Table 5. Table of evidence of the use of hydroxychloroquine for the treatment of mild COVID-19. Question: Should hydroxychloroquine, compared with controls, be used for the treatment of mild COVID-19?
Certainty assessment | Patient (n)s | Effect | Certainty | Importance | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Studies (n) | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | HCQ | CONTROL | Relative (95% CI) | Absolute (95% CI) | ||
HOSPITALIZATION | ||||||||||||
4 | randomized trials | not serious | not serious | not serious | not serious | none | 23/714 (3.2%) | 36/747 (4.8%) | RR 0.68 (0.41 to 1.14) | 15 fewer per 1,000 (from 28 fewer to 7 more) | HIGH | |
ADVERSE EFFECTS | ||||||||||||
2 | randomized trials | not serious | very serious a | not serious | serious b | publication bias strongly suspected c | 138/426 (32.4%) | 92/438 (21.0%) | RR 1.47 (0.79 to 2.72) | 99 more per 1,000 (from 44 fewer to 361 more) | VERY LOW | |
SERIOUS ADVERSE EFFECTS | ||||||||||||
3 | randomized trials | not serious | not serious | not serious | not serious | none | 11/502 (2.2%) | 12/536 (2.2%) | RR 0.97 (0.44 to 2.16) | 1 fewer per 1,000 (from 13 fewer to 26 more) | HIGH | |
DEATHS | ||||||||||||
4 | randomized trials | not serious | not serious | not serious | not serious | none | 1/714 (0.1%) | 1/747 (0.1%) | RR 1.07 (0.15 to 7.86) | 0 fewer per 1,000 (from 1 fewer to 9 more) | HIGH |
HCQ: hydroxychloroquine; and RR: Risk ratio.
Explanations
a. HETEROGENEITY GREATER THAN 75%
b. WIDE CI
c. OUTLIER