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Hydroxychloroquine Associated With Lower COVID-19 Mortality: French Study
Epoch Times ^ | 11/03/23 | Zachary Steiber

Posted on 11/03/2023 9:14:22 PM PDT by SeekAndFind

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To: flaglady47

I think the fact that Trump said it, was the reason they were so adamant it was harmful.


21 posted on 11/04/2023 4:36:44 AM PDT by mware
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To: SeekAndFind

The 7,000+ who were denied this treatment….died as sacrifices.


22 posted on 11/04/2023 4:48:58 AM PDT by silverleaf (Inside Every Progressive Is A Totalitarian Screaming To Get Out” —David Horowitz)
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To: mware

I think the fact that Trump said it, was the reason they were so adamant it was harmful.

I think that’s only part of it. I believe big pharma knew they had the jab coming and didn’t want anything to get in its way. HCQ is at generic status and therefore nowhere near as profitable. Follow the money.


23 posted on 11/04/2023 5:11:32 AM PDT by TiGuy22
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To: SeekAndFind

the hydroxy-ivermectin-azithromycin combo is even more effective against covid ... i personally know multiple people who rapidly recovered from covid when it first appeared and was quite deadly ... most had their fever break and felt better within 24 hours of starting treatment ...


24 posted on 11/04/2023 5:59:15 AM PDT by catnipman (A Vote For The Lesser Of Two Evils Still Counts As A Vote For Evil)
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To: SeekAndFind

1. Ivermectin as a prophylactic.

2. Add Hydroxychloroquine as treatment when symptomatic.

(Zelenko protocol)


25 posted on 11/04/2023 7:43:46 AM PDT by Paal Gulli
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To: SeekAndFind
Epoch Times: Not a peer-reviewed medical/scientific journal.

Outcomes after early treatment with hydroxychloroquine and azithromycin: An analysis of a database of 30,423 COVID-19 patients.

New Microbes and New Infections: A real journal, but not a prominent one. It claims an impact factor of 4, meaning that its articles are not cited much in other articles.

The inclusion of Peter McCullough as an author is questionable. I don't know why the French researchers would have included him, as he has already demonstrated that he is a quack with respect to Covid treatment. Baylor University, his former employer, will not allow him to claim any affiliation with the university because of his antivax and Covid misinformation efforts.

The article itself acknowledges (in the Discussion) that most random control trials (RCTs) of hydroxychloroquine show no benefit. It then goes on to say that their methodology was flawed, their sample sizes too small, etc. And then it says that observational studies do show a benefit. The problem is that observational studies are highly prone to bias, making them a good reflection of what the study authors want to find but not such a good representation of the facts. The suggestion that all of the other studies showing no benefit to HC should reanalyze their data is unprofessional. If one study shows a result different from all of the other studies, it is what is called an "outlier." There are various reasons studies might be outliers. An outlier should not be interpreted as the definitive source of any scientific information.

Finally, this study was not a study of HC. It was a retroactive review of outcomes of patients who received HC and azithromycin. It is doubtful that the patients would have benefited from HC, as they did not have malaria. However, viral infections often cause people to get bacterial infections, so the antibiotic azithromycin could have had a therapeutic effect. But maybe not, it's hard to tell in a retrospective observational study.

26 posted on 11/04/2023 10:29:07 AM PDT by exDemMom (Dr. exDemMom, infectious disease and vaccines research specialist.)
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To: joshua c
no zinc?

Indeed. From what I understand, zinc greatly enhanced its effectiveness.

27 posted on 11/04/2023 12:35:24 PM PDT by zeugma (Stop deluding yourself that America is still a free country.)
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To: 9YearLurker

The efficacy of the pcr would be the same for both those who took and did not take the treatment right? So let’s say 90% or any X% of those taking treatment were not significantly ill. Would it be a different % for those that did not?


28 posted on 11/04/2023 1:15:32 PM PDT by AndyTheBear (Certified smarter than average for my species)
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To: matt04

Yes, manufactured easily, cheap, and over a billion doses given worldwide. A miracle drug. One of 10 WHO essential medicines for years.


29 posted on 11/04/2023 5:30:04 PM PDT by zipper (In their heart of hearts, all Democrats are communists)
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To: exDemMom; grey_whiskers; bitt; Melian; ransomnote; SecAmndmt; Jane Long

Re: The inclusion of Peter McCullough as an author is questionable.

Why? Dr. McCullough is a practicing Phycisian and Cardiologist who has experience treating Covid patients with Hydroxychloroquine. He maintains a medical practice in Dallas, and has published lots ( perhaps hundreds) of articles in medical journals and has received numerous awards.

He is Fellow of the American College of Cardiology, the American Heart Association, and the Society of Critical Care Medicine. He is also a member of the American Society of Echocardiography and the American Society of Nephrology.

That he is not now affiliated with Baylor University because of his antivax stance does not disqualify him from studying about his medical observations when treating patients.

I would not dismiss him as some sort of quack just like that.


30 posted on 11/04/2023 7:10:04 PM PDT by SeekAndFind
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To: exDemMom; grey_whiskers; bitt; Melian; ransomnote; SecAmndmt; Jane Long

RE:The article itself acknowledges (in the Discussion) that most random control trials (RCTs) of hydroxychloroquine show no benefit.

I direct you to the REASONS for the RCTs and their limitations. It says

[QUOTE]

Both trials should be considered as late treatment trials as the randomization occurred upon hospital admission, including as an ICU patient. Both suffer from significant methodological problems, as the HCQ doses during the first 24 ​h (2400 ​mg) were four times higher than the highest recommended dose of 600 ​mg. Mortality was no different between the treatment and control groups, but a careful review of the causes of mortality in the two groups would be worth investigating.

[END QUOTE]

Other RCTs they investigated suffer from small sample size, were underpowered and reach inaccurate conclusions, but as a whole serve as a reference for policy makers.

However, in the large sample sizes. Here is what the study observes:

[QUOTE]

several large observational retrospective studies published in the literature, including a total of 47,516 patients report a benefit of using HCQ on the mortality of COVID-19 patients.

The number of patients involved in these studies largely overweighs the number of patients included in RCTs.
Interestingly, these observational studies report that HCQ is associated with survival and the effect is greater in early treatment.

[END QUOTE]

I also direct you to the CONCLUSION of the article.

It says:

“Overall, this study represents the largest single-center study evaluating HCQ-AZ in the treatment of COVID-19. Similarly, to other large observational studies, it concludes that HCQ would have saved lives.”

You may disagree with its conclusions, but this article makes this conclusion even as it acknowledges the limitations of this study ( many such medical articles do that as well. )


31 posted on 11/04/2023 7:19:00 PM PDT by SeekAndFind
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To: SeekAndFind; exDemMom
I would not dismiss him as some sort of quack just like that.

Dingbat does.

Because SCIENCE™!

...She has no problems commenting on all kinds of doctors and scientists as quacks, and says proudly that a doctor isn't a scientist and can't comment out side their area of expertise.

But when you do mention someone, she immediately derides them as a quack (including someone she claims was her own doctoral thesis advisor).

But she still manages to say her claimed degree gives her magical expertise to comment on anything related to the clot shots.

Oh, I almost forgot.

She took calculus!

Dingbat, you said that Covid-1984 had been compared to natural viruses, and was 96% similar to a bat virus. Or was it rat?

Can you find the species of bat, and present a chart which shows the %congruity (as it were) along either the entire protein, or along the entire nucleotide, between COVID1984 and the nearest animal based-virus?

And find out when the chart was made?

Coming in from right field.

32 posted on 11/04/2023 7:40:05 PM PDT by grey_whiskers ( The opinions are solely those of the author and are subject to change without notice.)
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To: grey_whiskers

All you had to do was check the cases in countries with malaria


33 posted on 11/04/2023 7:49:44 PM PDT by Hojczyk
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To: SeekAndFind

My wife has taken hydroxychloroquine for decades for an autoimmune disease. It is a critical drug for her.

She was hospitalized in 2020 for COVID. They refused to allow her to take her HCQ. They were apparently afraid it would cure the COVID.


34 posted on 11/04/2023 7:52:46 PM PDT by gitmo (If your biography doesn't match your theology, what good is it?)
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To: Hojczyk
All you had to do was check the cases in countries with malaria

That doesn't count, because you don't need a PhD to do it.

Don't you understand *SCIENCE* ?? /Dingbat mode OFF>

35 posted on 11/04/2023 7:57:09 PM PDT by grey_whiskers ( The opinions are solely those of the author and are subject to change without notice.)
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To: SeekAndFind

There us NO reasoning, with a bot.

Seriously.

The posting style/frequency is just too obvious.


36 posted on 11/04/2023 8:16:00 PM PDT by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: SeekAndFind
Why? Dr. McCullough is a practicing Phycisian and Cardiologist who has experience treating Covid patients with Hydroxychloroquine. He maintains a medical practice in Dallas, and has published lots ( perhaps hundreds) of articles in medical journals and has received numerous awards.

So? Where is his experience in designing and running clinical trial studies of drug safety and efficacy? Where is his experience in designing vaccines or antivirals? What experience does he have in investigating the molecular events that occur in cells during virus infection and replication? What experience does he have in designing PCR assays to identify and characterize novel viruses? What experience does he have in culturing viruses and extracting and sequencing their genomes?

I can keep going. The point is that as a cardiologist, his expertise in Covid is limited to the effects of Covid infection on the heart. He does not have the relevant experience or education to speak as an expert on the topics of the infective process or the immune response following vaccination.

37 posted on 11/05/2023 7:40:21 AM PST by exDemMom (Dr. exDemMom, infectious disease and vaccines research specialist.)
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To: SeekAndFind
Both trials should be considered as late treatment trials as the randomization occurred upon hospital admission, including as an ICU patient. Both suffer from significant methodological problems, as the HCQ doses during the first 24 ​h (2400 ​mg) were four times higher than the highest recommended dose of 600 ​mg. Mortality was no different between the treatment and control groups, but a careful review of the causes of mortality in the two groups would be worth investigating.

So?

What is going on here is an attempt by McCullough and (perhaps) coauthors to make the case that a retrospective observational study is more robust than a randomized control trial.

It is not.

The "methodological problem" in which 4x the FDA recommended dose of hydroxychloroquine (HCQ) was administered to the patients and no effect was seen does NOT imply that the FDA recommended dose would have had an antiviral effect. With 4x the dose, any antiviral effect of HCQ would have been augmented. (Like if you have a headache, taking two NSAID pills is more effective than taking one.) All that this study showed was that increasing the dose of HCQ by four-fold was not harmful to the patients.

Enrolling a patient "late" into a treatment trial is not a methodological flaw. It's hard to enroll patients ahead of time in a trial of treatment for an acute condition. How can anyone possibly know ahead of time that they are going to catch a severe enough case of Covid to require an ICU stay?

RCTs are, in fact, quite robust. Ideally, no one knows whether the enrolled patients are in the treatment arm(s) or the control arm of the study. Ideally, the randomization occurs in a way as to "match" the patients in control and treatment group in terms of age, gender, obesity, heart conditions, etc. Ideally, the randomizer's only contribution to the trial is to randomize study participants and keep records so that after the trial, the patient data can be sorted and analyzed appropriately.

Other RCTs they investigated suffer from small sample size, were underpowered and reach inaccurate conclusions, but as a whole serve as a reference for policy makers.

Again, these are not significant methodological limitations. The trial only has to be large enough to ensure that it contains enough patients for the deaths in the participant population statistically match deaths expected in the entire population. Patients in the ICU for severe Covid have a fairly high death rate* as compared to patients who only have to quarantine at home. Since the death rate is high and the purpose of the study is to show whether HCQ decreases deaths, the study can be small and still show acceptable statistical significance. In addition, since the purpose of the RCT is to compare efficacy of a specific treatment, all other factors in the trial are kept as consistent as possible. All patients in the trial receive standard-of-care.

On the other hand, retrospective observational studies can have significant drawbacks. For one thing, depending on the variable being observed, there is considerable bias in sample selection, especially if the study author has a preconceived notion of what the study is supposed to prove. For example, a study that purports to show that HCQ improves survival might separate the patient population in such a way that the controls who did not receive HCQ are older than the recipients of HCQ. In this example, there would be a higher survival rate of patients receiving HCQ, simply because they are younger and the mortality of Covid increases with age. There can be bias involved in formulating the underlying assumptions about the study. There is also variability of treatment modality, making it difficult to separate the effects of HCQ specifically from the effects of the other treatments given to the patient. Etc.

I did use an observational study for one of the references below of how deadly Covid is in patients with severe enough disease to warrant ICU care. This study is a little better than an observational study which depends on combing through medical records to try to discern efficacy of treatment. The only criteria for study inclusion was that patients with lab-confirmed Covid were admitted into the ICU. The only outcome measure was whether they survived. There was no attempt to determine efficacy of treatment protocols.

*Mortality in patients admitted to intensive care with COVID‐19: an updated systematic review and meta‐analysis of observational studies. --41.6% mortality of Covid ICU patients.

ICU and Ventilator Mortality Among Critically Ill Adults With Coronavirus Disease 2019. --28.6% mortality in Covid ICU patients.

Overall, this study represents the largest single-center study evaluating HCQ-AZ in the treatment of COVID-19. Similarly, to other large observational studies, it concludes that HCQ would have saved lives.

So, this is a retrospective observational study of patients who received two drugs, not just one. I think that I already pointed out that the antibiotic can improve the chance of survival by suppressing bacterial infections that often occur as a result of viral infection. In order to say that HCQ conferred a survival benefit, they would have had to compare mortality of patients who received HCQ-AZ with mortality of patients who received neither drug or who received only one of the drugs.

Etc. Do you really think I did not read the McCullough et al. discussion of RCTs and why (they say) I shouldn't place much weight on RCT outcomes? Of course I read it.

38 posted on 11/05/2023 8:57:34 AM PST by exDemMom (Dr. exDemMom, infectious disease and vaccines research specialist.)
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To: All

https://news.yahoo.com/hydroxychloroquine-during-covid-pandemic-may-134313305.html?fr=yhssrp_catchall


39 posted on 01/07/2024 2:50:56 AM PST by SteveH
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