Evidence map›Paper›PMID 32667699›Full record

SynthesisJournal of medical virology2021

Systematic review and meta-analysis of effectiveness of treatment options against SARS-CoV-2 infection.

Viveksandeep Thoguluva Chandrasekar, Bhanuprasad Venkatesalu, Harsh K Patel, Marco Spadaccini, Jacob Manteuffel, Mayur Ramesh

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 15 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 6 pooled it
0.7field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 6 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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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

6 authors at 4 institutions in 2 countries.

Viveksandeep Thoguluva ChandrasekarDivision of Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, Kansas.ORCID 0000-0001-5256-4113
Bhanuprasad VenkatesaluDepartment of Internal Medicine, Henry Ford Hospital, Detroit, Michigan.ORCID 0000-0003-2541-2055
Harsh K PatelDepartment of Internal Medicine, Ochsner Clinic Foundation, New Orleans, Louisiana.
Marco SpadacciniDivision of Gastroenterology and Hepatology, Humanitas University and Research Hospital, Rozzano, Milan, Italy.
Jacob ManteuffelDepartment of Internal Medicine, Henry Ford Hospital, Detroit, Michigan.
Mayur RameshDepartment of Internal Medicine, Henry Ford Hospital, Detroit, Michigan.
Henry Ford Hospital · USHumanitas University · ITOchsner Medical Center · USUniversity of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment options for severe acute respiratory syndrome-related coronavirus-2 (SARS-CoV-2) are limited with no clarity on efficacy and safety profiles. We performed a systematic review and meta-analysis of studies on patients ≥18 years reporting data on therapeutic interventions in SARS-CoV-2. Primary outcome was all-cause mortality and secondary outcomes were rates of mechanical ventilation, viral clearance, adverse events, discharge, and progression to severe disease. Pooled rates and odds ratios (OR) were calculated. Twenty-nine studies with 5207 patients were included. Pooled all-cause mortality in intervention arm was 12.8% (95% confidence interval [CI]: 8.1%-17.4%). Mortality was significantly higher for studies using hydroxychloroquine (HCQ) for intervention (OR: 1.36; 95% CI: 0.97-1.89). Adverse events were also higher in HCQ subgroup (OR: 3.88; 95% CI: 1.60-9.45). There was no difference in other secondary outcomes. There is a need for well-designed randomized clinical trials for further investigation of every therapeutic intervention for further insight into different therapeutic options.

Indexed as

Adenosine MonophosphateAdrenal Cortex HormonesAlanineAntibodies, Monoclonal, HumanizedAntiviral AgentsCOVID-19COVID-19 SerotherapyDrug Administration ScheduleDrug CombinationsFemaleHumansHydroxychloroquineImmunization, PassiveLopinavirMaleMiddle AgedAdenosine MonophosphateAdrenal Cortex HormonesAlanineAntibodies, Monoclonal, HumanizedAntiviral AgentsDrug CombinationsHydroxychloroquineLopinavirlopinavir-ritonavir drug combinationremdesivirRitonavirtocilizumabCOVID-19HCQhydroxychloroquinemeta-analysisSARS-CoV-2

Identifiers

PMID32667699
PMCPMC7404948
OpenAlexW3043702979

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.