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. 2021 Sep-Oct;47(5):e20210236. doi: 10.36416/1806-3756/e20210236

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