Evidence map›Paper›PMID 33142039›Full record

ArticleThoracic cancer2021

Clinical characteristics and risk factors for in-hospital mortality of lung cancer patients with COVID-19: A multicenter, retrospective, cohort study.

Lei Nie, Kai Dai, Jiang Wu, Xia Zhou, Junjun Hu, Chao Zhang, Yan Zhan, Yu Song, Wen Fan, Zhimin Hu and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Thoracic cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  11. New Normal for Lung Cancer Clinical Trials Under Coronavirus Disease 2019.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2022
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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

16 authors.

Lei Nie *Department of Hepatobiliary and Pancreatic Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Kai Dai *Department of Infectious Diseases, Renmin Hospital of Wuhan University, Wuhan, China.
Jiang Wu *Department of Hematology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Xia ZhouDepartment of Respiratory and Critical Care Medicine, Wuhan Jinyintan Hospital, Wuhan, China.
Junjun HuDepartment of Surgery, Wuhan NO. 7 Hospital, Wuhan, China.
Chao ZhangDepartment of Hepatobiliary Surgery, Wuhan NO.1 hospital, Wuhan, China.
Yan ZhanDepartment of rehabilitation medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, China.
Yu SongDepartment of Respiratory and Critical Care Medicine, The Central Hospital of Wuhan, Wuhan, China.
Wen FanDepartment of General Medicine, The First People's Hospital of Jingzhou Affiliated No. 1 Hospital of Changjiang University, Jingzhou, China.
Zhimin HuEndoscopy Center, Wuhan Pulmonary Hospital, Wuhan Institute for Tuberculosis Control, Wuhan, China.
Hongshan YangDepartment of Medical Oncology, Affiliated Xiaogan Hospital of Wuhan University of Science and Technology, Xiaogan, China.
Qiong YangDepartment of Obstetrics, Hubei Maternal and Child Health Hospital, Wuhan, China.
Dongde WuDepartment of Hepatobiliary and Pancreatic Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Fajiu LiDepartment of Pulmonary and Critical Care Medicine, Affiliated Hospital of Jianghan University, Wuhan, China.
Daoyuan LiDepartment of Art and Design, Hubei University of Technology Engineering and Technology College, Wuhan, China.
Rui NieReproductive Medicine Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0000-0002-7782-2374

Funding

National Natural Science Foundation of China 82003480Science and Technology Planning Project of Hubei Province 2018CKB922
6 · The paper itself

Abstract

backgroundData on clinical, laboratory, and radiographic characteristics and risk factors for in-hospital mortality of lung cancer patients with COVID-19 are scarce. Here, we aimed to characterize the early clinical features of lung cancer patients with COVID-19 and identify risk factors associated with in-hospital mortality.

methodsAll consecutive lung cancer patients with laboratory-confirmed COVID-19 admitted to 12 hospitals in Hubei province, China, from 3 January to 6 May 2020 were included in the study. Patients without definite clinical outcomes during the period were excluded. Data on initial clinical, laboratory and radiographic findings were compared between survivors and nonsurvivors. Univariable and multivariable logistic regression analyses were used to explore the risk factors associated with in-hospital mortality.

resultsOf the 45 lung cancer patients (median [interquartile range] age, 66 [58-74] years; 68.9% males) included, 34 (75.6%) discharged and 11 (24.4%) died. Fever (73.3%) and cough (53.3%) were the dominant initial symptoms, and respiratory symptoms were common. Lung cancer patients also presented atypical appearances of COVID-19. In the multivariable analysis, prolonged prolongation prothrombin time (PT) (OR = 2.1, 95% CI: 1.00-4.41, P = 0.0497) and elevated high sensitivity cardiac troponin I (hs-TNI) (OR = 7.65, 95% CI: 1.24-47.39, P = 0.0287) were associated with an increased risk of in-hospital mortality.

conclusionsLung cancer patients with COVID-19 have high in-hospital mortality. Prolonged PT and elevated hs-TNI are independent risk factors for in-hospital mortality of lung cancer patients with COVID-19. KEY POINTS: SIGNIFICANT FINDINGS OF THE STUDY: Lung cancer patients with COVID-19 have atypical early symptoms and imaging features. The prolonged prothrombin time and elevated high sensitivity cardiac troponin I are independent risk factors for in-hospital mortality of lung cancer patients with COVID-19. WHAT THIS STUDY ADDS: This study characterizes the early clinical features of lung cancer patients with COVID-19 in China, and identifies the risk factors associated with in-hospital mortality of lung cancer patients with COVID-19.

Indexed as

AgedChinaCOVID-19FemaleHospitalizationHospital MortalityHumansLung NeoplasmsMaleMiddle AgedOutcome Assessment, Health CareRetrospective StudiesRisk FactorsSARS-CoV-2Survival RateClinical featuresCOVID-19lung cancermortalityrisk factors

Identifiers

PMID33142039
PMCPMC7779192

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LicenceCC BY
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Registered trials

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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.