Evidence map›Paper›PMID 32644224›Full record

ArticleJournal of medical virology2021

Chronic treatment with hydroxychloroquine and SARS-CoV-2 infection.

António Ferreira, António Oliveira-E-Silva, Paulo Bettencourt

Open access · bronzeAbstract read
In one paragraph

Article in Journal of medical virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  11. Hydroxychloroquine as a primary prophylactic agent against SARS-CoV-2 infection: A cohort study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
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  13. The time to offer treatments for COVID-19.Expert opinion on investigational drugs · 2021
    Review
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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 2 institutions in 1 country.

António FerreiraUnidade de Investigação Cardiovascular (UniC), Faculdade de Medicina, Universidade do Porto, Hospital Rainha Santa Isabel, Centro Hospitalar Universitário de São João, Porto, Portugal.ORCID 0000-0002-1974-6684
António Oliveira-E-SilvaHospital de Braga, Braga, Portugal.
Paulo BettencourtUnidade de Investigação Cardiovascular (UniC), Faculdade de Medicina, Universidade do Porto, Hospital CUF, Porto, Portugal.ORCID 0000-0003-1638-3993
Universidade do Porto · PTHospital Braga · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hydroxychloroquine sulfate (HCQ) is being scrutinized for repositioning in the treatment and prevention of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This antimalarial drug is also chronically used to treat patients with autoimmune diseases. By analyzing the Portuguese anonymized data on private and public based medical prescriptions we have identified all cases chronically receiving HCQ for the management of diseases, such as systemic lupus erythematosus, rheumatoid arthritis, and other autoimmune diseases. Additionally, we have detected all laboratory confirmed cases of SARS-CoV-2 infection and all laboratory confirmed negative cases in the Portuguese population (mandatorily registered in a centrally managed database). Cross linking the two sets of data has allowed us to compare the proportion of HCQ chronic treatment (at least 2 grams per month) in laboratory confirmed cases of SARS-CoV-2 infection with laboratory confirmed negative cases. Out of 26 815 SARS-CoV-2 positive patients, 77 (0.29%) were chronically treated with HCQ, while 1215 (0.36%) out of 333 489 negative patients were receiving it chronically (P = .04). After adjustment for age, sex, and chronic treatment with corticosteroids and/or immunosuppressants, the odds ratio of SARS-CoV-2 infection for chronic treatment with HCQ has been 0.51 (0.37-0.70). Our data suggest that chronic treatment with HCQ confer protection against SARS-CoV-2 infection.

Indexed as

Pre-Exposure ProphylaxisAdultAgedAntimalarialsAntiviral AgentsArthritis, RheumatoidCOVID-19Drug Administration ScheduleDrug RepositioningFemaleHumansHydroxychloroquineLupus Erythematosus, SystemicMaleMiddle AgedOdds RatioAntimalarialsAntiviral AgentsHydroxychloroquinechemotherapy < disease controleconomic reason < social sciencepublic policy < social scienceSARS coronavirus < virus classification

Identifiers

PMID32644224
PMCPMC7361589
OpenAlexW3042061268

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.