Evidence map›Paper›PMID 35198648›Full record

ArticleOpen forum infectious diseases2022

Coinfections in Patients With Cancer and COVID-19: A COVID-19 and Cancer Consortium (CCC19) Study.

Gowri Satyanarayana, Kyle T Enriquez, Tianyi Sun, Elizabeth J Klein, Maheen Abidi, Shailesh M Advani, Joy Awosika, Ziad Bakouny, Babar Bashir, Stephanie Berg and 47 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04354701 (The COVID-19 and Cancer Consortium), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 13% 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.

NCT04354701 active not recruitingnot on this map

The COVID-19 and Cancer Consortium (CCC19) Registry

Typeobservational_patient_registrySponsorVanderbilt-Ingram Cancer CenterRan2020 to 2029Enrolled19,275ConditionsCOVID-19, Invasive Malignancy (Any Type)ArmsWeb-based REDCap survey
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Innovative Amino-Functionalization of Pyrido[2,3-Pharmaceuticals (Basel, Switzerland) · 2025
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  8. SARS-CoV-2 and cancer: the intriguing and informative cross-talk.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2022
    Article
  9. Article
  10. 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

57 authors at 20 institutions in 2 countries.

Gowri SatyanarayanaVanderbilt University Medical Center, Nashville, Tennessee, USA.
Kyle T EnriquezVanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-1901-5558
Tianyi SunVanderbilt University Medical Center, Nashville, Tennessee, USA.
Elizabeth J KleinThe Warren Alpert Medical School of Brown University and Lifespan Cancer Institute, Providence, Rhode Island, USA.
Maheen AbidiUniversity of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0003-1096-1043
Shailesh M AdvaniCancer Prevention and Control, Department of Oncology, Georgetown University School of Medicine, Georgetown University, Washington DC, USA.
Joy AwosikaUniversity of Cincinnati Cancer Center, Cincinnati, Ohio, USA.
Ziad BakounyDana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-1906-5704
Babar BashirSidney Kimmel Cancer Center at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Stephanie BergCardinal Bernardin Cancer Center, Loyola University Medical Center, Maywood, Illinois, USA.
Marilia BernardesMemorial Sloan Kettering Cancer Center, New York City, New York, USA.
Pamela C EganThe Warren Alpert Medical School of Brown University and Lifespan Cancer Institute, Providence, Rhode Island, USA.
Arielle ElkriefMcGill University Health Centre, Montreal, Quebec, Canada.
Lawrence E FeldmanUniversity of Illinois Hospital & Health Sciences System, Chicago, Illinois, USA.
Christopher R FrieseUniversity of Michigan Rogel Cancer Center, Ann Arbor, Michigan, USA.
Shipra GoelRoswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Cyndi Gonzalez GomezUniversity of Michigan Rogel Cancer Center, Ann Arbor, Michigan, USA.
Keith L GrantHartford HealthCare Cancer Institute, Hartford, Connecticut, USA.
Elizabeth A GriffithsRoswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Shuchi GulatiUniversity of Cincinnati Cancer Center, Cincinnati, Ohio, USA.
Shilpa GuptaCleveland Clinic, Cleveland, Ohio, USA.
Clara HwangHenry Ford Cancer Institute, Henry Ford Hospital, Detroit, Michigan, USA.
Jayanshu JainThe University of Kansas Cancer Center, Overland Park, Kansas, USA.
Chinmay JaniMount Auburn Hospital, Cambridge, Massachusetts, USA.
Anna KaltsasMemorial Sloan Kettering Cancer Center, New York City, New York, USA.
Anup KasiThe University of Kansas Cancer Center, Overland Park, Kansas, USA.
Hina KhanThe Warren Alpert Medical School of Brown University and Lifespan Cancer Institute, Providence, Rhode Island, USA.
Natalie KnoxStritch School of Medicine at Loyola University, Maywood, Illinois, USA.
Vadim S KoshkinHelen Diller Family Comprehensive Cancer Center at the University of California at San Francisco, San Francisco, California, USA.
Daniel H KwonHelen Diller Family Comprehensive Cancer Center at the University of California at San Francisco, San Francisco, California, USA.
Chris LabakiDana-Farber Cancer Institute, Boston, Massachusetts, USA.
Gary H LymanFred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Rana R McKayMoores Cancer Center, University of California San Diego, La Jolla, California, USA.
Christopher McNairSidney Kimmel Cancer Center at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Gayathri NagarajLoma Linda University Cancer Center, Loma Linda, California, USA.
Elizabeth S NakasoneFred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Ryan NguyenUniversity of Illinois Hospital & Health Sciences System, Chicago, Illinois, USA.
Taylor K NonatoMoores Cancer Center, University of California San Diego, La Jolla, California, USA.
Adam J OlszewskiThe Warren Alpert Medical School of Brown University and Lifespan Cancer Institute, Providence, Rhode Island, USA.
Orestis A PanagiotouThe Warren Alpert Medical School of Brown University and Lifespan Cancer Institute, Providence, Rhode Island, USA.
Matthew PucVirtua Health, Mt. Holly, New Jersey, USA.
Pedram RazaviMoores Cancer Center, University of California San Diego, La Jolla, California, USA.
Elizabeth V RobilottiMemorial Sloan Kettering Cancer Center, New York City, New York, USA.
Miriam Santos-DutraMcGill University Health Centre, Montreal, Quebec, Canada.
Andrew L SchmidtDana-Farber Cancer Institute, Boston, Massachusetts, USA.
Dimpy P ShahMays Cancer Center at UT Health San Antonio MD Anderson Cancer Center, San Antonio, Texas, USA.
Sumit A ShahStanford Cancer Institute at Stanford University, Stanford, California, USA.
Kendra VieiraThe Warren Alpert Medical School of Brown University and Lifespan Cancer Institute, Providence, Rhode Island, USA.
Lisa B WeissmannThe University of Kansas Cancer Center, Overland Park, Kansas, USA.
Trisha M Wise-DraperUniversity of Cincinnati Cancer Center, Cincinnati, Ohio, USA.
Ulysses WuHartford HealthCare Cancer Institute, Hartford, Connecticut, USA.
Julie Tsu-Yu WuStanford Cancer Institute at Stanford University, Stanford, California, USA.
Toni K ChoueiriDana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-9201-3217
Sanjay MishraVanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-7775-9600
Jeremy L WarnerVanderbilt University Medical Center, Nashville, Tennessee, USA.
Benjamin FrenchVanderbilt University Medical Center, Nashville, Tennessee, USA.
Dimitrios FarmakiotisThe Warren Alpert Medical School of Brown University and Lifespan Cancer Institute, Providence, Rhode Island, USA.
Brown University · USVanderbilt University Medical Center · USDana-Farber Cancer Institute · USMemorial Sloan Kettering Cancer Center · USThe University of Kansas Cancer Center · USUniversity of California San Diego · USUniversity of Cincinnati · USHartford Hospital · USMcGill University Health Centre · CARoswell Park Comprehensive Cancer Center · USStanford University · USThomas Jefferson University · USUCSF Helen Diller Family Comprehensive Cancer Center · USUniversity of Illinois Chicago · USUniversity of Michigan · USUniversity of Washington · USCleveland Clinic · USGeorgetown University · USHenry Ford Hospital · USLoma Linda University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI A. Heather Eliassen · 1985 to 2026
$330.6M
XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Wanling Xie · 2003 to 2026
$53.4M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
TRAINING IN CANCER BIOLOGY &TRANSPLANTATIONT32CA009515 · NCI · UNIVERSITY OF WASHINGTON · PI NANCY ELLEN DAVIDSON, Effie W Petersdorf · 1985 to 2026
$16.2M
Interdisciplinary Research Training Center in Cancer Care DeliveryT32CA236621 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lauren P Wallner · 2020 to 2026
$2.8M
Network Analysis for a Data-Driven Approach to Cancer CareU01CA231840 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WARNER, JEREMY LYLE · 2018 to 2020
$1.2M
CMV and CMV-Immune Responses in Geriatric Conditions Post-Kidney Transplant (CMV-GeriKT)K23AG073534 · NIA · UNIVERSITY OF COLORADO DENVER · PI ABIDI, MAHEEN ZEHRA · 2021 to 2025
$944k
NCATS NIH HHS UL1 TR000445NCI NIH HHS P30 CA006516NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA046592NCI NIH HHS P30 CA068485NCI NIH HHS P50 CA101942NCI NIH HHS T32 CA009515NCI NIH HHS T32 CA236621NCI NIH HHS U01 CA231840NIA NIH HHS K23 AG073534NIGMS NIH HHS T32 GM007347
6 · The paper itself

Abstract

backgroundThe frequency of coinfections and their association with outcomes have not been adequately studied among patients with cancer and coronavirus disease 2019 (COVID-19), a high-risk group for coinfection.

methodsWe included adult (≥18 years) patients with active or prior hematologic or invasive solid malignancies and laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) infection, using data from the COVID-19 and Cancer Consortium (CCC19, NCT04354701). We captured coinfections within ±2 weeks from diagnosis of COVID-19, identified factors cross-sectionally associated with risk of coinfection, and quantified the association of coinfections with 30-day mortality.

resultsAmong 8765 patients (hospitalized or not; median age, 65 years; 47.4% male), 16.6% developed coinfections: 12.1% bacterial, 2.1% viral, 0.9% fungal. An additional 6.4% only had clinical diagnosis of a coinfection. The adjusted risk of any coinfection was positively associated with age >50 years, male sex, cardiovascular, pulmonary, and renal comorbidities, diabetes, hematologic malignancy, multiple malignancies, Eastern Cooperative Oncology Group Performance Status, progressing cancer, recent cytotoxic chemotherapy, and baseline corticosteroids; the adjusted risk of superinfection was positively associated with tocilizumab administration. Among hospitalized patients, high neutrophil count and C-reactive protein were positively associated with bacterial coinfection risk, and high or low neutrophil count with fungal coinfection risk. Adjusted mortality rates were significantly higher among patients with bacterial (odds ratio [OR], 1.61; 95% CI, 1.33-1.95) and fungal (OR, 2.20; 95% CI, 1.28-3.76) coinfections.

conclusionsViral and fungal coinfections are infrequent among patients with cancer and COVID-19, with the latter associated with very high mortality rates. Clinical and laboratory parameters can be used to guide early empiric antimicrobial therapy, which may improve clinical outcomes.

Indexed as

bacterial infectionsCAPA (COVID-19-associated pulmonary aspergillosis)COVID-19mucormycosesviral infections

Identifiers

PMID35198648
PMCPMC8860152
OpenAlexW4212840501

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Registered trials

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.