Clinical and Translational Research
Copyright ©The Author(s) 2021.
World J Hepatol. Sep 27, 2021; 13(9): 1167-1180
Published online Sep 27, 2021. doi: 10.4254/wjh.v13.i9.1167
Table 1 Harm and benefit of hepatitis C virus testing and not testing
Harm of testing (false positives)
Benefit of testing
Harm of not testing (false negatives)
Benefit of not testing
Low, but existing:High (for some):High (for some):Important in some contexts:
Cost of tests, human resources (lab & counseling)If diagnosed positive: good treatment available (high cure rate, few side effects, short /life-saving for cirrhotic patients/ but treatment often not urgent)Denial of live-saving, highly efficacious and affordable treatmentCost-saving in resource-constrained environment with many competing interests
Stress related to waiting for resultsImpact on further transmission (but less weight in HCV populations with low risk profile)
Budget allocated to HCV testing not available for other health priorities
Divert resources /timely access from those most in need (in case of testing all)