Evidence map›Paper›PMID 33706472›Full record

ArticleThe Korean journal of internal medicine2022

Baseline use of hydroxychloroquine or immunosuppressive drugs and the risk of coronavirus disease 2019.

Ji-Won Kim, Sang Gyu Kwak, Hwajeong Lee, Seong-Kyu Kim, Jung-Yoon Choe, Sung-Hoon Park

Open access · goldAbstract read
In one paragraph

Article in The Korean journal of internal medicine, 2022. 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
0.2field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  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

6 authors at 1 institution in 1 country.

Ji-Won KimDivision of Rheumatology, Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea.
Sang Gyu KwakDepartment of Medical Statistics, Daegu Catholic University School of Medicine, Daegu, Korea.
Hwajeong LeeDivision of Rheumatology, Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea.
Seong-Kyu KimDivision of Rheumatology, Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea.
Jung-Yoon ChoeDivision of Rheumatology, Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea.
Sung-Hoon ParkDivision of Rheumatology, Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea.
Daegu Catholic University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThe preventive role of hydroxychloroquine (HCQ) on coronavirus disease 2019 (COVID-19) remains unclear. The aim of this study was to examine the effects of HCQ and other immunosuppressive drugs on the incidence of COVID-19.

methodsThe data were collected from the South Korea National Health Insurance Sharing-COVID-19 database. All individuals who underwent nasopharyngeal and oropharyngeal swab tests for COVID-19 from January 2020 to May 2020 are included. The association between COVID-19 risk and HCQ use was examined in a propensity score-matched population. Factors associated with COVID-19 were identified using multiple logistic regression analysis.

resultsTotal 8,070 patients with COVID-19 and 121,050 negative controls were included from the database. Among all participants, 381 were HCQ users. In a propensity score-matched population, the incidence of COVID-19 was 7.1% in HCQ users and 6.8% in non-users. The odds ratio (OR) for HCQ use was 1.05 with a 95% confidence interval (CI) of 0.58 to 1.89. Among the subpopulation of patients with rheumatoid arthritis (RA), 33 were diagnosed with COVID-19 and 478 were not. Use of HCQ, glucocorticoids, or other immunosuppressive drugs was not associated with COVID-19 risk, whereas abatacept use was. Chronic lung disease was an independent risk factor for COVID-19 diagnosis in patients with RA (adjusted OR, 6.07; 95% CI, 1.10 to 33.59).

conclusionThe risk of COVID-19 did not differ between HCQ users and non-users. Glucocorticoids, conventional disease-modifying antirheumatic drugs (DMARDs), and biological DMARDs other than abatacept did not increase the risk of COVID-19.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidCOVID-19COVID-19 Drug TreatmentAbataceptCOVID-19 TestingGlucocorticoidsHumansHydroxychloroquineImmunosuppressive AgentsAbataceptAntirheumatic AgentsGlucocorticoidsHydroxychloroquineImmunosuppressive AgentsAntirheumatic agentsCOVID-19HydroxychloroquineImmunosuppressive agentsSARS-CoV-2

Identifiers

PMID33706472
PMCPMC9082427
OpenAlexW3133606461

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.