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Colchicine treatment can improve outcomes of coronavirus disease 2019 (COVID-19): A systematic review and meta-analysis.
Hariyanto, Timotius Ivan; Halim, Devina Adella; Jodhinata, Claudia; Yanto, Theo Audi; Kurniawan, Andree.
  • Hariyanto TI; Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Indonesia.
  • Halim DA; Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Indonesia.
  • Jodhinata C; Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Indonesia.
  • Yanto TA; Department of Internal Medicine, Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Indonesia.
  • Kurniawan A; Department of Internal Medicine, Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Indonesia.
Clin Exp Pharmacol Physiol ; 48(6): 823-830, 2021 06.
Article in English | MEDLINE | ID: covidwho-1132807
ABSTRACT
Currently, there is no widely acceptable and proven effective treatment for coronavirus disease 2019 (COVID-19). Colchicine has been shown to offer a benefit in reducing the inflammation in several inflammatory diseases. This study aims to analyze the efficacy of colchicine administration and outcomes of COVID-19. We systematically searched the PubMed and Europe PMC database using specific keywords related to our aims until January 29, 2021. All articles published on COVID-19 and colchicine treatment were retrieved. The quality of the study was assessed using the Newcastle-Ottawa Scale (NOS) tool for observational studies and Revised Cochrane risk-of-bias tool for randomized trials (RoB 2) for clinical trial studies. Statistical analysis was done using Review Manager 5.4 software. A total of eight studies with 5778 COVID-19 patients were included in this meta-analysis. This meta-analysis showed that the administration of colchicine was associated with improvement of outcomes of COVID-19 [OR 0.43 (95% CI 0.34-0.55), p < 0.00001, I2  = 0%, fixed-effect modelling] and its subgroup which comprised of reduction from severe COVID-19 [OR 0.44 (95% CI 0.31-0.63), p < 0.00001, I2  = 0%, fixed-effect modelling] and reduction of mortality rate from COVID-19 [OR 0.43 (95% CI 0.32-0.58), p < 0.00001, I2  = 0%, fixed-effect modelling]. Our study suggests the routine use of colchicine for treatment modalities of COVID-19 patients. More randomized clinical trial studies are still needed to confirm the results from this study.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Randomized Controlled Trials as Topic / Colchicine / COVID-19 / COVID-19 Drug Treatment Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Limits: Humans Language: English Journal: Clin Exp Pharmacol Physiol Year: 2021 Document Type: Article Affiliation country: 1440-1681.13488

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Randomized Controlled Trials as Topic / Colchicine / COVID-19 / COVID-19 Drug Treatment Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Limits: Humans Language: English Journal: Clin Exp Pharmacol Physiol Year: 2021 Document Type: Article Affiliation country: 1440-1681.13488