Evidence map›Paper›PMID 33614979›Full record

ArticleHealth science reports2021

Rate of use and effectiveness of oseltamivir in the treatment of influenza illness in high-risk populations: A systematic review and meta-analysis.

So-Jung Shim, Mei Chan, Louisa Owens, Adam Jaffe, Bernadette Prentice, Nusrat Homaira

Open access · goldAbstract read
In one paragraph

Article in Health science reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Advancing antivirals.Nature biotechnology · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. AMMI Canada 2023 update on influenza: Management and emerging issues.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2023
    Article
  9. Article
  10. Guideline-Concordant Antiviral Treatment in Children at High Risk for Influenza Complications.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  11. Article
  12. 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

6 authors at 1 institution in 1 country.

So-Jung ShimDiscipline of Pediatrics, School of Women's and Children's Health, Faculty of Medicine University of New South Wales Sydney New South Wales Australia.ORCID https://orcid.org/0000-0002-7322-8925
Mei ChanDiscipline of Pediatrics, School of Women's and Children's Health, Faculty of Medicine University of New South Wales Sydney New South Wales Australia.
Louisa OwensDiscipline of Pediatrics, School of Women's and Children's Health, Faculty of Medicine University of New South Wales Sydney New South Wales Australia.
Adam JaffeDiscipline of Pediatrics, School of Women's and Children's Health, Faculty of Medicine University of New South Wales Sydney New South Wales Australia.
Bernadette PrenticeDiscipline of Pediatrics, School of Women's and Children's Health, Faculty of Medicine University of New South Wales Sydney New South Wales Australia.
Nusrat HomairaDiscipline of Pediatrics, School of Women's and Children's Health, Faculty of Medicine University of New South Wales Sydney New South Wales Australia.ORCID https://orcid.org/0000-0003-3341-7964
UNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOseltamivir is recommended in the treatment of influenza illness in high-risk populations, including those with chronic heart and lung diseases.

objectivesWe conducted a systematic review and meta-analysis to determine the rate of use and effectiveness of oseltamivir in these groups of patients.

methodsThe protocol for the systematic review was registered on PROSPERO (CRD42019125998). Medline, EMBASE, Cochrane CENTRAL, and CINAHL were searched for observational studies and randomized controlled trials published up to 16 February 2020. Quality appraisal of final studies was conducted using GRADE guidelines. Data were extracted using a predeveloped template. Main outcomes measured included the rate of use of oseltamivir for influenza-like-illness and its effectiveness in reducing disease severity in patients with cardiopulmonary diseases. Outcomes measured for effectiveness were influenza-related complications (respiratory infections and asthma exacerbations), hospitalization rates, and time to freedom from illness. Risk of bias was assessed using Cochrane's Risk of Bias 2.0 tool for randomized trials and Cochrane's Risk of Bias in nonrandomized Studies of Interventions tool for nonrandomized trials. Where data were available, pooled analyses were conducted. Dichotomous variables were evaluated using the Mantel-Hansel method. A random effect model was applied. Summary measures were reported as risk ratios where relevant.

resultsOur systematic review identified nine studies. Oseltamivir use ranged from 25% to 100%. When oseltamivir group was compared to placebo, rates of respiratory tract infections reduced by 28% (RR = 0.72, 95% CI = 0.59-0.90), hospitalization reduced by 52% (RR = 0.48, 95% CI = 0.28-0.80) and median time to illness alleviation decreased by 10.4 to 120 hours. There was no significant reduction in asthma exacerbation rates.

conclusionsOur systematic review suggests that the use of oseltamivir is beneficial in reducing disease severity, however, its use in high-risk population remains suboptimal.

Indexed as

heart diseaseshumaninfluenzalung diseasesoseltamivir

Identifiers

PMID33614979
PMCPMC7875571
OpenAlexW3128677322

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.