Evidence map›Paper›PMID 32739134›Full record

SynthesisSemergen2020

[Pharmacological treatment in uncertainty times: Hydroxychloroquine/chloroquine use in the COVID-19 treatment].

S Mayayo-Vicente, F Rodriguez Salvanés, A Gallego-Arenas, L M Sánchez-Gómez, M Ruiz-López, B Sierra García, A Jurado-López, P Arriola-Bolado, M Cervera Cano, B Novella-Arribas

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Semergen, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.0field-weighted citation impact, top 61% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

S Mayayo-VicenteGerencia de Atención Primaria, Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España; Instituto de Investigación Hospital Universitario de La Princesa. ISCIII, Madrid, España.
F Rodriguez SalvanésInstituto de Investigación Hospital Universitario de La Princesa. ISCIII, Madrid, España; Unidad de Evaluación de Tecnologías Sanitarias, Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España; Hospital Universitario de La Princesa. Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España.
A Gallego-ArenasGerencia de Atención Primaria, Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España; Instituto de Investigación Hospital Universitario de La Princesa. ISCIII, Madrid, España.
L M Sánchez-GómezInstituto de Investigación Hospital Universitario de La Princesa. ISCIII, Madrid, España; Agencia de Evaluación de Tecnologías Sanitarias. ISCIII, Madrid, España.
M Ruiz-LópezGerencia de Atención Primaria, Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España; Instituto de Investigación Hospital Universitario de La Princesa. ISCIII, Madrid, España.
B Sierra GarcíaGerencia de Atención Primaria, Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España; Instituto de Investigación Hospital Universitario de La Princesa. ISCIII, Madrid, España.
A Jurado-LópezUnidad de Evaluación de Tecnologías Sanitarias, Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España; Hospital Universitario Clínico San Carlos. Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España.
P Arriola-BoladoUnidad de Evaluación de Tecnologías Sanitarias, Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España.
M Cervera CanoUnidad de Evaluación de Tecnologías Sanitarias, Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España.
B Novella-ArribasGerencia de Atención Primaria, Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España; Instituto de Investigación Hospital Universitario de La Princesa. ISCIII, Madrid, España; Unidad de Evaluación de Tecnologías Sanitarias, Dirección General de Planes Integrados de Salud, Consejería de Sanidad, Comunidad de Madrid, Madrid, España. Electronic address: blanca.novella@salud.madrid.org.
Comunidad de Madrid · ESHospital Universitario de La Princesa · ESAgencia de Evaluación de Tecnologías Sanitarias · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesIn this moments, of extreme gravity in which we find ourselves, and in the uncertainty face about the most effective treatment against COVID-19 disease and with the aim of find the evidence that support the chloroquine/hydroxychloroquine use recommendation to treat COVID-19 disease, a systematic review of published studies and RCT studies publishes until April 28, 2020 was carried out. MATERIAL AND

methodsA systematic search was carried out in PubMed with the keywords COVID-19 and their synonyms and hydroxychloroquine/chloroquine. The data selection and extraction was elaborated by two researchers, independently. The results were discussed with a Primary Care physicians clinical group and the results were synthesized using GRADE methodology.

resultsA good quality systematic review was found that includes articles with a high risk of bias. And 8 EC launched that will produce results beyond May 2020.

conclusionsAlthough the conclusions of the systematic review generate a low confidence in the results, and the clinical variables that show benefit are intermediate variables, the side effects are acceptable and could be minimized with the use of QT lengthening risk tools, so it is could make a weak recommendation in favor of the use of chloroquine/hydroxychloroquine in patients with mild-moderate stage COVID-19.

Indexed as

ChloroquineCoronavirus InfectionsCOVID-19 Drug TreatmentHumansHydroxychloroquineUncertaintyChloroquineHydroxychloroquineAtención PrimariaChloroquineCloroquinaCOVID-19HidroxicloroquinaHydroxychloroquinePrimary Care

Identifiers

PMID32739134
PMCPMC7837044
OpenAlexW3040940847

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.