Evidence map›Paper›PMID 35086413›Full record

ReviewPostgraduate medicine2022

Therapeutic role of immunomodulators during the COVID-19 pandemic- a narrative review.

Hebah Al-Hajeri, Fatemah Baroun, Fatemah Abutiban, Muna Al-Mutairi, Yasser Ali, Adel Alawadhi, Anwar Albasri, Ali Aldei, Ahmad AlEnizi, Naser Alhadhood and 15 more

Open access · greenAbstract readReview
In one paragraph

Review in Postgraduate medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Corticosteroids in COVID-19: pros and cons.Frontiers in medicine · 2023
    Review
  7. Review
  8. Review
  9. 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

25 authors at 6 institutions in 1 country.

Hebah Al-HajeriDepartment of Rheumatology and Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
Fatemah BarounDepartment of Rheumatology and Internal Medicine, AlJahra Hospital, Al-Jahra, Kuwait.
Fatemah AbutibanDepartment of Rheumatology and Internal Medicine, Jaber Al-Ahmad Hospital, South Surra, Kuwait.
Muna Al-MutairiDepartment of Pediatrics, Al-Adan Hospital, Hadiya, Kuwait.
Yasser AliRheumatology Unit, Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
Adel AlawadhiRheumatology Unit, Department of Internal Medicine, Al-Amiri Hospital, Kuwait City, Kuwait.
Anwar AlbasriRheumatology Unit, Department of Internal Medicine, Jaber Al-Ahmad Hospital, South Surra, Kuwait.
Ali AldeiRheumatology Unit, Department of Internal Medicine, Al-Amiri Hospital, Kuwait City, Kuwait.
Ahmad AlEniziRheumatology Unit, Department of Internal Medicine, AlJahra Hospital, AlJahra, Kuwait.
Naser AlhadhoodRheumatology Unit, Department of Internal Medicine, Farwaneyah Hospital, AlFarwaniya, Kuwait.
Adeeba Al-HerzRheumatology Unit, Department of Internal Medicine, Al-Amiri Hospital, Kuwait City, Kuwait.
Amjad AlkadiRheumatology Unit, Department of Internal Medicine, Al-Sabah Hospital, Alsabah, Kuwait.
Waleed AlkanderiRheumatology Unit, Department of Internal Medicine, Farwaneyah Hospital, AlFarwaniya, Kuwait.
Ammar AlmathkooriRheumatology Unit, Department of Internal Medicine, Al-Adan Hospital, Hadiya, Kuwait.
Nora AlmutairiRheumatology Unit, Department of Internal Medicine, Al-Sabah Hospital, Alsabah, Kuwait.
Saud AlsayeghRheumatology Unit, Department of Internal Medicine, Jaber Al-Ahmad Armed Forces, Kuwait City, Kuwait.
Ali AlturkiRheumatology Unit, Department of Internal Medicine, Al-Adan Hospital, Hadiya, Kuwait.
Husain BahbahaniRheumatology Unit, Department of Internal Medicine, Farwaneyah Hospital, AlFarwaniya, Kuwait.
Ahmad DehrabRheumatology Unit, Department of Internal Medicine, Al-Amiri Hospital, Kuwait City, Kuwait.
Aqeel GhanemRheumatology Unit, Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
Eman Haji HasanRheumatology Unit, Department of Internal Medicine, Al-Amiri Hospital, Kuwait City, Kuwait.
Sawsan HayatRheumatology Unit, Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
Khuloud SalehRheumatology Unit, Department of Internal Medicine, Farwaneyah Hospital, AlFarwaniya, Kuwait.
Hoda TarakmehRheumatology Unit, Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
by the Kuwait Association of Rheumatology
Amiri Hospital · KWMubarak Al Kabeer Hospital · KWFarwaniya Hospital · KWJahra Hospital · KWAdan Hospital · KWAl-Sabah Hospital · KW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The emergency state caused by COVID-19 saw the use of immunomodulators despite the absence of robust research. To date, the results of relatively few randomized controlled trials have been published, and methodological approaches are riddled with bias and heterogeneity. Anti-SARS-CoV-2 antibodies, convalescent plasma and the JAK inhibitor baricitinib have gained Emergency Use Authorizations and tentative recommendations for their use in clinical practice alone or in combination with other therapies. Anti-SARS-CoV-2 antibodies are predominating the management of non-hospitalized patients, while the inpatient setting is seeing the use of convalescent plasma, baricitinib, tofacitinib, tocilizumab, sarilumab, and corticosteroids, as applicable. Available clinical data also suggest the potential clinical benefit of the early administration of blood-derived products (e.g. convalescent plasma, non-SARS-CoV-2-specific immunoglobins) and the blockade of factors implicated in the hyperinflammatory state of severe COVID-19 (Interleukin 1 and 6; Janus Kinase). Immune therapies seem to have a protective effect and using immunomodulators alone or in combination with viral replication inhibitors and other treatment modalities might prevent progression into severe COVID-19 disease, cytokine storm and death. Future trials should address existing gaps and reshape the landscape of COVID-19 management.

Indexed as

COVID-19COVID-19 SerotherapyHumansImmunization, PassiveImmunologic FactorsPandemicsSARS-CoV-2Immunologic FactorsbiologicsCOVID-19cytokine stormimmunomodulationSARS-CoV2

Identifiers

PMID35086413
PMCPMC8862162
OpenAlexW4210606958

What OpenQuestion holds

Textmetadata
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.