...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006277
更新日期:2015-03-12 00:00:00
abstract:OBJECTIVES:Literature on associations between female genital mutilation/cutting (FGM/C) and fistula points to a common belief that FGM/C predisposes women to developing fistula. This study explores this association using nationally representative survey data. DESIGN:A secondary statistical analysis of cross-sectional ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025355
更新日期:2019-07-29 00:00:00
abstract:INTRODUCTION:Occurring from ultraviolet radiation combined with impairing ozone levels, uncritical sun exposure and use of tanning beds an increasing number of people are affected by different types of skin cancer. But preventive interventions like skin cancer screening are still missing the evidence for effectiveness ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017196
更新日期:2017-09-05 00:00:00
abstract:OBJECTIVE:To report on the relative cost-effectiveness of total hip arthroplasty and resurfacing arthroplasty (replacement of articular surface of femoral head only) in patients with severe arthritis suitable for hip joint resurfacing arthroplasty. DESIGN:Cost-effectiveness analysis on an intention-to-treat basis of a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001162
更新日期:2012-10-12 00:00:00
abstract:OBJECTIVE:How researchers' contributions relate to author order on the byline remains unclear. We sought to identify researchers' contributions associated with author order, and to explore the existence of author profiles. DESIGN:Observational study. SETTING:Published record. PARTICIPANTS:1139 authors of 119 researc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013898
更新日期:2017-06-24 00:00:00
abstract:OBJECTIVE:There have been calls to remove 'carcinoma' from terminology for in situ cancers such as ductal carcinoma in situ (DCIS), to reduce overdiagnosis and overtreatment. We investigated the effect of describing DCIS as 'abnormal cells' versus 'pre-invasive breast cancer cells' on women's concern and treatment pref...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2015-008094
更新日期:2015-11-02 00:00:00
abstract:OBJECTIVE:In recent years, quality of life (QoL) in multiple sclerosis (MS) has been gaining considerable importance in clinical research and practice. Against this backdrop, this systematic review aimed to provide a broad overview of clinical, sociodemographic and psychosocial risk and protective factors for QoL in ad...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041249
更新日期:2020-11-30 00:00:00
abstract:INTRODUCTION:A healthcare-associated infection (HAI) data point prevalence study (PPS) conducted in 1984 in Australian hospitals estimated the prevalence of HAI to be 6.3%. Since this time, there have been no further national estimates undertaken. In the absence of a coordinated national surveillance programme or regul...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024924
更新日期:2018-11-08 00:00:00
abstract:OBJECTIVES:Defects in the human thyroid peroxidase (TPO) gene are reported to be one of the causes of congenital hypothyroidism (CH) due to dyshormonogenesis. The aim of this study was to examine the TPO mutation spectrum and prevalence among patients with CH in the Guangxi Zhuang Autonomous Region of China and to defi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010719
更新日期:2016-05-12 00:00:00
abstract:INTRODUCTION:Trigeminal neuralgia (TN) affects 4 to 28.9/100 000 people worldwide, and antiepileptic drugs such as carbamazepine and oxcarbazepine are the firstline treatment options. However, the efficacy and safety of other antiepileptic drugs remain unclear due to insufficient direct comparisons. OBJECTIVE:To compa...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2017-017392
更新日期:2018-01-21 00:00:00
abstract:OBJECTIVES:This study examines the use of expedited approval pathways by Health Canada over the period 1995 to 2016 inclusive and the relationship between the use of these pathways and the therapeutic gain offered by new products. DESIGN:Cross-sectional study. DATA SOURCES:Therapeutic Products Directorate, Biologics ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023605
更新日期:2018-08-30 00:00:00