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All Studies   Meta Analysis    Recent:   
0 0.5 1 1.5 2+ Mortality 65% Improvement Relative Risk Ventilation 60% ICU admission 71% Colchicine for COVID-19  Elshiwy et al.  META ANALYSIS Favors colchicine Favors control

The Role of Colchicine in the Management of COVID-19: A Meta-analysis

Elshiwy et al., Research Square, doi:10.21203/
Dec 2023  
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Colchicine for COVID-19
5th treatment shown to reduce risk in September 2020
*, now known with p = 0.00000018 from 53 studies.
No treatment is 100% effective. Protocols combine complementary and synergistic treatments. * >10% efficacy in meta analysis with ≥3 clinical studies.
4,000+ studies for 60+ treatments.
Systematic review and meta-analysis of 8 studies (4 RCTs) involving 16,488 COVID-19 patients showed significantly lower mortality and oxygen therapy needs with colchicine treatment compared to placebo or standard care.
10 meta analyses show significant improvements with colchicine for mortality Danjuma, Elshafei, Elshiwy, Golpour, Lien, Rai, Salah, Zein, oxygen therapy Elshiwy, hospitalization Kow, and severity Yasmin.
Currently there are 53 colchicine for COVID-19 studies, showing 29% lower mortality [19‑39%], 29% lower ventilation [-15‑56%], 31% lower ICU admission [4‑51%], 19% lower hospitalization [10‑27%], and 9% more cases [-8‑29%].
risk of death, 65.0% lower, RR 0.35, p = 0.01.
risk of mechanical ventilation, 60.0% lower, RR 0.40, p = 0.09.
risk of ICU admission, 71.0% lower, RR 0.29, p = 0.08.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Elshiwy et al., 12 Dec 2023, preprint, 5 authors. Contact:
This PaperColchicineAll
The Role of Colchicine in the Management of COVID-19: A Meta-analysis
Kholoud Elshiwy, Ghada Essam El-Din Amin, Mohamed Nazmy, Rasha Samir, Mohamed Farouk Allam
Background: The Coronavirus disease 2019 pandemic has robustly affected the global healthcare and economic systems. The causative agent is coronavirus-2 (SARS-CoV-2). The clinical presentation of the disease ranges from a u-like illness to severe pneumonia and death. Till September 2022, the cumulative number of cases exceeded 600 million worldwide and deaths were more than 6 million. Colchicine is an alkaloid drug that is used in many autoin ammatory conditions e.g., gout, familial Mediterranean fever, and Behçet's syndrome. Objective: The aim of the current study was to assess the evidence of colchicine effectiveness in COVID-19 treatment. Patients and methods: A comprehensive review of the literature was done till May 2022 and yielded 814 articles after ranking the articles according to authors and year of publication. Only 8 clinical trials and cohort studies ful lling the inclusion criteria were included for further steps of data collection, analysis, and reporting. Results: The results showed that colchicine resulted in a signi cant reduction in the mortality rate among patients received colchicine in comparison with placebo or standard care (RR 0.35, 95%CI: 0.15-0.79). Colchicine resulted in a signi cant decrease in the need for O2 therapy in patients with COVID-19 (RR 0.07, 95%CI 0.02-0.27, P=0.000024). However, colchicine had no signi cant effect on the following outcomes among COVID-19 patients: the need for hospitalization, ICU admission, arti cial ventilation, and hospital discharge rate. Among the PCR con rmed COVID-19 patients, colchicine decreased the hospitalization rate (RR 0.75, 95%CI 0.57-0.99, P=0.042). However, colchicine had no effect on mortality and the need for mechanical ventilation among this subgroup. Conclusion: Colchicine caused a signi cant clinical improvement among COVID-19 patients as compared with the standard care or placebo, in terms of the need for O2, and mortality. This bene cial effect could play a role in the management of COVID-19 especially severe cases.
-Consent for publication: Not applicable -Availability of data and materials: Our study is a Systematic Review/Meta-analysis. The datasets analyzed during the current study are available in the published pooled study. Also, the datasets used and analyzed during the current study available from the corresponding author on reasonable request. -Competing interests: no competing interests -Funding: no funding Con icts of interest: None. -Authors' contributions: Kholoud Elshiwy: Field work supervision, analysis strategy and design, data management, data analysis and interpretation of results, decision making on content and paper write-up and revision of nal draft. Ghada Essam El-Din Amin: Field work supervision, analysis strategy and design, data management, data analysis and interpretation of results, decision making on content and paper write-up and revision of nal draft. Mohamed Nazmy: Field work supervision, analysis strategy and design, data management, data analysis and interpretation of results, decision making on content and paper write-up and revision of nal draft. Rasha Samir: Field work supervision, analysis strategy and design, data management, data analysis and interpretation of results, decision making on content and paper write-up and revision of nal draft. Mohamed Farouk Allam: Field work supervision, analysis strategy and design, data management, data analysis and interpretation of results, decision making on content and paper write-up and revision of nal draft...
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