Evidence map›Paper›PMID 32091395›Full record

ArticleeLife2020

Estimated effectiveness of symptom and risk screening to prevent the spread of COVID-19.

Katelyn Gostic, Ana Cr Gomez, Riley O Mummah, Adam J Kucharski, James O Lloyd-Smith

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in eLife, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04627467 (Prophylaxis With Chloroquine in Health Personnel Exposed to Infection With Coronavirus Disease 2019), which is not on this map. Cited by 180 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
180citing papers in PubMed, 11 pooled it
14.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04627467 phase2completednot on this map

Prophylaxis With Chloroquine in Health Personnel Exposed to Infection With Coronavirus Disease 2019 (COVID-19)

TypeinterventionalSponsorFundacion Clinica Valle del LiliRan2020 to 2021Enrolled3,217ConditionsCovid19ArmsChloroquine
3 · Its place in the literature

Who cites it

180 citing papers in PubMed, 11 syntheses or guidelines pooled it, 428 citations in OpenAlex.

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  10. Universal screening for SARS-CoV-2 infection: a rapid review.The Cochrane database of systematic reviews · 2020
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120 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Katelyn GosticDepartment of Ecology and Evolution, University of Chicago, Chicago, United States.ORCID 0000-0002-9369-6371
Ana Cr GomezDepartment of Ecology and Evolutionary Biology, University of California, Los Angeles, Los Angeles, United States.
Riley O MummahDepartment of Ecology and Evolutionary Biology, University of California, Los Angeles, Los Angeles, United States.
Adam J KucharskiDepartment of Infectious Disease Epidemiology, London School of Tropical Hygiene and Medicine, London, United Kingdom.ORCID 0000-0001-8814-9421
James O Lloyd-SmithDepartment of Ecology and Evolutionary Biology, University of California, Los Angeles, Los Angeles, United States.ORCID 0000-0001-7941-502X
University of California, Los Angeles · USLondon School of Hygiene & Tropical Medicine · GBNational Institutes of Health · USUniversity of Chicago · US

Funding

Wellcome Trust
6 · The paper itself

Abstract

Traveller screening is being used to limit further spread of COVID-19 following its recent emergence, and symptom screening has become a ubiquitous tool in the global response. Previously, we developed a mathematical model to understand factors governing the effectiveness of traveller screening to prevent spread of emerging pathogens (Gostic et al., 2015). Here, we estimate the impact of different screening programs given current knowledge of key COVID-19 life history and epidemiological parameters. Even under best-case assumptions, we estimate that screening will miss more than half of infected people. Breaking down the factors leading to screening successes and failures, we find that most cases missed by screening are fundamentally undetectable, because they have not yet developed symptoms and are unaware they were exposed. Our work underscores the need for measures to limit transmission by individuals who become ill after being missed by a screening program. These findings can support evidence-based policy to combat the spread of COVID-19, and prospective planning to mitigate future emerging pathogens.

Indexed as

Asymptomatic InfectionsBetacoronavirusMass ScreeningTravelCoronavirus InfectionsCOVID-19Disease OutbreaksHumansInfection ControlPneumonia, ViralRisk AssessmentSARS-CoV-2COVID-19emerging infectious diseaseepidemic containmentepidemic controlepidemiologyglobal healthhumanSARS-CoV-2travel screeningvirus

Identifiers

PMID32091395
PMCPMC7060038
OpenAlexW3008049045

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.