Evidence map›Paper›PMID 33544910›Full record

SynthesisJournal of clinical apheresis2021

Efficacy of convalescent plasma therapy for COVID-19: A systematic review and meta-analysis.

Charan T R Vegivinti, John M Pederson, Kavitha Saravu, Nitin Gupta, Kirk W Evanson, Shelby Kamrowski, Megan Schmidt, Averi Barrett, Hannah Trent, Mahmoud Dibas and 18 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of clinical apheresis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Preparedness and activities of the anti-SARS-CoV-2 convalescent plasma bank in the Veneto region (Italy): An organizational model for future emergencies.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2021
    Article
  16. Convalescent plasma for COVID-19 in the intensive care unit.Anaesthesiology intensive therapy · 2021
    Article
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

28 authors.

Charan T R VegivintiDepartment of General Medicine, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
John M PedersonNested Knowledge, St. Paul, Minnesota, USA.ORCID https://orcid.org/0000-0003-2551-4828
Kavitha SaravuDepartment of Infectious Diseases, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Nitin GuptaDepartment of Infectious Diseases, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Kirk W EvansonSuperior Medical Experts, St. Paul, Minnesota, USA.ORCID https://orcid.org/0000-0003-0505-4115
Shelby KamrowskiNested Knowledge, St. Paul, Minnesota, USA.
Megan SchmidtNested Knowledge, St. Paul, Minnesota, USA.
Averi BarrettNested Knowledge, St. Paul, Minnesota, USA.
Hannah TrentNested Knowledge, St. Paul, Minnesota, USA.
Mahmoud DibasSulaiman Al Rajhi University, College of Medicine, Saudi Arabia.
Natalie L ReiersonNested Knowledge, St. Paul, Minnesota, USA.
Nick MikoffNested Knowledge, St. Paul, Minnesota, USA.
Sailaja PisipatiDepartment of Gastroenterology, Mayo Clinic, Scottsdale, Arizona, USA.
Betsy A JosephNested Knowledge, St. Paul, Minnesota, USA.
Pragadeesh T SelvanDepartment of General Medicine, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Adam A DmytriwNeuroradiology & Neurointervention Service, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Yashwitha S PulakurthiKamineni Academy of Medical Sciences and Research Centre, Hyderabad, Telangana, India.
Praneeth R KeesariKamineni Academy of Medical Sciences and Research Centre, Hyderabad, Telangana, India.
Varsha SriramKasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Spandana ChittajalluRangaraya Medical College, Kakinada, Andhra Pradesh, India.
Waleed BrinjikjiDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Rewanth R KatamreddyDepartment of General Surgery, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India.
Richa ChibbarDepartment of Medicine, Lakeridge Health, Oshawa, Ontario, Canada.
Amber R DavisSuperior Medical Experts, St. Paul, Minnesota, USA.
Manashree MalpeSuperior Medical Experts, St. Paul, Minnesota, USA.
Hemant K MishraUniversity of Minnesota, Twin Cities, Minnesota, USA.
Kevin M KallmesNested Knowledge, St. Paul, Minnesota, USA.
Ameer E HassanDepartment of Neuroradiology, Valley Baptist Medical Center, Harlingen, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this systematic review and meta-analysis was to examine clinical outcomes associated with convalescent plasma therapy in COVID-19 patients. We performed a literature search on PubMed, medRxiv, Web of Science, and Scopus to identify studies published up to December 10th, 2020 that examined the efficacy of convalescent plasma treatment for COVID-19. The primary endpoints were mortality, clinical improvement, and hospital length of stay. We screened 859 studies that met the search criteria, performed full-text reviews of 56 articles, and identified 15 articles that fulfilled inclusion criteria for meta-analysis. The odds of mortality were significantly lower in the convalescent plasma group compared to the control group (OR = 0.59 [95% CI = 0.44; 0.78], P < .001), although results from two key randomized controlled trials did not support the mortality benefit. The odds of clinical improvement were significantly higher in the convalescent plasma group compared to the control group (OR = 2.02 [95% CI = 1.54; 2.65], P < .001). There was no difference in hospital length of stay between the convalescent plasma group and the control group (MD = -0.49 days [95% CI = -3.11; 2.12], P = .713). In all, these data indicate that a mortality benefit with convalescent plasma is unclear, although there remain benefits with convalescent plasma therapy for COVID-19.

Indexed as

COVID-19COVID-19 SerotherapyHumansImmunization, PassiveLength of StayPlasmaQuality Assurance, Health CareRiskTreatment Outcomeconvalescent plasmacoronavirusCOVID-19meta-analysis

Identifiers

PMID33544910
PMCPMC8014691

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.