Evidence map›Paper›PMID 32936438›Full record

ArticleInfectious diseases and therapy2020

Steroids and COVID-19: We Need a Precision Approach, Not One Size Fits All.

Grant W Waterer, Jordi Rello

Open access · goldAbstract readEditorial
In one paragraph

Article in Infectious diseases and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
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

14 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Possible modulating functions of probioticFrontiers in cellular and infection microbiology · 2023
    Review
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Dental Healthcare Amid the COVID-19 Pandemic.International journal of environmental research and public health · 2021
    Review
  10. Review
  11. Steroid use in elderly critically ill COVID-19 patients.The European respiratory journal · 2021
    Article
  12. Article
  13. Article
  14. 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

2 authors at 2 institutions in 4 countries.

Grant W WatererUniversity of Western Australia, Perth, Australia. grant.waterer@uwa.edu.au.
Jordi RelloCentro de Investigación Biomedica en Red (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Centro de Investigación Biomédica en Red · ESUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 is a new infectious disease causing severe respiratory failure and death for which optimal treatment is currently unclear. Many therapies have been proven to be ineffective; however, promising findings related to corticosteroid therapy have been published. Analysis of published data including in this issue suggests that therapy with corticosteroids in the range of 6 mg of dexamethasone (or equivalent) per day likely has a positive effect in patients requiring mechanical ventilation but there remains considerable doubt in patients over the age of 70, in patients with diabetes and patients with milder disease. Clinicians must consider the individual potential risks and benefits of corticosteroid in patients with COVID-19 rather than routinely using them until more data is available.

Indexed as

ARDSCoronavirusCovid-19PneumoniaPrecision medicineRCTSARSTherapy

Identifiers

PMID32936438
PMCPMC7492684
OpenAlexW3084555273

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.