Universidad Peruana Cayetano Heredia

Association between convalescent plasma treatment and mortality in COVID-19: a collaborative systematic review and meta-analysis of randomized clinical trials

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dc.contributor.author Axfors, C.
dc.contributor.author Janiaud, P.
dc.contributor.author Schmitt, A.M.
dc.contributor.author van’t Hooft, J.
dc.contributor.author Smith, E.R.
dc.contributor.author Haber, N.A.
dc.contributor.author Abayomi, A.
dc.contributor.author Abduljalil, M.
dc.contributor.author Abdulrahman, A.
dc.contributor.author Acosta-Ampudia, Y.
dc.contributor.author Aguilar-Guisado, M.
dc.contributor.author Al-Beidh, F.
dc.contributor.author Alejandria, M.M.
dc.contributor.author Alfonso, R.N.
dc.contributor.author Ali, M.
dc.contributor.author AlQahtani, M.
dc.contributor.author AlZamrooni, A.
dc.contributor.author Anaya, J.-M.
dc.contributor.author Ang, M.A.C.
dc.contributor.author Aomar, I.F.
dc.contributor.author Argumanis, L.E.
dc.contributor.author Averyanov, A.
dc.contributor.author Baklaushev, V.P.
dc.contributor.author Balionis, O.
dc.contributor.author Benfield, T.
dc.contributor.author Berry, S.
dc.contributor.author Birocco, N.
dc.contributor.author Bonifacio, L.B.
dc.contributor.author Bowen, A.C.
dc.contributor.author Bown, A.
dc.contributor.author Cabello-Gutierrez, C.
dc.contributor.author Camacho, B.
dc.contributor.author Camacho-Ortiz, A.
dc.contributor.author Campbell-Lee, S.
dc.contributor.author Cao, D.H.
dc.contributor.author Cardesa, A.
dc.contributor.author Carnate, J.M.
dc.contributor.author Castillo, G.J.J.
dc.contributor.author Cavallo, R.
dc.contributor.author Chowdhury, F.R.
dc.contributor.author Chowdhury, F.U.H.
dc.contributor.author Ciccone, G.
dc.contributor.author Cingolani, A.
dc.contributor.author Climacosa, F.M.M.
dc.contributor.author Compernolle, V.
dc.contributor.author Cortez, C.F.N.
dc.contributor.author Costa Neto, A.
dc.contributor.author D’Antico, S.
dc.contributor.author Daly, J.
dc.contributor.author Danielle, F.
dc.contributor.author Davis, J.S.
dc.contributor.author De Rosa, F.G.
dc.contributor.author Denholm, J.T.
dc.contributor.author Denkinger, C.M.
dc.contributor.author Desmecht, D.
dc.contributor.author Díaz-Coronado, J.C.
dc.contributor.author Díaz Ponce-Medrano, J.A.
dc.contributor.author Donneau, A.-F.
dc.contributor.author Dumagay, T.E.
dc.contributor.author Dunachie, S.
dc.contributor.author Dungog, C.C.
dc.contributor.author Erinoso, O.
dc.contributor.author Escasa, I.M.S.
dc.contributor.author Estcourt, L.J.
dc.contributor.author Evans, Alun
dc.contributor.author Evasan, A.L.M.
dc.contributor.author Fareli, C.J.
dc.contributor.author Fernandez-Sanchez, V.
dc.contributor.author Galassi, C.
dc.contributor.author Gallo, J.E.
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.contributor.author Garcia, P.L.
dc.contributor.author Garcia, J.A.
dc.contributor.author Garigliany, M.
dc.contributor.author Garza-Gonzalez, Elvira
dc.contributor.author Gauiran, D.T.V.
dc.contributor.author Gaviria García, P.A.
dc.contributor.author Giron-Gonzalez, J.-A.
dc.contributor.author Gómez-Almaguer, D.
dc.contributor.author Gordon, A.C.
dc.contributor.author Gothot, A.
dc.contributor.author Grass Guaqueta, J.S.
dc.contributor.author Green, C.
dc.contributor.author Grimaldi, D.
dc.contributor.author Hammond, N.E.
dc.contributor.author Harvala, H.
dc.contributor.author Heralde, F.M.
dc.contributor.author Herrick, J.
dc.contributor.author Higgins, A.M.
dc.contributor.author Hills, T.E.
dc.contributor.author Hines, J.
dc.contributor.author Holm, K.
dc.contributor.author Hoque, A.
dc.contributor.author Hoste, E.
dc.contributor.author Ignacio, J.M.
dc.contributor.author Ivanov, A.V.
dc.contributor.author Janssen, M.
dc.contributor.author Jennings, J.H.
dc.contributor.author Jha, V.
dc.contributor.author King, R.A.N.
dc.contributor.author Kjeldsen-Kragh, J.
dc.contributor.author Klenerman, P.
dc.contributor.author Kotecha, A.
dc.contributor.author Krapp, F.
dc.contributor.author Labanca, L.
dc.contributor.author Laing, E.
dc.contributor.author Landin-Olsson, M.
dc.contributor.author Laterre, P.-F.
dc.contributor.author Lim, L.-L.
dc.contributor.author Lim, J.
dc.contributor.author Ljungquist, O.
dc.contributor.author Llaca-Díaz, J.M.
dc.contributor.author López-Robles, C.
dc.contributor.author López-Cárdenas, S.
dc.contributor.author Lopez-Plaza, I.
dc.contributor.author Lucero, J.A.C.
dc.contributor.author Lundgren, M.
dc.contributor.author Macías, J.
dc.contributor.author Maganito, S.C.
dc.contributor.author Malundo, A.F.G.
dc.contributor.author Manrique, R.D.
dc.contributor.author Manzini, P.M.
dc.contributor.author Marcos, M.
dc.contributor.author Marquez, I.
dc.contributor.author Martínez-Marcos, F.J.
dc.contributor.author Mata, A.M.
dc.contributor.author McArthur, C.J.
dc.contributor.author McQuilten, Z.K.
dc.contributor.author McVerry, B.J.
dc.contributor.author Menon, D.K.
dc.contributor.author Meyfroidt, G.
dc.contributor.author Mirasol, M.A.L.
dc.contributor.author Misset, B.
dc.contributor.author Molton, J.S.
dc.contributor.author Mondragon, A.V.
dc.contributor.author Monsalve, D.M.
dc.contributor.author Moradi Choghakabodi, P.
dc.contributor.author Morpeth, S.C.
dc.contributor.author Mouncey, P.R.
dc.contributor.author Moutschen, M.
dc.contributor.author Müller-Tidow, C.
dc.contributor.author Murphy, E.
dc.contributor.author Najdovski, T.
dc.contributor.author Nichol, A.D.
dc.contributor.author Nielsen, H.
dc.contributor.author Novak, R.M.
dc.contributor.author O’Sullivan, M.V.N.
dc.contributor.author Olalla, J.
dc.contributor.author Osibogun, A.
dc.contributor.author Osikomaiya, B.
dc.contributor.author Oyonarte, S.
dc.contributor.author Pardo-Oviedo, J.M.
dc.contributor.author Patel, M.C.
dc.contributor.author Paterson, D.L.
dc.contributor.author Peña-Perez, C.A.
dc.contributor.author Perez-Calatayud, A.A.
dc.contributor.author Pérez-Alba, E.
dc.contributor.author Perkina, A.
dc.contributor.author Perry, N.
dc.contributor.author Pouladzadeh, M.
dc.contributor.author Poyato, I.
dc.contributor.author Price, D.J.
dc.contributor.author Quero, A.K.H.
dc.contributor.author Rahman, M.M.
dc.contributor.author Rahman, M.S.
dc.contributor.author Ramesh, M.
dc.contributor.author Ramírez-Santana, C.
dc.contributor.author Rasmussen, M.
dc.contributor.author Rees, M.A.
dc.contributor.author Rego, E.
dc.contributor.author Roberts, J.A.
dc.contributor.author Roberts, D.J.
dc.contributor.author Rodríguez, Yhojan
dc.contributor.author Rodríguez-Baño, J.
dc.contributor.author Rogers, B.A.
dc.contributor.author Rojas, M.
dc.contributor.author Romero, A.
dc.contributor.author Rowan, K.M.
dc.contributor.author Saccona, F.
dc.contributor.author Safdarian, M.
dc.contributor.author Santos, M.C.M.
dc.contributor.author Sasadeusz, J.
dc.contributor.author Scozzari, G.
dc.contributor.author Shankar-Hari, M.
dc.contributor.author Sharma, G.
dc.contributor.author Snelling, T.
dc.contributor.author Soto, A.
dc.contributor.author Tagayuna, P.Y.
dc.contributor.author Tang, A.
dc.contributor.author Tatem, G.
dc.contributor.author Teofili, L.
dc.contributor.author Tong, S.Y.C.
dc.contributor.author Turgeon, A.F.
dc.contributor.author Veloso, J.D.
dc.contributor.author Venkatesh, B.
dc.contributor.author Ventura-Enriquez, Y.
dc.contributor.author Webb, S.A.
dc.contributor.author Wiese, L.
dc.contributor.author Wikén, C.
dc.contributor.author Wood, E.M.
dc.contributor.author Yusubalieva, G.M.
dc.contributor.author Zacharowski, K.
dc.contributor.author Zarychanski, R.
dc.contributor.author Khanna, N.
dc.contributor.author Moher, D.
dc.contributor.author Goodman, S.N.
dc.contributor.author Ioannidis, J.P.A.
dc.contributor.author Hemkens, L.G.
dc.date.accessioned 2021-12-12T20:24:53Z
dc.date.available 2021-12-12T20:24:53Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/10196
dc.description.abstract Background: Convalescent plasma has been widely used to treat COVID-19 and is under investigation in numerous randomized clinical trials, but results are publicly available only for a small number of trials. The objective of this study was to assess the benefits of convalescent plasma treatment compared to placebo or no treatment and all-cause mortality in patients with COVID-19, using data from all available randomized clinical trials, including unpublished and ongoing trials (Open Science Framework, https://doi.org/10.17605/OSF.IO/GEHFX). Methods: In this collaborative systematic review and meta-analysis, clinical trial registries (ClinicalTrials.gov, WHO International Clinical Trials Registry Platform), the Cochrane COVID-19 register, the LOVE database, and PubMed were searched until April 8, 2021. Investigators of trials registered by March 1, 2021, without published results were contacted via email. Eligible were ongoing, discontinued and completed randomized clinical trials that compared convalescent plasma with placebo or no treatment in COVID-19 patients, regardless of setting or treatment schedule. Aggregated mortality data were extracted from publications or provided by investigators of unpublished trials and combined using the Hartung–Knapp–Sidik–Jonkman random effects model. We investigated the contribution of unpublished trials to the overall evidence. Results: A total of 16,477 patients were included in 33 trials (20 unpublished with 3190 patients, 13 published with 13,287 patients). 32 trials enrolled only hospitalized patients (including 3 with only intensive care unit patients). Risk of bias was low for 29/33 trials. Of 8495 patients who received convalescent plasma, 1997 died (23%), and of 7982 control patients, 1952 died (24%). The combined risk ratio for all-cause mortality was 0.97 (95% confidence interval: 0.92; 1.02) with between-study heterogeneity not beyond chance (I2 = 0%). The RECOVERY trial had 69.8% and the unpublished evidence 25.3% of the weight in the meta-analysis. Conclusions: Convalescent plasma treatment of patients with COVID-19 did not reduce all-cause mortality. These results provide strong evidence that convalescent plasma treatment for patients with COVID-19 should not be used outside of randomized trials. Evidence synthesis from collaborations among trial investigators can inform both evidence generation and evidence application in patient care en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries BMC Infectious Diseases
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Convalescent plasma en_US
dc.subject COVID-19 en_US
dc.subject Meta-analysis en_US
dc.subject SARS-CoV-2 en_US
dc.title Association between convalescent plasma treatment and mortality in COVID-19: a collaborative systematic review and meta-analysis of randomized clinical trials en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1186/s12879-021-06829-7
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.relation.issn 1471-2334


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