Evidence map›Paper›PMID 34016490›Full record

Observational studyLung cancer (Amsterdam, Netherlands)2021

Lung cancer patients with COVID-19 in Spain: GRAVID study.

Mariano Provencio, José María Mazarico Gallego, Antonio Calles, Mónica Antoñanzas, Cristina Pangua, Xabier Mielgo Rubio, Ernest Nadal, Rafael López Castro, Ana López-Martín, Edel Del Barco and 18 more

Abstract readObservational Study
In one paragraph

Observational study in Lung cancer (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  16. SARS-CoV-2 infection in patients with melanoma: results of the Spanish Melanoma Group registry.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
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  18. Coronavirus disease 2019 and lung cancer: where are we?Exploration of targeted anti-tumor therapy · 2023
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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

28 authors.

Mariano ProvencioHospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain. Electronic address: mprovenciop@gmail.com.
José María Mazarico GallegoHospital Universitario, 12 de Octubre, Madrid, Spain.
Antonio CallesHospital General Universitario Gregorio Marañón, Madrid, Spain.
Mónica AntoñanzasHospital Clínico San Carlos, Madrid, Spain.
Cristina PanguaHospital Universitario Infanta Leonor, Madrid, Spain.
Xabier Mielgo RubioHospital Universitario Fundación Alcorcón, Madrid, Spain.
Ernest NadalInstitut Catala d'Oncologia (ICO), L'Hospitalet de Llobregat, Barcelona, Spain.
Rafael López CastroHospital Clínico Universitario de Valladolid, Valladolid, Spain.
Ana López-MartínHospital Universitario Severo Ochoa, Madrid, Spain.
Edel Del BarcoHospital Universitario de Salamanca, Salamanca, Spain.
Manuel DómineHospital Universitario Fundación Jiménez Diaz, IIS-FJD, Madrid, Spain.
Fernando FrancoHospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.
Pilar DizComplejo Asistencial Universitario de León, León, Spain.
Carmen SandovalHospital Universitario Infanta Sofía, Madrid, Spain.
Elia Sais GironaInstitut Catala d'Oncologia (ICO), Girona, Spain.
Ivana SullivanHospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Mª Ángeles SalaHospital Universitario de Basurto, Bilbao, Spain.
Gema García LedoHospital Universitario HM Sanchinarro, Madrid, Spain.
Marc CucurullInstitut Catala d'Oncologia (ICO), Hospital Universitari Germans Trias i Pujol, B-ARGO, IGTP, Badalona, Barcelona, Spain.
Joaquín MosqueraComplejo Hospitalario Universitario A Coruña, A Coruña, Spain.
Mireia MartínezHospital de Txagorritxu, Vitoria, Spain.
Luis Enrique CharaHospital Universitario de Guadalajara, Guadalajara, Spain.
Edurne ArriolaHospital del Mar, Barcelona, Spain.
Beatriz Esteban HerreraHospital General de Segovia, Segovia, Spain.
José Ramón JaraboHospital Clínico San Carlos, Madrid, Spain.
Rosa Álvarez ÁlvarezHospital General Universitario Gregorio Marañón, Madrid, Spain.
Javier BaenaHospital Universitario, 12 de Octubre, Madrid, Spain.
María González CaoInstituto Oncológico Dr Rosell, Hospital Universitario Dexeus, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with cancer may be at increased risk of more severe COVID-19 disease; however, prognostic factors are not yet clearly identified. The GRAVID study aimed to describe clinical characteristics, outcomes, and predictors of poor outcome in patients with lung cancer and COVID-19.

methodsProspective observational study that included medical records of patients with lung cancer and PCR-confirmed COVID-19 diagnosis across 65 Spanish hospitals. The primary endpoint was all-cause mortality; secondary endpoints were hospitalization and admission to intensive care units (ICU).

resultsA total of 447 patients with a mean age of 67.1 ± 9.8 years were analysed. The majority were men (74.3 %) and current/former smokers (85.7 %). NSCLC was the most frequent type of cancer (84.5 %), mainly as adenocarcinoma (51.0 %), and stage III metastatic or unresectable disease (79.2 %). Nearly 60 % of patients were receiving anticancer treatment, mostly first-line chemotherapy. Overall, 350 (78.3 %) patients were hospitalized for a mean of 13.4 ± 11.4 days, 9 (2.0 %) were admitted to ICU and 146 (32.7 %) died. Advanced disease and the use of corticosteroids to treat COVID-19 during hospitalization were predictors of mortality. Hospitalized, non-end-of-life stage patients with lymphocytopenia and high LDH had an increased risk of death. Severity of COVID-19 correlated to higher mortality, ICU admission, and mechanical ventilation rates.

conclusionsMortality rate was higher among patients treated with corticosteroids during hospitalization, while anticancer therapy was not associated with an increased risk of hospitalization or death. Tailored approaches are warranted to ensure effective cancer management while minimizing the risk of exposure to SARS-CoV-2.

Indexed as

COVID-19Lung NeoplasmsAgedCOVID-19 TestingFemaleHospitalizationHumansIntensive Care UnitsMaleMiddle AgedSARS-CoV-2SpainAnticancer therapyCOVID-19Lung cancerMortalityPrognosis

Identifiers

PMID34016490
PMCPMC8118702

What OpenQuestion holds

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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.