Evidence map›Paper›PMID 38238076›Full record

Observational studyHeart (British Cardiac Society)2024

Efficacy and safety of colchicine for the treatment of myopericarditis.

Valentino Collini, Maria De Martino, Alessandro Andreis, Marzia De Biasio, Francesca Gaspard, Elena Paneva, Mariacristina Tomat, Gaetano Maria Deferrari, Miriam Isola, Massimo Imazio

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Heart (British Cardiac Society), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Post-viral myocarditis.Heart failure reviews · 2026
    Review
  3. Observational
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. [Colchicine-Phoenix from the ashes].Wiener klinische Wochenschrift · 2025
    Review
  12. Article
  13. Article
  14. Effect of colchicine on 90-day outcomes in patients with acute myocarditis: a real-world analysis.American heart journal plus : cardiology research and practice · 2024
    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 3 institutions in 2 countries.

Valentino ColliniCardiothoracic Department, Santa Maria della Misericordia University Hospital, Udine, Italy.
Maria De MartinoUniversity of Udine, Udine, Friuli-Venezia Giulia, Italy.
Alessandro AndreisDepartment of Medical Sciences, Division of Cardiology, AOU Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy.ORCID 0000-0002-1203-000X
Marzia De BiasioCardiothoracic Department, Santa Maria della Misericordia University Hospital, Udine, Italy.
Francesca GaspardDepartment of Medical Sciences, Division of Cardiology, AOU Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy.
Elena PanevaDepartment of Medical Sciences, Division of Cardiology, AOU Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy.
Mariacristina TomatCardiothoracic Department, Santa Maria della Misericordia University Hospital, Udine, Italy.
Gaetano Maria DeferrariDepartment of Medical Sciences, Division of Cardiology, AOU Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy.
Miriam IsolaUniversity of Udine, Udine, Friuli-Venezia Giulia, Italy.
Massimo ImazioCardiothoracic Department, Santa Maria della Misericordia University Hospital, Udine, Italy massimo.imazio@uniud.it.ORCID 0000-0002-5722-0245
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITOspedale Santa Maria della Misericordia di Udine · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveClinical trials have evaluated the efficacy and safety of colchicine only in simple pericarditis, excluding cases of concomitant myocarditis. The aim of this paper is to evaluate the efficacy and safety of colchicine for the treatment of the first attack of acute pericarditis with concomitant myocardial involvement.

methodsDouble-centre retrospective cohort study analysing consecutive patients admitted for first attack of pericarditis with myocarditis and treated with or without colchicine. The primary efficacy end point was the time to the first recurrence. Propensity score matching was used to generate two groups of patients with similar baseline characteristics. Colchicine-associated side effects were analysed as safety end-point.

resultsA total of 175 patients (mean age 46.2±20.1 years, 25.1% females, 88.6% with idiopathic/viral aetiology) were included. Seventy-nine (45.1%) patients were treated with colchicine. After a median follow-up of 25.3 (IQR 8.3-45.6) months, 58 (33.1%) patients had recurrences. The propensity score generated two groups of 73 patients with similar baseline characteristics but the use of colchicine. Patients treated with colchicine had a lower incidence of recurrences (respectively, 19.2% vs 43.8%; p=0.001) and a longer event-free survival (p=0.005). In multivariable analysis, women (HR 1.97, 95% CI 1.04 to 3.73; p=0.037) and corticosteroid use (HR 2.27, 95% CI 1.15 to 4.47; p=0.018) were independent risk factors for recurrences. Colchicine-associated side effects were mild and occurred in 3 (1.7%) patients.

conclusionIn patients with first attack of pericarditis associated with myocardial involvement, colchicine was safe and efficacious for the reduction of recurrences.

Indexed as

ColchicineMyocarditisPericarditisRecurrenceAcute DiseaseAdultDisease-Free SurvivalFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesTreatment OutcomeTubulin ModulatorsColchicineTubulin ModulatorsMyocarditisPericarditis

Identifiers

PMID38238076
PMCPMC11103299
OpenAlexW4390986246

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.