Evidence map›Paper›PMID 32767527›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2021

Susceptibility to COVID-19 in Patients Treated With Antimalarials: A Population-Based Study in Emilia-Romagna, Northern Italy.

Carlo Salvarani, Pamela Mancuso, Federica Gradellini, Nilla Viani, Paolo Pandolfi, Massimo Reta, Giuliano Carrozzi, Gilda Sandri, Gianluigi Bajocchi, Elena Galli and 8 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 31% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Thrombosis in VEXAS syndrome.Journal of thrombosis and thrombolysis · 2022
    Article
  5. Review
  6. Article
  7. Article
  8. Review
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

18 authors at 5 institutions in 1 country.

Carlo SalvaraniAzienda USL-IRCCS di Reggio Emilia and Università di Modena e Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0003-3708-3148
Pamela MancusoAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Federica GradelliniAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Nilla VianiAzienda USL di Modena and Azienda OU di Modena, Modena, Italy.
Paolo PandolfiAzienda USL di Bologna, Bologna, Italy.
Massimo RetaAzienda USL di Bologna, Bologna, Italy.
Giuliano CarrozziAzienda USL di Modena, Modena, Italy.
Gilda SandriUniversità di Modena e Reggio Emilia, Modena, Italy.
Gianluigi BajocchiAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Elena GalliUniversità di Modena e Reggio Emilia, Modena, Italy.
Francesco MuratoreAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Luigi BoiardiAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Nicolò PipitoneAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Giulia CassoneUniversità di Modena e Reggio Emilia, Modena, Italy.
Stefania CrociAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Anna Maria MarataRegione Emilia Romagna, Bologna, Italy.
Massimo CostantiniAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Paolo Giorgi RossiAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Azienda Sanitaria Unità Locale di Reggio Emilia · ITUniversity of Modena and Reggio Emilia · ITAzienda Unita' Sanitaria Locale Di Modena · ITAzienda USL di Bologna · ITAgenzia Sanitaria e Sociale Regionale · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the susceptibility to coronavirus disease 2019 (COVID-19) in patients with autoimmune conditions treated with antimalarials in a population-based study.

methodsAll residents treated with chloroquine (CQ)/hydroxychloroquine (HCQ) from July through December 2019 and living in 3 provinces of Regione Emilia-Romagna were identified by drug prescription registries and matched with the registry containing all residents living in the same areas who have had swabs and tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated.

resultsA total of 4,408 patients were identified. The prevalence of patients receiving antimalarials was 0.85 per 1,000 men and 3.3 per 1,000 women. The cumulative incidence of testing during the study period was 2.7% in the general population and 3.8% among those receiving CQ or HCQ, while the cumulative incidence of testing positive was 0.55% in the general population and 0.70% among those receiving CQ/HCQ. Multivariate models showed that those receiving CQ/HCQ had a slightly higher probability of being tested compared to the general population (OR 1.09 [95% CI 0.94-1.28]), the same probability of being diagnosed as having COVID-19 (OR 0.94 [95% CI 0.66-1.34]), and a slightly lower probability of being positive once tested (OR 0.83 [95% CI 0.56-1.23]). None of the differences were significant.

conclusionOur findings do not support the use of antimalarials as a prophylactic treatment of COVID-19.

Indexed as

AdultAgedAged, 80 and overAntimalarialsAntirheumatic AgentsArthritis, JuvenileArthritis, RheumatoidAutoimmune DiseasesChloroquineCOVID-19Disease SusceptibilityFemaleHumansHydroxychloroquineItalyLupus Erythematosus, DiscoidAntimalarialsAntirheumatic AgentsChloroquineHydroxychloroquine

Identifiers

PMID32767527
PMCPMC7436811
OpenAlexW3047904897

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.