Evidence map›Paper›PMID 34922352›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Fair Allocation of Scarce Therapies for Coronavirus Disease 2019 (COVID-19).

Govind Persad, Monica E Peek, Seema K Shah

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Causal Inference in Health Disparities Research.Annual review of public health · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Current status of antimicrobial prophylaxis during extracorporeal membrane oxygenation in Japan: a national survey.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2022
    Article
  8. Review
  9. Article
  10. COVID-19 vaccine: what are we doing and what should we do?The Lancet. Infectious diseases · 2022
    Article
  11. Predicting COVID-19 severity using major risk factors and received vaccines.medRxiv : the preprint server for health sciences · 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

3 authors at 3 institutions in 1 country.

Govind PersadSturm College of Law, University of Denver, Denver, Colorado, USA.ORCID 0000-0002-9436-9209
Monica E PeekUniversity of Chicago, Chicago, Illinois, USAand.
Seema K ShahNorthwestern University, Evanston, Illinois, USA.
Northwestern University · USUniversity of Chicago · USUniversity of Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The US Food and Drug Administration (FDA) has issued emergency use authorizations (EUAs) for monoclonal antibodies (mAbs) for nonhospitalized patients with mild or moderate coronavirus disease 2019 (COVID-19) disease and for individuals exposed to COVID-19 as postexposure prophylaxis. EUAs for oral antiviral drugs have also been issued. Due to increased demand because of the Delta variant, the federal government resumed control over the supply and asked states to ration doses. As future variants (eg, the Omicron variant) emerge, further rationing may be required. We identify relevant ethical principles (ie, benefiting people and preventing harm, equal concern, and mitigating health inequities) and priority groups for access to therapies based on an integrated approach to population health and medical factors (eg, urgently scarce healthcare workers, persons in disadvantaged communities hard hit by COVID-19). Using priority categories to allocate scarce therapies effectively operationalizes important ethical values. This strategy is preferable to the current approach of categorical exclusion or inclusion rules based on vaccination, immunocompromise status, or older age, or the ad hoc consideration of clinical risk factors.

Indexed as

COVID-19Health Care RationingHealth PersonnelHumansSARS-CoV-2allocationantiviralsbioethicsCOVID-19molnupiravirmonoclonal antibodiespaxlovidrationingscarcitytherapies

Identifiers

PMID34922352
PMCPMC8807190
OpenAlexW4200180565

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.