Evidence map›Paper›PMID 33556032›Full record

ArticleJournal of medical Internet research2021

Health Care Workers' Reasons for Choosing Between Two Different COVID-19 Prophylaxis Trials in an Acute Pandemic Context: Single-Center Questionnaire Study.

Alberto M Borobia, Irene García-García, Lucía Díaz-García, Amelia Rodríguez-Mariblanca, Lucía Martínez de Soto, Jaime Monserrat Villatoro, Enrique Seco Meseguer, Juan J González, Jesús Frías Iniesta, Elena Ramírez García and 2 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

12 authors.

Alberto M Borobia *Clinical Pharmacology Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-8584-3263
Irene García-García *Clinical Pharmacology Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-4831-9374
Lucía Díaz-GarcíaClinical Pharmacology Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-5371-9735
Amelia Rodríguez-MariblancaClinical Pharmacology Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0001-7095-9944
Lucía Martínez de SotoClinical Pharmacology Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-2941-0922
Jaime Monserrat VillatoroClinical Pharmacology Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-9100-3324
Enrique Seco MeseguerClinical Pharmacology Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-4488-2661
Juan J GonzálezInternal Medicine Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-3652-002X
Jesús Frías IniestaClinical Pharmacology Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0001-9538-9677
Elena Ramírez GarcíaClinical Pharmacology Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-4052-8876
Jose Ramón ArribasInternal Medicine Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-7410-9450
Antonio J Carcas-SansuánClinical Pharmacology Department, La Paz University Hospital (IdiPAZ), School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0003-1823-4174

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn April 2020, two independent clinical trials to assess SARS-CoV-2 prophylaxis strategies among health care workers were initiated at our hospital: MeCOVID (melatonin vs placebo) and EPICOS (tenofovir disoproxil/emtricitabine vs hydroxychloroquine vs combination therapy vs placebo).

objectiveThis study aimed to evaluate the reasons why health care workers chose to participate in the MeCOVID and EPICOS trials, as well as why they chose one over the other.

methodsBoth trials were offered to health care workers through an internal news bulletin. After an initial screening visit, all subjects were asked to respond to a web-based survey.

resultsIn the first month, 206 health care workers were screened and 160 were randomized. The survey participation was high at 73.3%. Health care workers cited "to contribute to scientific knowledge" (n=80, 53.0%), followed by "to avoid SARS-CoV-2 infection" (n=33, 21.9%) and "the interest to be tested for SARS-CoV-2" (n=28, 18.5%), as their primary reasons to participate in the trials. We observed significant differences in the expected personal benefits across physicians and nurses (P=.01). The vast majority of volunteers (n=202, 98.0%) selected the MeCOVID trial, their primary reason being their concern regarding adverse reactions to treatments in the EPICOS trial (n=102, 69.4%).

conclusionsHealth care workers' reasons to participate in prophylaxis trials in an acute pandemic context appear to be driven largely by their desire to contribute to science and to gain health benefits. Safety outweighed efficacy when choosing between the two clinical trials.

Indexed as

Attitude of Health PersonnelCOVID-19 Drug TreatmentAdultCOVID-19FemaleHealth PersonnelHumansMaleMiddle AgedPandemicsRandomized Controlled Trials as TopicSARS-CoV-2Surveys and Questionnairesclinical trialsCOVID-19health care workermotivationpersonnelpre-exposureprofessional practiceprophylaxisSARS-CoV-2volunteers, web-based surveyworkplace safety

Identifiers

PMID33556032
PMCPMC7909307

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.