Evidence map›Paper›PMID 33455418›Full record

ArticleThe American journal of hospice & palliative care2021

Palliative Care and COVID-19 Pandemic: Retrospective Study of Factors Associated With Infection and Death at an Oncological Palliative Care Reference Center.

Livia Costa de Oliveira, Karla Santos da Costa Rosa, Ana Luísa Durante, Luciana de Oliveira Ramadas Rodrigues, Daianny Arrais de Oliveira da Cunha, Luciana Aparecida Faria de Oliveira, Renata de Freitas, Alessandra Zanei Borsatto, Eliza Maffioletti Furtunato Leocádio Esteves, Simone Garruth Dos Santos Machado Sampaio

Open access · hybridAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Short-course remdesivir for healthcare-associated COVID-19: Case series from a non-acute care hospital.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2023
    Review
  5. 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

10 authors at 1 institution in 1 country.

Livia Costa de OliveiraPalliative Care Unit, 37908National Cancer Institute José Alencar Gomes da Silva (INCA), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-5052-1846
Karla Santos da Costa RosaPalliative Care Unit, 37908National Cancer Institute José Alencar Gomes da Silva (INCA), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-0951-8725
Ana Luísa DurantePalliative Care Unit, 37908National Cancer Institute José Alencar Gomes da Silva (INCA), Rio de Janeiro, Brazil.
Luciana de Oliveira Ramadas RodriguesPalliative Care Unit, 37908National Cancer Institute José Alencar Gomes da Silva (INCA), Rio de Janeiro, Brazil.
Daianny Arrais de Oliveira da CunhaPalliative Care Unit, 37908National Cancer Institute José Alencar Gomes da Silva (INCA), Rio de Janeiro, Brazil.
Luciana Aparecida Faria de OliveiraPalliative Care Unit, 37908National Cancer Institute José Alencar Gomes da Silva (INCA), Rio de Janeiro, Brazil.
Renata de FreitasPalliative Care Unit, 37908National Cancer Institute José Alencar Gomes da Silva (INCA), Rio de Janeiro, Brazil.
Alessandra Zanei BorsattoPalliative Care Unit, 37908National Cancer Institute José Alencar Gomes da Silva (INCA), Rio de Janeiro, Brazil.
Eliza Maffioletti Furtunato Leocádio EstevesPalliative Care Unit, 37908National Cancer Institute José Alencar Gomes da Silva (INCA), Rio de Janeiro, Brazil.
Simone Garruth Dos Santos Machado SampaioPalliative Care Unit, 37908National Cancer Institute José Alencar Gomes da Silva (INCA), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0001-5537-7399
Instituto Nacional de Câncer - INCA · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvanced cancer patients are part of a group likely to be more susceptible to COVID-19.

aimsTo describe the profile of advanced cancer inpatients to an exclusive Palliative Care Unit (PCU) with the diagnosis of COVID-19, and to evaluate the factors associated with death in these cases.

designRetrospective cohort study with data from advanced cancer inpatients to an exclusive PCU, from March to July 2020, with severe acute respiratory syndrome. Diagnostic of COVID-19 and death were the dependent variables. Logistic regression analyses were performed, with the odds ratio (OR) and 95% confidence interval (CI).

resultsOne hundred fifty-five patients were selected. The mean age was 60.9 (±13.4) years old and the most prevalent tumor type was breast (30.3%). Eighty-three (53.5%) patients had a diagnostic confirmation of COVID-19. Having diabetes mellitus (OR: 2.2; 95% CI: 1.1-6.6) and having received chemotherapy in less than 30 days before admission (OR: 3.8; 95% CI: 1.2-12.2) were associated factors to diagnosis of COVID-19. Among those infected, 81.9% died and, patients with Karnofsky Performance Status (KPS) < 30% (OR: 14.8; 95% CI 2.7-21.6) and C-reactive protein (CRP) >21.6mg/L (OR: 9.3; 95% CI 1.1-27.8), had a greater chance of achieving this outcome.

conclusionAdvanced cancer patients who underwent chemotherapy in less than 30 days before admission and who had diabetes mellitus were more likely to develop Coronavirus 2019 disease. Among the confirmed cases, those hospitalized with worse KPS and bigger CRP were more likely to die.

Indexed as

BrazilCOVID-19FemaleHumansLogistic ModelsMaleMiddle AgedNeoplasmsPalliative CareRetrospective StudiesRisk Factorsadvanced cancercoronavirushospital mortalityneoplasmspalliative careprognosis

Identifiers

PMID33455418
PMCPMC7983337
OpenAlexW3122283457

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.