Evidence map›Paper›PMID 34343344›Full record

ArticleCancer2021

Higher severity and risk of in-hospital mortality for COVID-19 patients with cancer during the year 2020 in Brazil: A countrywide analysis of secondary data.

Guilherme Jorge Costa, Carla Rameri Alexandre Silva de Azevedo, José Iran Costa Júnior, Anke Bergmann, Luiz Claudio Santos Thuler

Abstract read
In one paragraph

Article in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Observational
  7. Risk factors for death and illness severity in vaccinated versus unvaccinated COVID-2019 inpatients: a retrospective cohort study.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2023
    Observational
  8. Article
  9. 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

5 authors.

Guilherme Jorge CostaDepartment of Teaching and Research, Pernambuco Cancer Hospital, Recife, Brazil.ORCID 0000-0002-3699-0590
Carla Rameri Alexandre Silva de AzevedoDepartment of Oncology, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Brazil.ORCID 0000-0002-0531-7002
José Iran Costa JúniorDepartment of Oncology, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Brazil.ORCID 0000-0001-5381-2692
Anke BergmannClinical Epidemiology Program, Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil.ORCID 0000-0002-1972-8777
Luiz Claudio Santos ThulerClinical Epidemiology Program, Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil.ORCID 0000-0003-2550-6537

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) and cancer are serious public health problems worldwide. However, little is known about the risk factors of in-hospital mortality among COVID-19 patients with and without cancer in Brazil. The objective of this study was to evaluate the risk factors of in-hospital mortality among COVID-19 patients with and without cancer and to compare mortality according to gender and topography during the year 2020 in Brazil.

methodsThis was a secondary data study of hospitalized adult patients with a diagnosis of COVID-19 by real-time polymerase chain reaction testing in Brazil. The data were collected from the Influenza Epidemiological Surveillance Information System.

resultsThis study analyzed data from 322,817 patients. The prevalence of cancer in patients with COVID-19 was 2.3%. COVID-19 patients with neurological diseases and cancer had the most lethal comorbidities in both sexes. COVID-19 patients with cancer were more likely to be older (median age, 67 vs 62 years; P < .001), to have a longer hospital stay (13.1 vs 11.5 days; P < .001), to be admitted to the intensive care unit (45.3% vs 39.6%; P < .001), to receive more invasive mechanical ventilation (27.1% vs 21.9%), and to have a higher risk of death (adjusted odds ratio [aOR], 1.94; 95% confidence interval [CI], 1.83-2.06; P < .001) than those without cancer. Patients with hematological neoplasia (aOR, 2.85; 95% CI, 2.41-3.38; P < .001) had a higher risk of mortality than those with solid tumors (aOR, 1.83; 95% CI, 1.72-1.95; P < .001) in both sexes.

conclusionsBrazilian COVID-19 patients with cancer have higher disease severity and a higher risk of mortality than those without cancer.

Indexed as

Severity of Illness IndexAdultAgedAged, 80 and overBrazilCase-Control StudiesComorbidityCOVID-19FemaleHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedNeoplasmsPrevalenceBrazilcancercoronavirus disease 2019 (COVID-19)mortalityprevalencerisk factors

Identifiers

PMID34343344
PMCPMC8426714

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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.