Evidence map›Paper›PMID 36267628›Full record

ArticleAcute medicine & surgery

Japanese rapid/living recommendations on drug management for COVID-19: updated guidelines (July 2022).

Kazuma Yamakawa, Ryo Yamamoto, Takero Terayama, Hideki Hashimoto, Tadashi Ishihara, Go Ishimaru, Haruki Imura, Hiromu Okano, Chihiro Narita, Takuya Mayumi and 12 more

Open access · goldAbstract read
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

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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

22 authors at 18 institutions in 1 country.

Kazuma YamakawaDepartment of Emergency and Critical Care Medicine Osaka Medical and Pharmaceutical University Takatsuki Japan.ORCID https://orcid.org/0000-0003-2999-4021
Ryo YamamotoDepartment of Emergency and Critical Care Medicine Keio University School of Medicine Tokyo Japan.
Takero TerayamaDepartment of Psychiatry, School of Medicine National Defense Medical College Tokorozawa Japan.
Hideki HashimotoDepartment of Infectious Diseases The University of Tokyo Hospital Tokyo Japan.
Tadashi IshiharaDepartment of Emergency and Critical Care Medicine Juntendo University Urayasu Hospital Urayasu Japan.
Go IshimaruDepartment of General Internal Medicine Soka Municipal Hospital Soka Japan.
Haruki ImuraDepartment of Infectious Diseases, Rakuwakai Otowa Hospital Kyoto University Kyoto Japan.
Hiromu OkanoDepartment of Critical Care and Emergency Medicine National Hospital Organization Yokohama Medical Center Yokohama Japan.ORCID https://orcid.org/0000-0002-2116-0455
Chihiro NaritaDepartment of Emergency Medicine and Intensive Care Medicine Shizuoka General Hospital Shizuoka Japan.ORCID https://orcid.org/0000-0002-8781-8280
Takuya MayumiDepartment of Internal Medicine Kanazawa Municipal Hospital Kanazawa Japan.
Hideto YasudaDepartment of Emergency and Critical Care Medicine Jichi Medical University Saitama Medical Center Saitama Japan.ORCID https://orcid.org/0000-0003-3153-1595
Kohei YamadaDepartment of Traumatology and Critical Care Medicine National Defense Medical College Tokorozawa Japan.
Hiroyuki YamadaDepartment of Primary Care and Emergency Medicine Kyoto University Hospital Kyoto Japan.ORCID https://orcid.org/0000-0002-5167-3147
Tatsuya KawasakiDepartment of Pediatric Critical Care Shizuoka Children's Hospital Shizuoka Japan.
Nobuaki ShimeDepartment of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.
Kent DoiDepartment of Emergency and Critical Care Medicine, Graduate School of Medicine The University of Tokyo Tokyo Japan.
Moritoki EgiDepartment of Anesthesia Kyoto University Hospital Kyoto Japan.
Hiroshi OguraDepartment of Traumatology and Acute Critical Medicine Osaka University Medical School Suita Japan.
Morio AiharaDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Hirosaki Japan.
Shigeki KushimotoDivision of Emergency and Critical Care Medicine Tohoku University Graduate School of Medicine Sendai Japan.ORCID https://orcid.org/0000-0001-9232-5782
Osamu NishidaDepartment of Anesthesiology and Critical Care Medicine Fujita Health University School of Medicine Toyoake Japan.
Special Committee of the Japanese Clinical Practice Guidelines for the Management of Sepsis and Septic Shock 2020 (J‐SSCG 2020), the COVID‐19 Task Force
Kyoto University Hospital · JPNational Defense Medical College Hospital · JPUniversity of Tokyo Hospital · JPFujita Health University · JPHirosaki University · JPHiroshima University · JPJichi Medical University · JPJuntendo University Urayasu Hospital · JPKanazawa Municipal Hospital · JPKeio University · JPKyoto University · JPNational Hospital Organization · JPOsaka University Hospital · JPOsaka University of Pharmaceutical Sciences · JPShizuoka Children's Hospital · JPShizuoka General Hospital · JPSoka Municipal Hospital · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Coronavirus disease (COVID-19), an infectious disease caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread worldwide since early 2020, and there are still no signs of resolution. The Japanese Clinical Practice Guidelines for the Management of Sepsis and Septic Shock (J-SSCG) 2020 Special Committee created the Japanese Rapid/Living recommendations on drug management for COVID-19 using the experience of creating the J-SSCG. Methods: The Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) approach was used to determine the certainty of the evidence and strength of recommendations. The first edition of this guideline was released on September 9, 2020, and this is the revised edition (version 5.0; released on July 15, 2022). Clinical questions (CQs) were set for the following 10 drugs: favipiravir (CQ1), remdesivir (CQ2), corticosteroids (CQ4), tocilizumab (CQ5), anticoagulants (CQ7), baricitinib (CQ8), casirivimab/imdevimab (CQ9-1), sotrovimab (CQ9-2), molnupiravir (CQ10), and nirmatrelvir/ritonavir (CQ11). Recommendations: Favipiravir is not suggested for all patients with COVID-19 (GRADE 2C). Remdesivir is suggested for patients with mild COVID-19 who do not require oxygen, and patients with moderate COVID-19 requiring supplemental oxygen/hospitalization (both GRADE 2B). Corticosteroids are recommended for moderate and severe COVID-19 (GRADE 1B, 1A). However, their administration is not recommended for mild COVID-19 (GRADE 1B). Tocilizumab is suggested for moderate and severe COVID-19 (GRADE 2B, 2C). Anticoagulant administration is recommended for moderate and severe COVID-19 (Good Practice Statement). Baricitinib is suggested for moderate and severe COVID-19 (both GRADE 2C). Casirivimab/imdevimab and sotrovimab are recommended for mild COVID-19 (both GRADE 2C). Molnupiravir and nirmatrelvir/ritonavir are recommended for mild COVID-19 (both GRADE 2C). SARS-CoV-2 mutant strains emerge occasionally, and each time, the treatment policy at clinics is forced to change drastically. We ask health-care professionals in the field to refer to the recommendations in these guidelines and use these to keep up to date with COVID-19 epidemiological information.

Indexed as

CoronavirusGRADE approachMAGICapppractice guidelineSARS‐CoV‐2

Identifiers

PMID36267628
PMCPMC9579991
OpenAlexW4307036975

What OpenQuestion holds

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LicenceCC BY-NC
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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.