Evidence map›Paper›PMID 34026639›Full record

ArticleFrontiers in oncology2021

More Severe COVID-19 in Patients With Active Cancer: Results of a Multicenter Cohort Study.

Caterina Monari, Caterina Sagnelli, Paolo Maggi, Vincenzo Sangiovanni, Fabio Giuliano Numis, Ivan Gentile, Alfonso Masullo, Carolina Rescigno, Giosuele Calabria, Angelo Salomone Megna and 15 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

25 authors.

Caterina MonariInfectious Diseases Unit, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.
Caterina SagnelliInfectious Diseases Unit, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.
Paolo MaggiInfectious Diseases Unit, A.O. S Anna e S Sebastiano Caserta, Caserta, Italy.
Vincenzo SangiovanniThird Infectious Diseases Unit, AORN dei Colli, P.O. Cotugno, Naples, Italy.
Fabio Giuliano NumisEmergency Unit, PO Santa Maria delle Grazie, Pozzuoli, Italy.
Ivan GentileInfectious Diseases Unit, University Federico II, Naples, Italy.
Alfonso MasulloInfectious Diseases Unit, A.O. San Giovanni di Dio e Ruggi D'Aragona Salerno, Salerno, Italy.
Carolina RescignoFirst Infectious Diseases Unit, AORN dei Colli, PO Cotugno, Naples, Italy.
Giosuele CalabriaIX Infectious Diseases Unit, AORN dei Colli, PO Cotugno, Naples, Italy.
Angelo Salomone MegnaInfectious Disease Unit, A.O. San Pio, PO Rummo, Benevento, Italy.
Michele GambardellaInfectious Disease Unit, PO S. Luca, Vallo della Lucania, ASL Salerno, Vallo della Lucania, Italy.
Elio ManzilloIV Infectious Diseases Unit, AORN dei Colli, PO Cotugno, Naples, Italy.
Grazia RussoInfectious Diseases Unit, Ospedale Maria S.S. Addolorata di Eboli, ASL Salerno, Eboli, Italy.
Vincenzo EspositoVIII Infectious Diseases Unit, AORN dei Colli, PO Cotugno, Naples, Italy.
Clarissa CamaioniInfectious Diseases Unit, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.
Vincenzo MessinaInfectious Diseases Unit, A.O. S Anna e S Sebastiano Caserta, Caserta, Italy.
Mariantonietta PisaturoThird Infectious Diseases Unit, AORN dei Colli, P.O. Cotugno, Naples, Italy.
Enrico AllegoricoEmergency Unit, PO Santa Maria delle Grazie, Pozzuoli, Italy.
Biagio PincheraInfectious Diseases Unit, University Federico II, Naples, Italy.
Raffaella PisapiaFirst Infectious Diseases Unit, AORN dei Colli, PO Cotugno, Naples, Italy.
Mario CatalanoIX Infectious Diseases Unit, AORN dei Colli, PO Cotugno, Naples, Italy.
Angela SalzilloInfectious Diseases Unit, A.O. S Anna e S Sebastiano Caserta, Caserta, Italy.
Giovanni PortaEmergency Unit, PO Santa Maria delle Grazie, Pozzuoli, Italy.
Giuseppe SignorielloStatistical Unit, Department of Mental Health and Public Medicine, University of Campania, Naples, Italy.
Nicola CoppolaInfectious Diseases Unit, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the study was to compare coronavirus disease 2019 (COVID-19) severity presentation between oncologic and non-oncologic patients and to evaluate the impact of cancer type and stage on COVID-19 course.

methodsWe performed a multicentre, retrospective study involving 13 COVID-19 Units in Campania region from February to May 2020. We defined as severe COVID-19 presentation the cases that required mechanical ventilation and/or admission to Intensive Care Units (ICU) and/or in case of death.

resultsWe enrolled 371 COVID-19 patients, of whom 34 (9.2%) had a history or a diagnosis of cancer (24 solid, 6 onco-hematological). Oncologic patients were older (p<0.001), had more comorbidities (p<0.001) and showed a higher rate of severe COVID-19 presentation (p=0.001) and of death (p<0.001). Compared to 12 patients with non-active cancer and to 337 without cancer, the 17 patients with active cancer had more comorbidities and showed a higher rate of severe COVID-19 and of mortality (all p values <0.001). Compared to the 281 non-severe patients, the 90 subjects with a severe presentation of COVID-19 were older (p<0.01), with more comorbidities (p<0.001) and with a higher rate of cancer (p=0.001). At multivariate analysis, age (OR 1.08, 95% CI: 1.04-1.11) and suffering from cancer in an active stage (OR 5.33, 95% CI: 1.77-16.53) were independently associated with severe COVID-19.

conclusionsSince the higher risk of severe evolution of COVID-19, cancer patients, especially those with an active malignancy, should be candidates for early evaluation of symptoms and early treatment for COVID-19.

Indexed as

active cancerCOVID-19oncologic patientsSARS-CoV-2severity disease

Identifiers

PMID34026639
PMCPMC8139554

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