Evidence map›Paper›PMID 39468947›Full record

ArticleJournal of Korean medical science2024

Patient-Reported Adverse Events Among Elderly Patients Receiving Novel Oral COVID-19 Antivirals: A Nationwide Sampled Survey in Korea.

Hyunah Jung, Ji Yeon Park, Dongwon Yoon, Dong Yoon Kang, Jaehun Jung, Ju Hwan Kim, Ju-Young Shin

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Temporal Trends in Public Stroke Awareness in Korea, 2009 to 2023.Journal of the American Heart Association · 2025
    Article
  2. 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

7 authors.

Hyunah Jung *Department of Biohealth Regulatory Science, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0009-0001-7453-2339
Ji Yeon Park *Department of Biohealth Regulatory Science, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0009-0009-8435-4538
Dongwon YoonDepartment of Biohealth Regulatory Science, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0002-9369-0789
Dong Yoon KangDepartment of Preventive Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea.ORCID https://orcid.org/0000-0003-4283-2633
Jaehun JungDepartment of Preventive Medicine, Gachon University College of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0002-4856-3668
Ju Hwan KimDepartment of Biohealth Regulatory Science, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0001-7253-6515
Ju-Young ShinDepartment of Biohealth Regulatory Science, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0003-1010-7525

Funding

Korea Institute of Drug Safety and Risk Management
6 · The paper itself

Abstract

backgroundThere is a dearth of research on the factors linked with adverse events (AEs) associated with nirmatrelvir/ritonavir (NMVr) and molnupiravir (MOL), particularly in the elderly. Therefore, this study aimed to investigate self-reported AEs and identify factors associated with the occurrence of AEs following NMVr or MOL treatment among survey participants aged 60 years or older in South Korea.

methodsThis nationwide survey was conducted through in-person interviews using structured questionnaires, from July 24 to August 31, 2023. Eligible participants included individuals aged 60 years or older who had been diagnosed with coronavirus disease 2019 (COVID-19) and received NMVr or MOL. The study outcomes included self-reported demographic, lifestyle, and health characteristics associated with the occurrence of AEs. Multivariate logistic regression analysis was used to estimate the adjusted odds ratio (aOR) and 95% confidence interval (CI) of each characteristic in participants with and without AEs.

resultsOf the 520 participants, 123 (23.7%) experienced at least one AE with oral COVID-19 treatment: 21.0% (96/458) for NMVr and 43.5% (27/62) for MOL. None of the participants reported any serious AEs. Increased odds of AE occurrence were observed in participants treated with MOL compared to those treated with NMVr (aOR, 3.05; 95% CI, 1.67-5.57), a history of two or more compared to one COVID-19 diagnosis (1.93; 1.03-3.62), and self-reported health status as "Unhealthy" compared to "Healthy" (2.65; 1.31-5.36).

conclusionNo AEs required further evaluation to change treatment strategies in elderly patients on NMVr or MOL. Several factors, including the use of MOL, history of COVID-19, and reported health status, were associated with an increased incidence of AEs. Both treatments may still be useful choices for patients with non-severe COVID-19 aged 60 years or older. However, close monitoring of unidentified potential harm and further investigation of the factors associated with the occurrence of AEs are needed.

Indexed as

Antiviral AgentsCOVID-19 Drug TreatmentSARS-CoV-2Administration, OralAgedAged, 80 and overCOVID-19CytidineFemaleHumansHydroxylaminesIndolesMaleMiddle AgedOdds RatioPatient Reported Outcome MeasuresAntiviral AgentsCytidineHydroxylaminesIndolesmolnupiravirRitonavirSulfidesumifenovirCOVID-19Drug-related Side Effects and Adverse ReactionsKoreaMolnupiravirNirmatrelvir and Ritonavir Drug CombinationRisk FactorsSurvey and Questionnaires

Identifiers

PMID39468947
PMCPMC11519057

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Registered trials

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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.