Creation and maintenance of a table for assessment of evolving evidence for COVID-19-related treatments

Am J Health Syst Pharm. 2021 Jan 5;78(2):154-157. doi: 10.1093/ajhp/zxaa334.

Abstract

Purpose: This report describes the development and maintenance of a table to present an assessment of evidence for treatments used in patients with coronavirus disease 2019 (COVID-19).

Summary: AHFS Drug Information (AHFS DI) (American Society of Health-System Pharmacists, Bethesda, MD) is ASHP's evidence-based drug compendium that contains drug monographs written for pharmacists and other healthcare professionals. The professional editorial and analytical staff of pharmacists critically evaluate published evidence to develop drug monographs for AHFS DI. In response to the global COVID-19 pandemic, these skills were applied to assess emerging evidence for COVID-19-related treatments, and the information was compiled into a new resource for pharmacists and other healthcare professionals to use at the point of care. A list of therapies was developed and prioritized based on review of scientific and public discussions on the use of these therapies in patients with COVID-19; certain therapies used for supportive care and therapies that might theoretically be harmful to patients with COVID-19 also were considered for inclusion. Potential treatments were identified, and the evidence for use in patients with COVID-19 was assessed and summarized in a table format. Information presented for each therapy included the rationale for use, summaries of clinical trials or experience, trial registry numbers, and dosage regimens. Comments on safety and efficacy, including limitations of available data, were presented along with recommendations from recognized authorities. The editorial team continued to add new therapies to the table and update existing entries as new evidence emerged.

Conclusion: A comprehensive table that summarized available evidence for potential treatments for patients with COVID-19 was developed. The table format enabled the drug information editorial staff to provide ongoing updates as new information emerged during the pandemic.

Keywords: COVID-19; COVID-19 drug treatment; drug information; evidence-based practice; pandemics.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / administration & dosage
  • Antiviral Agents / classification
  • COVID-19 / epidemiology
  • COVID-19 / therapy*
  • Clinical Trials as Topic / methods
  • Clinical Trials as Topic / standards
  • Evidence-Based Pharmacy Practice / methods*
  • Evidence-Based Pharmacy Practice / standards
  • Humans
  • Pharmacists* / standards
  • Societies, Pharmaceutical* / standards
  • Statistics as Topic / methods*
  • Statistics as Topic / standards
  • United States / epidemiology

Substances

  • Antiviral Agents