The report on Tuesday of a powerful treatment for the new coronavirus
brought skepticism along with optimism among U.S. doctors, who said the
recent withdrawal of an influential COVID-19 study left them wanting to
see more data.
Global pressure to find a cure or vaccine has accelerated the process
of reporting coronavirus study results, feeding confusion over whether
therapies have been proven effective. One influential COVID study was
withdrawn this month by respected British medical journal The Lancet
over data concerns.
Researchers in Britain said dexamethasone, used to fight inflammation
in other diseases, reduced death rates of the most severely ill
COVID-19 patients by around a third, and they would work to publish full
details as soon as possible.
But hours later South Korea’s top health official cautioned about the
use of the drug for COVID-19 patients due to potential side effects.
“We have been burned before, not just during the coronavirus pandemic
but even pre-COVID, with exciting results that when we have access to
the data are not as convincing,” said Dr. Kathryn Hibbert, director of
the medical intensive care unit at Harvard’s Massachusetts General
Hospital.
Hibbert said published data would help her evaluate the findings and see which patients benefited the most and at what dose.
“I am very hopeful this is true because it would be a huge step
forward in being able to help our patients,” she said, but added she
would not change practice at this point.
Steroids can suppress immune systems, warned Dr. Thomas McGinn,
deputy physician-in-chief at New York’s largest healthcare system,
Northwell Health where, he told Reuters, physicians are using steroids
on a case-by-case basis.
“We have to see what the study looks like given the current
environment of retractions,” said McGinn. “I just wait to see the real
data, see if it’s peer reviewed and gets published in a real journal, he
said.
University of Washington professor of medicine Dr Mark Wurfel urged the researchers to put out data before official publication.
“That would be very, very helpful in terms of helping us align our
patient populations with theirs and decide whether it’s appropriate to
apply this therapy to our patients.”
https://www.reuters.com/article/us-health-coronavirus-steroid-data/show-me-the-data-u-s-doctors-skeptical-of-reported-covid-breakthrough-idUSKBN23N3ER