Evidence map›Paper›PMID 33781656›Full record

SynthesisIndian journal of medical microbiology2021

The efficacy and safety of hydroxychloroquine (HCQ) in treatment of COVID19 -a systematic review and meta-analysis.

Anirban Hom Choudhuri, Sakshi Duggal, Bhuvna Ahuja, Partha Sarathi Biswas

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Indian journal of medical microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Anirban Hom ChoudhuriDept. of Anaesthesiology & Intensive Care, GIPMER, New Delhi, India. Electronic address: anirbanhc@rediffmail.com.
Sakshi DuggalDept. of Anaesthesiology & Intensive Care, GIPMER, New Delhi, India. Electronic address: drsakshiduggal@gmail.com.
Bhuvna AhujaDept. of Anaesthesiology & Intensive Care, GIPMER, New Delhi, India. Electronic address: bhuvna.ahuja1983@gmail.com.
Partha Sarathi BiswasDept. of Psychiatry, GIPMER, New Delhi, India. Electronic address: psbiswasmamc@gmail.com.
Jawaharlal Institute of Post Graduate Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe treatment of SARS CoV2 (Severe Acute Respiratory Syndrome corona virus 2) also known as COVID-19 (corona virus disease 2019) continues to remain an enigma even after six months of the pandemic. Hydroxychloroquine (HCQ) has been one of the most widely tested drugs for SARS CoV2 on account of its antiviral properties. However the results so far have been far from categorical. The meta-analyses conducted till date are also lacking in precision and appropriateness. This systematic review and meta-analysis addresses the efficacy and safety of HCQ in SARS CoV2 by overcoming the limitations of earlier meta-analysis.

methodsA total of 5 prominent medical databases were searched and fourteen studies (n = 12455) were included in the systematic review and meta-analyses. The data on survival, alleviation of symptoms, conversion of RT PCR positivity to negativity, use and efficacy in presence of co-morbidities (Hypertension, diabetes and heart disease) and cardiac and gastrointestinal side effects were extracted. Meta-analysis was applied to calculate the pooled estimates. Fixed-effects model results were chosen since I

resultsThe pooled estimates showed that HCQ treatment did not significantly affect survival at 14 and 28 days in COVID-19 patients with respect to the control population (RR: 1.003, 95% CI: 0.983-1.022), alleviation of symptoms at day 10 (RR: 1.044, 95% CI: 0.911 1.196), success in presence of co-morbidities (RR: 1.058, 95% CI: 1.035-1.082) and conversion from RT PCR positive to RT PCR negative on day 6 (RR:1.123, 95% CI: 1.041 1.212). There was higher risk for cardiac side effects (RR: 2.012, 95% CI: 1.428 2.833) and gastrointestinal side effects (RR: 1.318, 95% CI: 0.730 2.380) in HCQ recipients.

conclusionThere is no evidence on the safety and efficacy of HCQ either alone or in combination with other drugs in SARS CoV2 infection.

Indexed as

COVID-19 Drug TreatmentSARS-CoV-2AzithromycinComorbidityCOVID-19COVID-19 Nucleic Acid TestingHumansHydroxychloroquineAzithromycinHydroxychloroquineefficacyHydroxychloroquinemeta-AnalysesSafetySARS CoV2

Identifiers

PMID33781656
PMCPMC7997679
OpenAlexW3151246327

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.