5/n The authors did attempt to test for this (good!) and found no strong evidence for publication bias So some improvement there
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16/n Now look, take this all with a pinch of salt, rating of bias is an inherently subjective thing and I might not be right That being said, it is extremely concerning that all of the benefit seen for ivermectin seems to come from just 2 studies
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17/n It is not a coincidence that out of the three (!) ivermectin meta-analyses to be published in the last 14 days, the two that included these studies found a benefit and the one that excluded Elgazzar did not
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18/n In the absence of new evidence (this meta-analysis doesn't really count), I reckon that the only reasonable stance is that we don't really know if ivermectin works, and probably should not be using it outside of clinical trials
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