Evidence map›Paper›PMID 34911695›Full record

GuidelineEuropean respiratory review : an official journal of the European Respiratory Society2021

The impact of therapeutics on mortality in hospitalised patients with COVID-19: systematic review and meta-analyses informing the European Respiratory Society living guideline.

Megan L Crichton, Pieter C Goeminne, Krizia Tuand, Thomas Vandendriessche, Thomy Tonia, Nicolas Roche, James D Chalmers, European Respiratory Society COVID-19 Task Force

Abstract readMeta-AnalysisSystematic ReviewPractice Guideline
In one paragraph

Guideline in European respiratory review : an official journal of the European Respiratory Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. JAK inhibitors and COVID-19.Journal for immunotherapy of cancer · 2022
    Pooled it
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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

8 authors.

Megan L CrichtonSchool of Medicine, University of Dundee, Dundee, UK.
Pieter C GoeminneDept of Respiratory Medicine, AZ Nikolaas, Sint-Niklaas, Belgium.
Krizia TuandKU Leuven Libraries - 2Bergen - Learning Centre Désiré Collen, Leuven, Belgium.ORCID https://orcid.org/0000-0003-2670-5415
Thomas VandendriesscheKU Leuven Libraries - 2Bergen - Learning Centre Désiré Collen, Leuven, Belgium.
Thomy ToniaInstitute of Social and Preventive Medicine, University Bern, Bern, Switzerland.
Nicolas RocheRespiratory Medicine, Cochin Hospital, APHP Centre-University of Paris, Cochin Institute (INSERM UMR1016), Paris, France.
James D ChalmersSchool of Medicine, University of Dundee, Dundee, UK jchalmers@dundee.ac.uk.
European Respiratory Society COVID-19 Task Force

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hospitalised patients with coronavirus disease 2019 (COVID-19) have a high mortality rate. There are an increasing number of published randomised controlled trials for anti-inflammatory, anti-viral and other treatments. The European Respiratory Society Living Guidelines for the Management of Hospitalised Adults with COVID-19 were published recently, providing recommendations on appropriate pharmacotherapy.Patient, Intervention, Comparator and Outcomes questions for key interventions were identified by an international panel and systematic reviews were conducted to identify randomised controlled trials meeting the inclusion criteria. The importance of end-points were rated, and mortality was identified as the key "critical" outcome for all interventions. Random-effects meta-analysis was used to pool studies and provide effect estimates for the impact of treatments on mortality.Corticosteroids, hydroxychloroquine, azithromycin, remdesivir, anti-interleukin (IL)-6 monoclonal antibodies, colchicine, lopinavir/ritonavir and interferon-β have been reviewed.Our results found further evidence in support of the use of corticosteroids, particularly dexamethasone, and anti-IL-6 receptor monoclonal antibody therapy. These data support the need to identify additional therapies with beneficial effects on mortality.

Indexed as

COVID-19AdultAnti-Inflammatory AgentsAntiviral AgentsHumansRespiration, ArtificialSARS-CoV-2Anti-Inflammatory AgentsAntiviral Agents

Identifiers

PMID34911695
PMCPMC8796659

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.