Evidence map›Paper›PMID 32422178›Full record

ReviewThe Lancet. Respiratory medicine2020

Pulmonary fibrosis and COVID-19: the potential role for antifibrotic therapy.

Peter M George, Athol U Wells, R Gisli Jenkins

2 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in The Lancet. Respiratory medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 635 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
635citing papers in PubMed, 7 pooled it
114.0field-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.

NCT04445376 nacompletednot on this map

Effect of Aerobic Exercises on Cardio-respiratory Fitness and Quality of Life in Recovered COVID 19 Recovered Patients.

TypeinterventionalSponsorGovernment College University FaisalabadRan2020 to 2020Enrolled20ConditionsCovid19ArmsPhysical Exercises
NCT05290441 nacompletednot on this mapstarted 2021, after this paper: background citation

Evaluation of Postmortem Pulmonary Interstitial Fibrosis Severity and EGFR Positivity in Covid-19 Pneumonia

TypeinterventionalSponsorBursa Yuksek Ihtisas Training and Research HospitalRan2021 to 2022Enrolled65ConditionsPneumonia, Viral, COVID-19 Pneumonia, EGFR AmplificationArmsNone involvement
3 · Its place in the literature

Who cites it

635 citing papers in PubMed, 7 syntheses or guidelines pooled it, 1,108 citations in OpenAlex.

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  4. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
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  17. Coviretinopathy: COVID-19-induced VEGF-dependent retinopathy.Proceedings of the National Academy of Sciences of the United States of America · 2026
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575 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

3 authors at 3 institutions in 1 country.

Peter M GeorgeRoyal Brompton and Harefield NHS Foundation Trust, London, UK; National Heart and Lung Institute, Imperial College London, London, UK.
Athol U WellsRoyal Brompton and Harefield NHS Foundation Trust, London, UK; National Heart and Lung Institute, Imperial College London, London, UK.
R Gisli JenkinsNational Institute for Health Research Biomedical Research Centre, University of Nottingham, Nottingham, UK. Electronic address: gisli.jenkins@nottingham.ac.uk.
Imperial College London · GBNottingham Biomedical Research Centre · GBRoyal Brompton & Harefield NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In December, 2019, reports emerged from Wuhan, China, of a severe acute respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). By the end of April, 2020, over 3 million people had been confirmed infected, with over 1 million in the USA alone, and over 215 000 deaths. The symptoms associated with COVID-19 are diverse, ranging from mild upper respiratory tract symptoms to severe acute respiratory distress syndrome. The major risk factors for severe COVID-19 are shared with idiopathic pulmonary fibrosis (IPF), namely increasing age, male sex, and comorbidities such as hypertension and diabetes. However, the role of antifibrotic therapy in patients with IPF who contract SARS-CoV-2 infection, and the scientific rationale for their continuation or cessation, is poorly defined. Furthermore, several licensed and potential antifibrotic compounds have been assessed in models of acute lung injury and viral pneumonia. Data from previous coronavirus infections such as severe acute respiratory syndrome and Middle East respiratory syndrome, as well as emerging data from the COVID-19 pandemic, suggest there could be substantial fibrotic consequences following SARS-CoV-2 infection. Antifibrotic therapies that are available or in development could have value in preventing severe COVID-19 in patients with IPF, have the potential to treat severe COVID-19 in patients without IPF, and might have a role in preventing fibrosis after SARS-CoV-2 infection.

Indexed as

BetacoronavirusAntifibrinolytic AgentsCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentHumansPandemicsPneumonia, ViralPulmonary FibrosisSARS-CoV-2Antifibrinolytic Agents

Identifiers

PMID32422178
PMCPMC7228727
OpenAlexW3026032531

What OpenQuestion holds

Textmetadata
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.