Evidence map›Paper›PMID 34096383›Full record

ReviewWomen's health (London, England)

Immune system and COVID-19 by sex differences and age.

Tiziana Ciarambino, Ombretta Para, Mauro Giordano

Open access · goldAbstract readReview
In one paragraph

Review in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 2% 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

75 citing papers in PubMed, 2 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
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  8. LncRNAAnnals of medicine · 2025
    Article
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  11. Observational
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  13. Review
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  18. Review
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  20. Factors associated with long Covid in nursing professionals.Revista da Escola de Enfermagem da U S P · 2025
    Observational

15 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 1 country.

Tiziana CiarambinoDepartment of Internal Medicine, Marcianise Hospital, ASL Caserta, Italy.ORCID 0000-0002-3917-1478
Ombretta ParaDepartment of Internal Medicine, Careggi Hospital, University of Florence, Florence, Italy.
Mauro GiordanoDepartment of Internal Medicine, University of Campania, L. Vanvitelli, Naples, Italy.
University of Campania "Luigi Vanvitelli" · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In COVID-19 disease, are reported gender differences in relation to severity and death. The aim of this review is to highlight gender differences in the immune response to COVID-19. The included studies were identified using PubMed, until 30 October 2020. The search included the following keywords: SARS-CoV-2, COVID-19, gender, age, sex, and immune system. Literature described that females compared to males have greater inflammatory, antiviral, and humoral immune responses. In female, estrogen is a potential ally to alleviate SARS-COV-2 disease. In male, testosterone reduces vaccination response and depresses the cytokine response. In the older patients, and in particular, in female older patients, it has been reported a progressive functional decline in the immune systems. Differences by gender were reported in infection diseases, including SARS-CoV-2. These data should be confirmed by the other epidemiological studies.

Indexed as

Sex FactorsAgingCOVID-19EstrogensFemaleHumansImmune SystemImmunityMaleSARS-CoV-2Severity of Illness IndexTestosteroneVaccinationEstrogensTestosteroneageagingCOVID-19genderimmune systemSARS-CoV-2sexvaccine

Identifiers

PMID34096383
PMCPMC8188967
OpenAlexW3165910626

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.