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. 2019 May 10;2(5):e193613. doi: 10.1001/jamanetworkopen.2019.3613

Table. Different Hepatitis C Virus Testing Algorithms Evaluated to Scale Up Interventions in Pakistana.

Testing Algorithm Screening Test Detection of Viremia Assessment of Hepatitis C Treatment Response
T1 (base case) Laboratory based Nucleic acid test Nucleic acid test
T2 Laboratory based HCVcAg test Nucleic acid test
T3 Point of care Nucleic acid test Nucleic acid test
T4 Point of care GeneXpert GeneXpert
T5 Point of care HCVcAg test and nucleic acid test if HCVcAg test result is negative HCVcAg test
T6 Point of care HCVcAg test and nucleic acid test if HCVcAg test result is negative Nucleic acid test
T7 Laboratory based GeneXpert GeneXpert

Abbreviation: HCVcAg, hepatitis C virus core antigen.

a

Performance characteristics of each test are as follows: point-of-care screening, 99.5% sensitivity and 99.8% specificity; nucleic acid test, 99.8% sensitivity and 99.7% specificity; GeneXpert, 99.8% sensitivity and 99.7% specificity; HCVcAg test, 93.2% sensitivity and 98% specificity; and HCVcAg test and nucleic acid test if HCVcAg test result is negative, 99.8% sensitivity and 99.8% specificity.