Evidence map›Paper›PMID 33669218›Full record

ReviewJournal of clinical medicine2021

The Rheumatology Drugs for COVID-19 Management: Which and When?

Fabiola Atzeni, Ignazio Francesco Masala, Javier Rodríguez-Carrio, Roberto Ríos-Garcés, Elisabetta Gerratana, Laura La Corte, Manuela Giallanza, Valeria Nucera, Agostino Riva, Gerard Espinosa and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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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

11 authors at 5 institutions in 2 countries.

Fabiola AtzeniRheumatology Unit, Department of Experimental and Internal Medicine, University of Messina, 98100 Messina, Italy.
Ignazio Francesco MasalaTrauma and Orthopedic Unit, Santissima Trinità Hospital, 09121 Cagliari, Italy.
Javier Rodríguez-CarrioDepartment of Functional Biology, Immunology Area, Faculty of Medicine, University of Oviedo, 33044 Oviedo, Spain.ORCID 0000-0002-0011-5102
Roberto Ríos-GarcésDepartment of Autoimmune Diseases, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08036 Barcelona, Spain.ORCID 0000-0003-2229-0822
Elisabetta GerratanaRheumatology Unit, Department of Experimental and Internal Medicine, University of Messina, 98100 Messina, Italy.
Laura La CorteRheumatology Unit, Department of Experimental and Internal Medicine, University of Messina, 98100 Messina, Italy.
Manuela GiallanzaRheumatology Unit, Department of Experimental and Internal Medicine, University of Messina, 98100 Messina, Italy.
Valeria NuceraRheumatology Unit, Department of Experimental and Internal Medicine, University of Messina, 98100 Messina, Italy.
Agostino RivaIII Division of Infectious Diseases, ASST Fatebenefratelli Sacco, University of Milan, 20127 Milan, Italy.
Gerard EspinosaDepartment of Autoimmune Diseases, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08036 Barcelona, Spain.ORCID 0000-0003-1336-0163
Ricard CerveraDepartment of Autoimmune Diseases, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08036 Barcelona, Spain.ORCID 0000-0001-6085-492X
University of Messina · ITConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESSantissima Trinità · ITUniversidad de Oviedo · ESUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhile waiting for the development of specific antiviral therapies and vaccines to effectively neutralize the SARS-CoV2, a relevant therapeutic strategy is to counteract the hyperinflammatory status, characterized by an increase mainly of interleukin (IL)-1β, IL-2, IL-6, IL-7, IL-8, and tumor necrosis factor (TNF)-α, which hallmarks the most severe clinical cases. 'Repurposing' immunomodulatory drugs and applying clinical management approved for rheumatic diseases represents a game-changer option. In this article, we will review the drugs that have indication in patients with COVID-19, including corticosteroids, antimalarials, anti-TNF, anti-IL-1, anti-IL-6, baricitinib, intravenous immunoglobulins, and colchicine. The PubMed, Medline, and Cochrane Library databases were searched for English-language papers concerning COVID-19 treatment published between January 2020 and October 2020. Results were summarized as a narrative review due to large heterogeneity among studies. In the absence of specific treatments, the use of immunomodulatory drugs could be advisable in severe COVID-19 patients, but clinical outcomes are still suboptimal. An early detection and treatment of the complications combined with a multidisciplinary approach could allow a better recovery of these patients.

Indexed as

anti-IL-6 drugsCOVID-19HCQpneumoniaSARS-CoV2

Identifiers

PMID33669218
PMCPMC7919806
OpenAlexW3129842474

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.