Evidence map›Paper›PMID 33909916›Full record

ArticleAmerican journal of hematology2021

Prolonged in-hospital stay and higher mortality after Covid-19 among patients with non-Hodgkin lymphoma treated with B-cell depleting immunotherapy.

Rémy Duléry, Sylvain Lamure, Marc Delord, Roberta Di Blasi, Adrien Chauchet, Thomas Hueso, Cédric Rossi, Bernard Drenou, Bénédicte Deau Fischer, Carole Soussain and 15 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in American journal of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 3 pooled it
12.5field-weighted citation impact, top 1% 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

91 citing papers in PubMed, 3 syntheses or guidelines pooled it, 156 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Protracted SARS-CoV-2 Infection in B-cell Depleted Patients: Immunologic and Viral Characteristics and Response to Dual and Extended Antiviral Therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  6. Article
  7. CD56Clinical & translational immunology · 2026
    Article
  8. Observational
  9. Review
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  14. Article
  15. Convalescent Plasma for Immunocompromised Patients.Current topics in microbiology and immunology · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

31 more citing papers are in PubMed but not listed here.

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

25 authors at 14 institutions in 1 country.

Rémy DuléryService d'Hématologie Clinique et de Thérapie Cellulaire, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Inserm UMRs, Paris, France.ORCID 0000-0002-5024-1713
Sylvain LamureDépartement d'Hématologie Clinique, CHU de Montpellier, UMR-CNRS 5535, Université de Montpellier, Montpellier, France.
Marc DelordClinical Research Center, Centre Hospitalier de Versailles, Le Chesnay, France.
Roberta Di BlasiService d'Hématologie-Oncologie, Hôpital Saint Louis, Assistance Publique-Hôpitaux de Paris; Université de Paris - Diderot, Paris, France.
Adrien ChauchetService d'Hématologie, CbmiU de Besançon, Besançon, France.
Thomas HuesoService d'Hématologie Adulte, Institut Gustave Roussy, Université Paris-Sud, Université Paris-Saclay, Villejuif, France.
Cédric RossiService d'Hématologie Clinique, CHU de Dijon Bourgogne, Dijon, France.
Bernard DrenouDépartement d'Hématologie, Groupe Hospitalier de Mulhouse Sud Alsace, Mulhouse, France.
Bénédicte Deau FischerService d'Hématologie Clinique, Hôpital Cochin, Assistance Publique - Hôpitaux de Paris, Paris, France.
Carole SoussainDépartement d'Oncologie Médicale - Hématologie, Institut Curie, Saint Cloud, France.
Pierre FeugierService d'Hématologie, CHRU de Nancy, Nancy, France.
Nicolas NoëlService de Médecine Interne - Immunologie, Hôpital Bicêtre, Assistance Publique - Hôpitaux de Paris, Le Kremlin-Bicêtre, France.
Sylvain ChoquetService d'Hématologie Clinique, Hôpital Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris, Paris, France.
Serge BolognaService d'Hématologie, Centre d'Oncologie de Gentilly, Nancy, France.
Bertrand JolyService d'Hématologie, Centre Hospitalier Sud Francilien, Corbeil-Essonnes, France.
Laure PhilippeService d'Hématologie, Centre Hospitalier d'Annecy, Annecy, France.
Milena KohnService d'Hématologie Oncologie, Centre Hospitalier de Versailles, Le Chesnay, France.
Sandra MalakDépartement d'Oncologie Médicale - Hématologie, Institut Curie, Saint Cloud, France.
Guillemette FouquetService d'Hématologie Clinique, Hôpital Cochin, Assistance Publique - Hôpitaux de Paris, Paris, France.ORCID 0000-0002-3751-393X
Etienne DaguindauService d'Hématologie, CbmiU de Besançon, Besançon, France.
Yassine TaoufikService d'Hématologie et Immunologie Biologique, Hôpital Bicêtre, Assistance Publique-Hôpitaux de Paris, INSERM 1186, Institut Gustave Roussy, Villejuif, France.
Karine LacombeService des Maladies Infectieuses et Tropicales, Sorbonne Université, Inserm IPLESP, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Guillaume CartronDépartement d'Hématologie Clinique, CHU de Montpellier, UMR-CNRS 5535, Université de Montpellier, Montpellier, France.
Catherine ThiéblemontService d'Hématologie-Oncologie, Hôpital Saint Louis, Assistance Publique-Hôpitaux de Paris; Université de Paris - Diderot, Paris, France.
Caroline BessonService d'Hématologie Oncologie, Centre Hospitalier de Versailles, Le Chesnay, France.
Inserm · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier de Versailles · FRCentre Hospitalier Universitaire de Besançon · FRCentre National de la Recherche Scientifique · FRDélégation Paris 7 · FRHôpital Cochin · FRInstitut Curie · FRCentre Hospitalier Annecy Genevois · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Sud Francilien · FRCHU Dijon Bourgogne · FRGroupe Hospitalier de la Région de Mulhouse et Sud Alsace · FRUniversité Paris-Sud · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prolonged Covid-19 is an emerging issue for patients with lymphoma or immune deficiency. We aimed to examine prolonged length of in-hospital stay (LOS) due to Covid-19 among patients with lymphoma and assess its determinants and outcomes. Adult patients with lymphoma admitted for Covid-19 to 16 French hospitals in March and April, 2020 were included. Length of in-hospital stay was analyzed as a competitor vs death. The study included 111 patients. The median age was 65 years (range, 19-92). Ninety-four patients (85%) had B-cell non-Hodgkin lymphoma. Within the 12 months prior to hospitalization for Covid-19, 79 patients (71%) were treated for their lymphoma. Among them, 63 (57%) received an anti-CD20 therapy. Fourteen patients (12%) had relapsed/refractory disease. The median LOS was 14 days (range, 1-235). After a median follow-up of 191 days (3-260), the 6-month overall survival was 69%. In multivariable analyses, recent administration of anti-CD20 therapy was associated with prolonged LOS (subdistribution hazard ratio 2.26, 95% confidence interval 1.42-3.6, p < 0.001) and higher risk of death (hazard ratio 2.17, 95% confidence interval 1.04-4.52, p = 0.039). An age ≥ 70 years and relapsed/refractory lymphoma were also associated with prolonged LOS and decreased overall survival. In conclusion, an age ≥ 70 years, a relapsed/refractory lymphoma and recent administration of anti-CD20 therapy are risk factors for prolonged LOS and death for lymphoma patients hospitalized for Covid-19. These findings may contribute to guide the management of lymphoma during the pandemic, support evaluating specific therapeutic approaches, and raise questions on the efficacy and timing of vaccination of this particular population.

Indexed as

SARS-CoV-2AdultAgedAged, 80 and overAge FactorsAntigens, CD20Antineoplastic Combined Chemotherapy ProtocolsB-LymphocytesCombined Modality TherapyComorbidityCOVID-19Drug Resistance, NeoplasmFemaleHumansImmunotherapyLength of StayAntigens, CD20Rituximab

Identifiers

PMID33909916
PMCPMC8212109
OpenAlexW3157623674

What OpenQuestion holds

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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.