Evidence map›Paper›PMID 34524227›Full record

ReviewJournal of the Chinese Medical Association : JCMA2022

Consensus statement and recommendations on the treatment of COVID-19: 2021 update.

Hsin-Kuo Ko, Wen-Kuang Yu, Sheng-Wei Pan, Wei-Chih Chen, Kuang-Yao Yang, Yi-Tsung Lin, Fu-Der Wang, Muh-Hwa Yang, Yuh-Min Chen, Research Center for Epidemic Prevention—National Yang Ming Chiao Tung University (RCEP-NYCU)

Open access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in Journal of the Chinese Medical Association : JCMA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. mCell death discovery · 2023
    Review
  5. Two years of COVID-19: many lessons, but will we learn?Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    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

10 authors at 2 institutions in 1 country.

Hsin-Kuo KoDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Wen-Kuang YuDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Sheng-Wei PanDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Wei-Chih ChenDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Kuang-Yao YangDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Yi-Tsung LinCollege of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Fu-Der WangCollege of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Muh-Hwa YangDivision of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Yuh-Min ChenDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Research Center for Epidemic Prevention—National Yang Ming Chiao Tung University (RCEP-NYCU)
National Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many treatments including antiviral and non-antiviral drugs, and critical care are considered for the management of coronavirus disease 2019 (COVID-19). Practice recommendations need to be updated and graded according to the critical evaluation of rapidly emerging literature. In June 2020, Research Center for Epidemic Prevention-National Yang Ming Chiao Tung University formed a task group comprising infectious disease clinicians, pulmonologists, and intensivists with varied areas of expertise. The steering committee prioritized questions and outcomes. The keywords for the searches were COVID-19 and prone position, extracorporeal membrane oxygenation (ECMO), noninvasive positive pressure ventilation (NIPPV), remdesivir, lopinavir, hydroxychloroquine/chloroquine (HCQ/CQ), azithromycin, corticosteroid, tocilizumab, convalescent plasma therapy, and intravenous immunoglobin (IVIG). A systematic review of peer-reviewed literature was performed by the consensus panel. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used in assessing the certainty of evidence and making recommendations. The effects of COVID-19 treatments on mortality and clinical improvement were summarized in 11 tables, and GRADE was presented to define the strength and quality of evidence for recommendation. The consensus recommended that prone position implanted in COVID-19 patients with hypoxic respiratory failure (IIC), careful selection for the support of ECMO (IIB), NIPPV being feasible but a risk of staff contamination (IIC), remdesivir generally administered in mild-to-moderate COVID-19 patients (IA), the use of dexamethasone in critically ill COVID-19 patients (IA), and the use of tociliziumab in hospitalized severe/critical COVID-19 patient with elevated markers of systemic inflammation (IA). The consensus recommended against the use of lopinavir/ritonavir (IB), HCQ/CQ (IA), azithromycin (IA), convalescent plasma therapy (IA), and IVIG (IA). The inception of the consensus and task group has provided much-needed evidence of the efficacy and safety of various therapies for the management of COVID-19 patients, and make a description about the benefits and harms for most treatments.

Indexed as

SARS-CoV-2Antiviral AgentsConsensusCOVID-19COVID-19 SerotherapyCOVID-19 VaccinesExtracorporeal Membrane OxygenationHumansImmunization, PassiveImmunoglobulins, IntravenousProne PositionVaccinationAntiviral AgentsCOVID-19 VaccinesImmunoglobulins, Intravenous

Identifiers

PMID34524227
PMCPMC12755370
OpenAlexW3201215783

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.