Evidence map›Paper›PMID 34302004›Full record

ArticleScientific reports2021

Repeated cross-sectional analysis of hydroxychloroquine deimplementation in the AHA COVID-19 CVD Registry.

Steven M Bradley, Sophia Emmons-Bell, R Kannan Mutharasan, Fatima Rodriguez, Divya Gupta, Gregory Roth, Ty J Gluckman, Rashmee U Shah, Tracy Y Wang, Rohan Khera and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

12 authors.

Steven M BradleyHealthcare Delivery Innovation Center, Minneapolis Heart Institute, 920 East 28th Street, Suite 300, Minneapolis, MN, 55407, USA. Steven.Bradley@allina.com.
Sophia Emmons-BellInstitute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
R Kannan MutharasanNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Fatima RodriguezDivision of Cardiovascular Medicine, Cardiovascular Institute, Stanford University, Stanford, CA, USA.
Divya GuptaDepartment of Medicine, Emory Heart and Vascular Center, Emory University School of Medicine, Atlanta, USA.
Gregory RothInstitute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
Ty J GluckmanCenter for Cardiovascular Analytics, Research and Data Science (CARDS), Providence Heart Institute, Portland, OR, USA.
Rashmee U ShahDivision of Cardiovascular Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.
Tracy Y WangDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Rohan KheraSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Pamela N PetersonDenver Health Medical Center, Denver, CO, USA.
Sandeep DasCenter for Innovation and Value at Parkland, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Funding

SURPASS: (Statin Use and Risk Prediction of Atherosclerotic Cardiovascular Disease in minority Subgroups)K01HL144607 · NHLBI · STANFORD UNIVERSITY · PI RODRIGUEZ, FATIMA · 2019 to 2023
$856k
NHLBI NIH HHS K01 HL144607
6 · The paper itself

Abstract

There is little data describing trends in the use of hydroxychloroquine for COVID-19 following publication of randomized trials that failed to demonstrate a benefit of this therapy. We identified 13,957 patients admitted for active COVID-19 at 85 U.S. hospitals participating in a national registry between March 1 and August 31, 2020. The overall proportion of patients receiving hydroxychloroquine peaked at 55.2% in March and April and decreased to 4.8% in May and June and 0.8% in July and August. At the hospital-level, median use was 59.4% in March and April (IQR 48.5-71.5%, range 0-100%) and decreased to 0.3% (IQR 0-5.4%, range 0-100%) by May and June and 0% (IQR 0-1.3%, range 0-36.4%) by July and August. The rate and hospital-level uniformity in deimplementation of this ineffective therapy for COVID-19 reflects a rapid response to evolving clinical information and further study may offer strategies to inform deimplementation of ineffective clinical care.

Indexed as

COVID-19 Drug TreatmentAgedAntirheumatic AgentsCardiovascular DiseasesCOVID-19Cross-Sectional StudiesFemaleHospitalizationHumansHydroxychloroquineMaleMiddle AgedRegistriesAntirheumatic AgentsHydroxychloroquine

Identifiers

PMID34302004
PMCPMC8302649

What OpenQuestion holds

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Registered trials

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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.