Evidence map›Paper›PMID 33104715›Full record

ArticlePloS one2020

Cancer inpatients with COVID-19: A report from the Brazilian National Cancer Institute.

Andreia C de Melo, Luiz C S Thuler, Jesse L da Silva, Lucas Z de Albuquerque, Ana C Pecego, Luciana de O R Rodrigues, Magda S da Conceição, Marianne M Garrido, Gelcio L Quintella Mendes, Ana Cristina P Mendes Pereira and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 12 pooled it
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 12 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Coronavirus Disease 2019 Vaccination for Cancer Patients: Risk or Benefit?Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Andreia C de MeloDivision of Clinical Research and Technological Development, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0002-1201-4333
Luiz C S ThulerDivision of Clinical Research and Technological Development, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.
Jesse L da SilvaDivision of Clinical Research and Technological Development, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0002-0790-9917
Lucas Z de AlbuquerqueDivision of Clinical Research and Technological Development, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.
Ana C PecegoHospital Infection Control Committee, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.
Luciana de O R RodriguesHospital Infection Control Committee, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.
Magda S da ConceiçãoHospital Infection Control Committee, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.
Marianne M GarridoHospital Infection Control Committee, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.
Gelcio L Quintella MendesSection of Clinical Oncology, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.
Ana Cristina P Mendes PereiraSection of Anesthesiology, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.
Marcelo A SoaresProgram of Oncovirology, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0002-9013-2570
João P B ViolaProgram of Immunology and Tumor Biology, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.
Brazilian National Cancer Institute COVID-19 Task Force
Instituto Nacional de Câncer - INCA · BRHospital do Câncer III · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to describe the demographic and clinical characteristics of cancer inpatients with COVID-19 exploring clinical outcomes.

methodsA retrospective search in the electronic medical records of cancer inpatients admitted to the Brazilian National Cancer Institute from April 30, 2020 to May 26, 2020 granted identification of 181 patients with COVID-19 confirmed by RT-PCR.

resultsThe mean age was 55.3 years (SD ± 21.1). Comorbidities were present in 110 (60.8%) cases. The most prevalent solid tumors were breast (40 [22.1%]), gastrointestinal (24 [13.3%]), and gynecological (22 [12.2%]). Among hematological malignancies, lymphoma (20 [11%]) and leukemia (10 [5.5%]) predominated. Metastatic disease accounted for 90 (49.7%) cases. In total, 63 (34.8%) had recently received cytotoxic chemotherapy. The most common complications were respiratory failure (70 [38.7%]), septic shock (40 [22.1%]) and acute kidney injury (33 [18.2%]). A total of 60 (33.1%) patients died due to COVID-19 complications. For solid tumors, the COVID-19-specific mortality rate was 37.7% (52 out of 138 patients) and for hematological malignancies, 23.5% (8 out of 34). According to the univariate analysis COVID-19-specific mortality was significantly associated with age over 75 years (P = .002), metastatic cancer (p <0.001), two or more sites of metastases (P < .001), the presence of lung (P < .001) or bone metastases (P = .001), non-curative treatment or best supportive care intent (P < .001), higher C-reactive protein levels (P = .002), admission due to COVID-19 (P = .009), and antibiotics use (P = .02). After multivariate analysis, cases with admission due to symptoms of COVID-19 (P = .027) and with two or more metastatic sites (P < .001) showed a higher risk of COVID-19-specific death.

conclusionThis is the first Brazilian cohort of cancer patients with COVID-19. The rates of complications and COVID-19-specific death were significantly high.

Indexed as

BetacoronavirusPandemicsAcademies and InstitutesAdolescentAdultAgedAged, 80 and overAntineoplastic AgentsBrazilCancer Care FacilitiesCause of DeathChildChild, PreschoolComorbidityCoronavirus InfectionsCOVID-19Antineoplastic Agents

Identifiers

PMID33104715
PMCPMC7588058
OpenAlexW3093790719

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.