Evidence map›Paper›PMID 34501467›Full record

ArticleJournal of clinical medicine2021

Anakinra versus Baricitinib: Different Strategies for Patients Hospitalized with COVID-19.

José A García-García, Marta Pérez-Quintana, Consuelo Ramos-Giráldez, Isabel Cebrián-González, María L Martín-Ponce, José Del Valle-Villagrán, María A Navarro-Puerto, Jorge Sánchez-Villegas, Rocío Gómez-Herreros, Isabel Manoja-Bustos and 13 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Review
  7. 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

23 authors at 1 institution in 1 country.

José A García-GarcíaDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.ORCID 0000-0002-7563-1056
Marta Pérez-QuintanaDepartment of Internal Medicine, Osuna Hospital, 41640 Seville, Spain.
Consuelo Ramos-GiráldezDepartment of Rheumatology, Valme University Hospital, 41014 Seville, Spain.
Isabel Cebrián-GonzálezDepartment of Internal Medicine, Osuna Hospital, 41640 Seville, Spain.
María L Martín-PonceDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.ORCID 0000-0002-8646-8143
José Del Valle-VillagránDepartment of Internal Medicine, Osuna Hospital, 41640 Seville, Spain.ORCID 0000-0002-3141-6223
María A Navarro-PuertoDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.
Jorge Sánchez-VillegasDepartment of Internal Medicine, Osuna Hospital, 41640 Seville, Spain.
Rocío Gómez-HerrerosDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.
Isabel Manoja-BustosDepartment of Internal Medicine, Osuna Hospital, 41640 Seville, Spain.
Daniel León-MartíDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.ORCID 0000-0003-2294-9797
Lucía Serrano-RodríguezDepartment of Internal Medicine, Osuna Hospital, 41640 Seville, Spain.
Alejandra de Miguel-AlbarrealDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.
María J Velasco-RomeroDepartment of Internal Medicine, Osuna Hospital, 41640 Seville, Spain.
Francisco Mula-FalcónDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.
Pilar Fernández-PérezDepartment of Internal Medicine, Osuna Hospital, 41640 Seville, Spain.
Isabel Melguizo-MoyaDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.
María J Pérez-QuintanaDepartment of Rheumatology, Valme University Hospital, 41014 Seville, Spain.
Guillermo Romero-MolinaDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.
Salvador Vergara-LópezDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.
José L Marenco-de la FuenteDepartment of Rheumatology, Valme University Hospital, 41014 Seville, Spain.ORCID 0000-0001-8419-7151
Jorge Marín-MartínDepartment of Internal Medicine, Osuna Hospital, 41640 Seville, Spain.
José A Mira-EscartiDepartment of Internal Medicine, Valme University Hospital, 41014 Seville, Spain.
Hospital Universitario de Valme · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunomodulatory drugs have been used in patients with severe COVID-19. The objective of this study was to evaluate the effects of two different strategies, based either on an interleukin-1 inhibitor, anakinra, or on a JAK inhibitor, such as baricitinib, on the survival of patients hospitalized with COVID-19 pneumonia.

methodsIndividuals admitted to two hospitals because of COVID-19 were included if they fulfilled the clinical, radiological, and laboratory criteria for moderate-to-severe disease. Patients were classified according to the first immunomodulatory drug prescribed: anakinra or baricitinib. All subjects were concomitantly treated with corticosteroids, in addition to standard care. The main outcomes were the need for invasive mechanical ventilation (IMV) and in-hospital death. Statistical analysis included propensity score matching and Cox regression model.

resultsThe study subjects included 125 and 217 individuals in the anakinra and baricitinib groups, respectively. IMV was required in 13 (10.4%) and 10 (4.6%) patients, respectively (

conclusionsSimilar mortality is observed in patients treated with anakinra or baricitinib plus corticosteroids.

Indexed as

anakinrabaricitinibcorticosteroidsCOVID-19mortality

Identifiers

PMID34501467
PMCPMC8432474
OpenAlexW3196620596

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.