Evidence map›Paper›PMID 34185313›Full record

SynthesisEuropean journal of clinical investigation2021

Colchicine use might be associated with lower mortality in COVID-19 patients: A meta-analysis.

Mohamed Nabil Elshafei, Ahmed El-Bardissy, Ahmed Khalil, Mohammed Danjuma, Mahmood Mubasher, Ibrahim Y Abubeker, Mouhand F H Mohamed

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 13% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  4. Trial
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  6. Article
  7. [Colchicine alleviates myocardial ischemia-reperfusion injury in mice by activating AMPK].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2024
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  16. Article
  17. Colchicine for COVID-19: targeting NLRP3 inflammasome to blunt hyperinflammation.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2022
    Review
  18. Predictive risk factors for hospitalization and response to colchicine in patients with COVID-19.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
  19. Article
  20. 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

7 authors at 3 institutions in 2 countries.

Mohamed Nabil ElshafeiClinical Pharmacy Department, Hamad Medical Corporation, Doha, Qatar.
Ahmed El-BardissyClinical Pharmacy Department, Hamad Medical Corporation, Doha, Qatar.
Ahmed KhalilClinical Pharmacy Department, Hamad Medical Corporation, Doha, Qatar.
Mohammed DanjumaCollege of Medicine, Qatar University, Doha, Qatar.
Mahmood MubasherDepartment of Internal Medicine, Rochester Regional Health, Unity Hospital of Rochester, Rochester, NY, USA.
Ibrahim Y AbubekerAlpert Medical School, Brown University, Providence, RI, USA.
Mouhand F H MohamedDepartment of Medicine, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-4761-8014
Hamad Medical Corporation · QABrown University · USUnity Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColchicine was recently repurposed for the management of coronavirus disease 2019 (COVID-19). This rapid review and meta-analysis aimed to assess colchicine's impact on mortality outcomes in COVID-19 patients. MATERIALS AND

methodsWe systematically searched PubMed, EMBASE, Google Scholar since their inception till 25/03/2021 for observational or controlled studies that reported mortality as an outcome. The mortality odd ratios were generated with their corresponding 95% confidence intervals utilizing the random-effects model.

resultsNine studies comprising 5522 patients met our inclusion criteria. Our meta-analysis revealed significantly lower mortality in the colchicine group (OR 0.35, 95% CI 0.25-0.48, I2 0%) compared with controls. A subgroup analysis limited to hospitalized patients (OR 0.35, 95% CI 0.25-0.50, I2 0%) revealed similarly lower mortality in the colchicine group.

conclusionsThis meta-analysis suggests a mortality benefit with colchicine when used in the treatment of COVID-19 patients. The majority of included studies were observational; thus, the findings of this review need to be further supported by the results of ongoing trials.

Indexed as

COVID-19 Drug TreatmentColchicineCOVID-19HumansOdds RatioSARS-CoV-2Tubulin ModulatorsColchicineTubulin Modulatorscolchicinecoronavirus disease 2019COVID-19mortalitySARS-CoV-2

Identifiers

PMID34185313
PMCPMC8420434
OpenAlexW3175469829

What OpenQuestion holds

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LicenceCC BY
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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.