Evidence map›Paper›PMID 37162716›Full record

SynthesisInfection2023

Effectiveness of tocilizumab in non-intubated cases with COVID-19: a systematic review and meta-analysis.

Şiran Keske, Merve Akyol, Cem Tanrıöver, Batu Özlüşen, Rüştü Emre Akcan, Ulaş Güler, Bilgin Sait, Bahar Kaçmaz, Mehmet Gönen, Önder Ergönül

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Infection, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

Şiran KeskeDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Koç University, Davutpaşa Cd. No:4, Zeytinburnu, 34010, Istanbul, Turkey. sirankeske@yahoo.com.ORCID http://orcid.org/0000-0003-3823-4454
Merve AkyolDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Koç University, Davutpaşa Cd. No:4, Zeytinburnu, 34010, Istanbul, Turkey.
Cem TanrıöverDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Koç University, Davutpaşa Cd. No:4, Zeytinburnu, 34010, Istanbul, Turkey.
Batu ÖzlüşenDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Koç University, Davutpaşa Cd. No:4, Zeytinburnu, 34010, Istanbul, Turkey.
Rüştü Emre AkcanDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Koç University, Davutpaşa Cd. No:4, Zeytinburnu, 34010, Istanbul, Turkey.
Ulaş GülerDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Koç University, Davutpaşa Cd. No:4, Zeytinburnu, 34010, Istanbul, Turkey.
Bilgin SaitDepartment of Internal Medicine, American Hospital, Istanbul, Turkey.
Bahar KaçmazDepartment of Infectious Diseases, American Hospital, Istanbul, Turkey.
Mehmet GönenDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Koç University, Davutpaşa Cd. No:4, Zeytinburnu, 34010, Istanbul, Turkey.
Önder ErgönülDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Koç University, Davutpaşa Cd. No:4, Zeytinburnu, 34010, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTocilizumab, a monoclonal IL-6 receptor blocker, is an effective agent for severe-to-critical cases of COVID-19; however, its target patients for the optimum use need to be detailed. We performed a systematic review and meta-analysis to define its effect among severely ill but non-intubated cases with COVID-19.

methodsWe searched PubMed, Scopus, Web of Science, MEDLINE, Cochrane Central Register of Controlled Trials (CENTRAL), Medrxiv, and Biorxiv until February 13, 2022, for non-intubated cases, and included randomized-controlled trials (RCT) based on bias assessment. The primary outcomes were the requirement of invasive mechanical ventilation and mortality. Random effect and fixed-effect models were used. The heterogeneity was measured using the χ

resultsAmong 261 articles, 11 RCTs were included. The pooled analysis of the 11 RCTs demonstrated that the rate of mortality was significantly lower in the tocilizumab group than in the control group (20.0% and 24.2%, OR: 0.84, 95% CI 0.73-0.96, and heterogeneity I

conclusionAmong non-intubated severe COVID-19 cases, tocilizumab reduces the risk of invasive mechanical ventilation and mortality compared to standard-of-care treatment.

Indexed as

COVID-19Antibodies, Monoclonal, HumanizedCOVID-19 Drug TreatmentHumansRespiration, ArtificialAntibodies, Monoclonal, HumanizedtocilizumabCOVID-19Non-intubatedPneumoniaRandomized-controlled trialsTocilizumab

Identifiers

PMID37162716
PMCPMC10170028

What Socratic 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 Socratic graph.