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Article: Hashimoto's Thyroiditis: A Protective Factor against Recurrence in BRAF-Wild Type Differentiated Thyroid Carcinoma.

Issa, Peter P / Omar, Mahmoud / Buti, Yusef / Aboueisha, Mohamed / Munshi, Ruhul / Hussein, Mohammad / Haidari, Muhib / Blair, Graham / Issa, Chad P / Shama, Mohamed / Toraih, Eman / Kandil, Emad

Cancers

2023 Volume 15, Issue 8

Abstract: A recent work analyzing the concomitant factors BRAF mutation (risk factor) and Hashimoto's thyroiditis (HT) (protective factor) found that the presence of HT reduced lymph node metastasis in BRAF-mutated papillary thyroid carcinoma. Whether this notion ... ...

Abstract	A recent work analyzing the concomitant factors BRAF mutation (risk factor) and Hashimoto's thyroiditis (HT) (protective factor) found that the presence of HT reduced lymph node metastasis in BRAF-mutated papillary thyroid carcinoma. Whether this notion is upheld with respect to disease recurrence and differentiated thyroid carcinoma (DTC), however, is unknown. We aimed to investigate the effect of underlying HT in DTC patients and its influence on recurrence with a specific emphasis in BRAF-mutated tumors. A total of 469 patients were included. Patients were stratified according to BRAF and HT status. Multivariate regression analysis was conducted to determine protective and risk factors of disease recurrence in patients with DTC. HT was associated with less-aggressive carcinomas including more frequent microcarcinomas (HT: 45.0% vs. no-HT: 34.0%,
Language	English
Publishing date	2023-04-19
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2527080-1
ISSN	2072-6694
ISSN	2072-6694
DOI	10.3390/cancers15082371
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Article: Hashimoto's Thyroiditis Minimizes Lymph Node Metastasis in

Issa, Peter P / Omar, Mahmoud / Buti, Yusef / Issa, Chad P / Chabot, Bert / Carnabatu, Christopher J / Munshi, Ruhul / Hussein, Mohammad / Aboueisha, Mohamed / Shama, Mohamed / Corsetti, Ralph L / Toraih, Eman / Kandil, Emad

Biomedicines

2022 Volume 10, Issue 8

Abstract: Hashimoto's thyroiditis (HT) (autoimmune thyroiditis) is a clinicopathological entity associated with chronic lymphocytic infiltration resulting in hypothyroidism. HT is a double-edged sword that increases the risk of papillary thyroid cancer (PTC), yet ... ...

Abstract	Hashimoto's thyroiditis (HT) (autoimmune thyroiditis) is a clinicopathological entity associated with chronic lymphocytic infiltration resulting in hypothyroidism. HT is a double-edged sword that increases the risk of papillary thyroid cancer (PTC), yet it serves as a protective factor for PTC progression.
Language	English
Publishing date	2022-08-22
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2720867-9
ISSN	2227-9059
ISSN	2227-9059
DOI	10.3390/biomedicines10082051
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Article ; Online: Recommend with caution: A meta-analysis investigating papillary thyroid carcinoma tumor progression under active surveillance.

Issa, Peter P / Munshi, Ruhul / Albuck, Aaron L / Omar, Mahmoud / Abu Alhuda, Ruba F / Metz, Tyler / Hussein, Mohammad / Shama, Mohamed / Lee, Grace S / Toraih, Eman / Kandil, Emad

American journal of otolaryngology

2023 Volume 44, Issue 6, Page(s) 103994

Abstract: Background: Papillary thyroid carcinoma (PTC) is an indolent disease with favorable outcomes. The non-surgical treatment approach known as active surveillance (AS) has been introduced as an alternative treatment instead of the traditional thyroidectomy. ...

Abstract	Background: Papillary thyroid carcinoma (PTC) is an indolent disease with favorable outcomes. The non-surgical treatment approach known as active surveillance (AS) has been introduced as an alternative treatment instead of the traditional thyroidectomy. However, 10-15 % of PTC tend to progress. We sought to determine factors predicting the progression of PTC under AS. Methods: A systematic search was performed in January 2022 using PubMed, Embase, Google Scholar, Web of Science, and ScienceDirect. PRISMA guidelines were used by multiple reviewers to extract study characteristics (author name, publication date, journal name, country, institution, and study design), as well as main outcomes and measures. A combination of utilization of thyroid replacement therapy, baseline tumor size and volume, follow-up tumor size and volume, and the presence of lymph node metastasis and its distribution, as well as surveillance duration, were the main measures of this study. Results: Nine studies with 4166 patients were included, of which 354 showed tumor progression during AS (15 %; 95%CI = 7 % - 23 %). The average follow-up period was 41.58 months. The mean tumor maximum diameter was 8.54 mm (95%CI = 7.04-10.03). Tumor progression was most commonly secondary to an increase in volume by ≥50 % (75 %; 95%CI = 68 % - 80 %), then increase in diameter by ≥3 mm (41 %; 95%CI = 13 % - 76 %), and finally the development of lymph node metastasis (13 %; 95%CI = 9 % - 19 %). Approximately only 2 % of all patients thus developed new lymph node metastasis. Patient age, sex, and tumor size were not associated with higher risks of tumor progression. 12 % of AS patients eventually underwent surgery, though only 40 % (95%CI = 27 % - 53 %) of these patients displayed tumor progression. Conclusions: Our meta-analysis determined a tumor progression rate of 15 % in patients who underwent AS management, 13 % of which (2 % of all patients) developed lymph node metastasis. We found no protective or risk factors for tumor progression, and that almost half of all patients who underwent delayed surgery did so for reasons other than tumor progression. While not biopsying small (<1 cm) or very low suspicious nodules is already recommended, AS may be an appropriate treatment option in patients appropriately counseled, considering the low risk of advanced tumor progression but also the considerable patient population who fail to adhere to treatment. Alternatively, in aim of preventing overtreatment in patients who would rather take proactive measures against their low-risk carcinoma, minimally-invasive ablation techniques may be an attractive option.
MeSH term(s)	Humans ; Thyroid Cancer, Papillary/surgery ; Thyroid Cancer, Papillary/pathology ; Thyroid Neoplasms/surgery ; Thyroid Neoplasms/pathology ; Lymphatic Metastasis ; Watchful Waiting ; Carcinoma, Papillary/surgery ; Carcinoma, Papillary/pathology ; Thyroidectomy/methods ; Risk Factors ; Retrospective Studies
Language	English
Publishing date	2023-07-17
Publishing country	United States
Document type	Meta-Analysis ; Journal Article ; Review
ZDB-ID	604541-8
ISSN	1532-818X ; 0196-0709
ISSN (online)	1532-818X
ISSN	0196-0709
DOI	10.1016/j.amjoto.2023.103994
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Zs.A 1637: Show issues

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Article ; Online: A combination of computed tomography scan and ultrasound provides optimal detection of cervical lymph node metastasis in papillary thyroid carcinomas: A systematic review and meta-analysis.

Albuck, Aaron L / Issa, Peter P / Hussein, Mohammad / Aboueisha, Mohamed / Attia, Abdallah S / Omar, Mahmoud / Munshi, Ruhul / Shama, Mohamed / Toraih, Eman / Randolph, Gregory W / Kandil, Emad

Head & neck

2023 Volume 45, Issue 9, Page(s) 2173–2184

Abstract: Background: Lymph node metastasis (LNM) in patients with papillary thyroid carcinoma (PTC) is common. This meta-analysis assesses the diagnostic accuracy of computed tomography (CT), ultrasound (US), and CT + US in detecting central and lateral LNM.: ... ...

Abstract	Background: Lymph node metastasis (LNM) in patients with papillary thyroid carcinoma (PTC) is common. This meta-analysis assesses the diagnostic accuracy of computed tomography (CT), ultrasound (US), and CT + US in detecting central and lateral LNM. Methods: A systematic review and meta-analysis was performed by searching PubMed, Embase, and Cochrane for studies published up to April 2022. The pooled sensitivity, specificity, and diagnostic odds ratio (DOR) were calculated. The area under the curve (AUC) for summary receiver operating curves (sROC) were compared. Results: The study population included 7902 patients with a total of 15 014 lymph nodes. Twenty-four studies analyzed the sensitivity of the overall neck region in which dual CT + US imaging (55.9%) had greater sensitivities (p < 0.001) than either US (48.4%) or CT (50.4%) alone. The specificity of US alone (89.0%) was greater (p < 0.001) than CT alone (88.5%) or dual imaging (86.8%). The DOR for dual CT + US imaging was greatest (p < 0.001) at 11.134, while the AUCs of the three imaging modalities were similar (p > 0.05). Twenty-one studies analyzed the sensitivity of the central neck region in which both CT (45.8%) and CT + US imaging (43.4%) had greater sensitivities (p < 0.001) than US alone (35.3%). The specificity of all three modalities was higher than 85%. The DOR for CT (7.985) was greater than US alone (4.723, p < 0.001) or dual CT + US imaging (4.907, p = 0.015). The AUC of both CT + US (0.785) and CT alone (0.785) were significantly greater (p < 0.001) than US alone (0.685). Of the 19 studies that reported lateral LNM, CT + US imaging sensitivity (84.5%) was higher than CT alone (69.2%, p < 0.001) and US alone (79.7%, p = 0.038). The specificity of all imaging techniques was all greater than 80.0%. CT + US imaging DOR (35.573) was greater than CT (20.959, p = 0.024) and US (15.181, p < 0.001) individually. The AUC of independent imaging was high (CT: 0.863, US: 0.858) and improved significantly when combined (CT + US: 0.919, p = 0.024 and p < 0.001, respectively). Conclusions: We report an up-to-date analysis elucidating the diagnostic accuracy of LNM detection by either CT, US, or in combination. Our work suggests dual CT + US to be the best for overall detection of LNM and CT to be preferable in detecting central LNM. The use of either CT or US alone may detect lateral LNM with acceptable accuracy, yet dual imaging (CT + US) significantly improved detection rates.
MeSH term(s)	Humans ; Thyroid Cancer, Papillary/diagnostic imaging ; Lymphatic Metastasis/diagnostic imaging ; Thyroid Neoplasms/diagnostic imaging ; Thyroid Neoplasms/pathology ; Sensitivity and Specificity ; Tomography, X-Ray Computed ; Lymph Nodes/diagnostic imaging ; Lymph Nodes/pathology
Language	English
Publishing date	2023-07-07
Publishing country	United States
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	645165-2
ISSN	1097-0347 ; 0148-6403 ; 1043-3074
ISSN (online)	1097-0347
ISSN	0148-6403 ; 1043-3074
DOI	10.1002/hed.27451
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Zs.A 1493: Show issues

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Article: Evaluation of YouTube videos as a patient education source for novel surgical techniques in thyroid surgery.

Starks, Catherine / Akkera, Mounika / Shalaby, Mahmoud / Munshi, Ruhul / Toraih, Eman / Lee, Grace S / Kandil, Emad / Shama, Mohamed Ahmed

Gland surgery

2021 Volume 10, Issue 2, Page(s) 697–705

Abstract: Background: Patients and physicians are increasingly utilizing online video sharing sites such as YouTube for obtaining and disseminating health-related information in multimedia format; however, due to its free, open-access platform, YouTube videos ... ...

Abstract	Background: Patients and physicians are increasingly utilizing online video sharing sites such as YouTube for obtaining and disseminating health-related information in multimedia format; however, due to its free, open-access platform, YouTube videos fall short in providing validated, up-to-date medical information, and may even convey unintended messages to patients who are seeking additional information on surgeries. We evaluated the relevance, reliability, and quality of YouTube videos on novel surgical techniques in thyroid surgery. Methods: The top 50 indexed YouTube videos for the queries, "robotic thyroid surgery" and "transoral thyroid surgery", were assessed by two independent reviewers for video quality and reliability for patient understanding. Videos were scored using Global Quality Score (GQS), a scale for video quality, and DISCERN Scoring, a questionnaire for reliability and quality measures of information presented. Results: The mean ± standard deviation (SD) duration of the videos (n=50) was 8.1±3.7 minutes. Total views were 261,440 and the mean ± SD time since upload was 3.6±2.6 years. The median and interquartile range of video power index (VPI) was 1.9 (0.5-3.7), GQS was 3.0 (2.0-4.0), and DISCERN score was 2.8 (2.3-3.2). Most videos were uploaded by physicians (75.8%) and the highest number of videos (63.6%) uploaded were from the United States (US). Videos with higher quality and reliability scores were uploaded by academic professionals, and included videos of physicians who described procedural information, perioperative instructions, and possible postoperative complications (P<0.05). Adequate medical information on the procedure and discussion of complications in YouTube videos were independent predictors of advanced educational quality and reliability. Conclusions: Clinical information on new surgical techniques such as transoral and robotic thyroid surgeries in YouTube videos scored low on quality and reliability as a source of patient education. Physicians should provide supplemental educational material online and offline to aid patient understanding of novel procedures.
Language	English
Publishing date	2021-02-15
Publishing country	China (Republic : 1949- )
Document type	Journal Article
ZDB-ID	3016969-0
ISSN	2227-8575 ; 2227-684X
ISSN (online)	2227-8575
ISSN	2227-684X
DOI	10.21037/gs-20-734
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Article ; Online: Cardiovascular Health by Graves' Disease Management Modality - Surgery Versus Radioactive Iodine Versus Antithyroid Medications: A Network Meta-Analysis.

Issa, Peter P / Hussein, Mohammad / Omar, Mahmoud / Munshi, Ruhul / Attia, Abdallah S / Buti, Yusef / Aboueisha, Mohamed / Shama, Mohamed / Toraih, Eman / Kandil, Emad

The Journal of surgical research

2022 Volume 283, Page(s) 266–273

Abstract: Introduction: Graves' disease is an autoimmune disorder of the thyroid gland associated with the overproduction of thyroid hormones. Excess secretion of thyroid hormones leads to cardiovascular consequences. Treatment options include antithyroid ... ...

Abstract	Introduction: Graves' disease is an autoimmune disorder of the thyroid gland associated with the overproduction of thyroid hormones. Excess secretion of thyroid hormones leads to cardiovascular consequences. Treatment options include antithyroid medications (ATM), radioactive iodine (RAI) ablation, and total thyroidectomy. We examined the cardiovascular outcomes following Graves' disease management modality. Methods: A systematic search was performed up to September 22nd, 2021, using PubMed, EMBASE, and Web of Science databases. We conducted a network meta-analysis analyzing cardiovascular outcomes of interest, including congestive heart failure (CHF), arrhythmia, atrial fibrillation (AF), and hypertension. Results: Three studies were included in this analysis totaling 6700 patients with Graves' disease, of which 74% were female. The mean age was 44.34 y. When compared to pretreatment, management options lowered the risk of maintaining arrhythmia 81% with surgery (relative risk [RR] = 0.19; 95% confidence interval [CI] = 0.12 to 0.31), 67% with ATM (RR = 0.33; 95% CI = 0.23 to 0.49), and 50% with RAI (RR = 0.50; 95% CI = 0.13 to 1.95). Risk of maintaining CHF was reduced 80% with surgery (RR = 0.20; 95% CI = 0.08 to 0.49), 41% with ATM (RR = 0.59; 95%CI = 0.52 to 0.67), and only 7% with RAI (RR = 0.93; 95%CI = 0.68 to 1.26). Treatment-ranking analysis found all parameters, including CHF, arrhythmia, AF, and hypertension, to be in favor of surgical treatment over medical treatment and RAI ablation. Conclusions: This is the first network meta-analysis analyzing the cardiovascular outcomes in Graves' disease patients by treatment option. Our study demonstrated that surgery is superior to RAI and medical treatment.
MeSH term(s)	Humans ; Female ; Adult ; Male ; Iodine Radioisotopes/therapeutic use ; Network Meta-Analysis ; Thyroid Neoplasms/surgery ; Graves Disease/surgery ; Antithyroid Agents/therapeutic use ; Iodine/therapeutic use ; Thyroidectomy ; Hypertension ; Disease Management
Chemical Substances	Iodine Radioisotopes ; Antithyroid Agents ; Iodine (9679TC07X4)
Language	English
Publishing date	2022-11-21
Publishing country	United States
Document type	Meta-Analysis ; Journal Article
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/j.jss.2022.10.043
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Zs.A 178: Show issues

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Article ; Online: Impact of surgery versus medical management on cardiovascular manifestations in Graves disease.

Elnahla, Ahmed / Attia, Abdallah S / Khadra, Helmi S / Munshi, Ruhul / Shalaby, Hosam / Lee, Grace S / Kandil, Emad

Surgery

2020 Volume 169, Issue 1, Page(s) 82–86

Abstract: Background: Graves disease is well known to have multiple adverse effects on the cardiovascular system. We compared the cardiovascular outcomes after surgical intervention versus medical treatment in patients with Graves disease.: Methods: We ... ...

Abstract	Background: Graves disease is well known to have multiple adverse effects on the cardiovascular system. We compared the cardiovascular outcomes after surgical intervention versus medical treatment in patients with Graves disease. Methods: We performed a retrospective study of all Graves disease patients with a cardiovascular comorbidity who underwent either surgical or medical management (N = 151). Perioperative biochemical and cardiovascular outcomes from the surgical versus the medical groups were analyzed. Results: Of 151 patients, 69 (45.6%) patients underwent total thyroidectomy and 82 (54.3%) patients received medical treatment. Hypertension resolved in 44.7% of the patients from the surgical group vs 18% in the medical group (P = .03). Tachyarrhythmias, including atrial fibrillation and tachycardia, improved in 85.9% of patients in the surgical group vs 66% in the medical group (P = .01). All cardiovascular manifestations examined, hypertension, tachyarrhythmias, and heart failure, improved in 69% of patients in the surgical group and 42.6% of patients in the medical group during the follow-up period (P < .01). Conclusion: Surgical treatment offers a significant and rapid clinical improvement of cardiovascular manifestations in Graves disease patients, such as hypertension, tachyarrhythmias, and heart failure. Surgery should be considered and recommended in Graves disease patients with known cardiovascular manifestations.
MeSH term(s)	Adult ; Antithyroid Agents/therapeutic use ; Clinical Decision-Making ; Female ; Follow-Up Studies ; Graves Disease/complications ; Graves Disease/therapy ; Heart Failure/diagnosis ; Heart Failure/etiology ; Heart Failure/therapy ; Humans ; Hypertension/diagnosis ; Hypertension/etiology ; Hypertension/therapy ; Male ; Middle Aged ; Retrospective Studies ; Tachycardia/diagnosis ; Tachycardia/etiology ; Tachycardia/therapy ; Thyroidectomy ; Treatment Outcome
Chemical Substances	Antithyroid Agents
Language	English
Publishing date	2020-05-10
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2020.03.023
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Uk I Zs.129: Show issues

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Article ; Online: Excess of cesarean births in pregnant women with COVID-19: A meta-analysis.

Omar, Mahmoud / Youssef, Mohanad R / Trinh, Lily N / Attia, Abdallah S / Elshazli, Rami M / Jardak, Christina L / Farhoud, Ashraf S / Hussein, Mohammad H / Shihabi, Areej / Elnahla, Ahmed / Zora, Ghassan / Abdelgawad, Mohamed / Munshi, Ruhul / Aboueisha, Mohamed / Toraih, Eman A / Fawzy, Manal S / Kandil, Emad

Birth (Berkeley, Calif.)

2022 Volume 49, Issue 2, Page(s) 179–193

Abstract: Background: Studies have suggested that cesarean birth in pregnant women with COVID-19 may decrease maternal adverse events and perinatal transmission. This systematic review aimed to evaluate variations in clinical presentation, laboratory findings, ... ...

Abstract	Background: Studies have suggested that cesarean birth in pregnant women with COVID-19 may decrease maternal adverse events and perinatal transmission. This systematic review aimed to evaluate variations in clinical presentation, laboratory findings, and maternal/neonatal outcomes in COVID-19 patients who delivered vaginally versus via cesarean. Methods: A comprehensive search following PRISMA guidelines was performed for studies published up to May 23, 2020, using PubMed, Web of Science, Scopus, Embase, Cochrane, Science Direct, and clinicaltrials.gov. Original retrospective and prospective studies, case reports, or case series with sufficient data for estimating the association of COVID-19 with different pregnancy outcomes with no language restriction and published in peer-reviewed journals were included. Pooled mean and arcsine transformation proportions were applied. Next, a two-arm meta-analysis was performed comparing the perinatal outcomes between the study groups. Results: Forty-two studies with a total of 602 pregnant women with COVID-19 were included. The mean age was 31.8 years. Subgroup analysis showed that Americans had the lowest gestational age (mean = 32.7, 95%CI = 27.0-38.4, P < 0.001) and the highest incidence of maternal ICU admission (95%CI = 0.45%-2.20, P < 0.001) of all nationalities in the study. There was no significant difference in perinatal complications, premature rupture of membrane, placenta previa/accreta, or gestational hypertension/pre-eclampsia between women who delivered vaginally versus by cesarean. Importantly, there were also no significant differences in maternal or neonatal outcomes. Conclusion: Vaginal delivery was not associated with worse maternal or neonatal outcomes when compared with cesarean. The decision to pursue a cesarean birth should be based on standard indications, not COVID-19 status.
MeSH term(s)	Adult ; COVID-19 ; Female ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical ; Pregnancy ; Pregnancy Outcome/epidemiology ; Pregnant Women ; Premature Birth/epidemiology ; Prospective Studies ; Retrospective Studies ; SARS-CoV-2
Language	English
Publishing date	2022-01-07
Publishing country	United States
Document type	Journal Article ; Meta-Analysis ; Review ; Systematic Review
ZDB-ID	604869-9
ISSN	1523-536X ; 0730-7659
ISSN (online)	1523-536X
ISSN	0730-7659
DOI	10.1111/birt.12609
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Article: Robotic-assisted parathyroidectomy via transaxillary approach: feasibility and learning curves.

Kandil, Emad / Hadedeya, Deena / Shalaby, Mahmoud / Toraih, Eman / Aparício, David / Garstka, Meghan / Munshi, Ruhul / Elnahla, Ahmed / Russell, Jonathon O / Aidan, Patrick

Gland surgery

2021 Volume 10, Issue 3, Page(s) 953–960

Abstract: Background: There have been few reports of robotic-assisted transaxillary parathyroidectomy in the literature. We aim to report our experience with robotic-assisted transaxillary parathyroidectomy for primary hyperparathyroidism (PHPT) in the Western ... ...

Abstract	Background: There have been few reports of robotic-assisted transaxillary parathyroidectomy in the literature. We aim to report our experience with robotic-assisted transaxillary parathyroidectomy for primary hyperparathyroidism (PHPT) in the Western population. Methods: A retrospective study was performed from July 2010 through July 2019 at two institutions, one in the United States and one in France. Demographic characteristics and perioperative data were collected for all patients undergoing robotic-assisted transaxillary parathyroidectomy by a single surgeon at each institution. A linear regression model was developed to describe the learning curve for this procedure at each institution. Results: One-hundred and two patients with PHPT were included with a median age of 55.6±12.4 years and median body mass index (BMI) of 25.5±6.1 kg/m Conclusions: This is the largest reported experience of robotic-assisted transaxillary parathyroidectomy for PHPT in the Asian and Western population. Analysis of the procedural learning curve demonstrates that proficiency in this technique was achieved after performance of less than 15 surgeries. This procedure is safe and feasible in the hands of experienced surgeons for select patients with localized disease.
Language	English
Publishing date	2021-03-17
Publishing country	China (Republic : 1949- )
Document type	Journal Article
ZDB-ID	3016969-0
ISSN	2227-8575 ; 2227-684X
ISSN (online)	2227-8575
ISSN	2227-684X
DOI	10.21037/gs-20-761
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Article ; Online: Asthma and COVID-19; different entities, same outcome: a meta-analysis of 107,983 patients.

Hussein, Mohammad H / Elshazli, Rami M / Attia, Abdallah S / Nguyen, Therese P / Aboueisha, Mohamed / Munshi, Ruhul / Toraih, Eman A / Fawzy, Manal S / Kandil, Emad

The Journal of asthma : official journal of the Association for the Care of Asthma

2021 Volume 59, Issue 5, Page(s) 851–858

Abstract: Objective: There are varying reports of the prevalence and effect of comorbid asthma in coronavirus disease-2019 (COVID-19) patients. We sought to conduct a meta-analysis comparing asthmatic and non-asthmatic patients to determine the clinical ... ...

Abstract	Objective: There are varying reports of the prevalence and effect of comorbid asthma in coronavirus disease-2019 (COVID-19) patients. We sought to conduct a meta-analysis comparing asthmatic and non-asthmatic patients to determine the clinical significance of preexisting asthma in COVID-19 patients. Data sources: Online databases PubMed, ScienceDirect, Web of Science, and Scopus, were searched up to July 15, 2020, for papers comparing asthma Study selection: According to prespecified inclusion criteria, this analysis included eleven retrospective studies with 107,983 COVID-19 patients. Subgroup analysis was performed based on age groups. Results: The mean age of the patients was 59.9 years (95%CI = 51.9-67.9). Across studies, the prevalence of asthma was 11.2% (95%CI: 9.1%-13.3%) among COVID-19 patients who attended the hospitals. Asthma patients were more likely to be younger (SMD = -0.36, 95%CI = -0.61 to -0.10, Conclusion: To our knowledge, our meta-analysis is the largest to shed light on preexisting asthma as a predictor of intubation in COVID-19, especially in young and obese patients. Identifying high-risk groups is crucial for designing more effective intervention plans and optimization of efficient resource allocation.
MeSH term(s)	Asthma/epidemiology ; COVID-19/epidemiology ; COVID-19/therapy ; Humans ; Middle Aged ; Obesity/epidemiology ; Retrospective Studies ; SARS-CoV-2
Language	English
Publishing date	2021-02-22
Publishing country	England
Document type	Journal Article ; Meta-Analysis
ZDB-ID	603816-5
ISSN	1532-4303 ; 0277-0903
ISSN (online)	1532-4303
ISSN	0277-0903
DOI	10.1080/02770903.2021.1881970
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