Evidence map›Paper›PMID 35641208›Full record

ArticleThe oncologist2022

Outcomes of Breast Cancer Patients Treated with Chemotherapy, Biologic Therapy, Endocrine Therapy, or Active Surveillance During the COVID-19 Pandemic.

Douglas K Marks, Nibash Budhathoki, John Kucharczyk, Faisal Fa'ak, Nina D'Abreo, Maryann Kwa, Magdalena Plasilova, Shubhada Dhage, Phyu Phyu Soe, Daniel Becker and 14 more

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 58% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

24 authors at 4 institutions in 1 country.

Douglas K MarksPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Nibash BudhathokiNYU Langone Hospital-Long Island, Mineola, NY, USA.
John KucharczykNYU Langone Hospital-Long Island, Mineola, NY, USA.
Faisal Fa'akNYU Langone Hospital-Long Island, Mineola, NY, USA.ORCID 0000-0002-3690-7101
Nina D'AbreoPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Maryann KwaPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Magdalena PlasilovaPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Shubhada DhagePerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Phyu Phyu SoePerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Daniel BeckerPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Alexander HindenburgPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Johanna LeePerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Megan WinnerPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Chinyere OkparaNYU Langone Hospital-Long Island, Mineola, NY, USA.
Alison DalyNYU Langone Hospital-Long Island, Mineola, NY, USA.
Darshi ShahNYU Langone Hospital-Long Island, Mineola, NY, USA.
Angela RamdhannyNYU Langone Hospital-Long Island, Mineola, NY, USA.
Marleen MeyersPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Ruth OratzPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
James SpeyerPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Yelena NovikPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Freya SchnabelPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Simon A JonesDepartment of Population Health, NYU Grossman School of Medicine, Manhattan, NY, USA.
Sylvia AdamsPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
NYU Langone Health · USIsland Hospital · USLong Island University · USNew York University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProvide real-world data regarding the risk for SARS-CoV-2 infection and mortality in breast cancer (BC) patients on active cancer treatment.

methodsClinical data were abstracted from the 3778 BC patients seen at a multisite cancer center in New York between February 1, 2020 and May 1, 2020, including patient demographics, tumor histology, cancer treatment, and SARS-CoV-2 testing results. Incidence of SARS-CoV-2 infection by treatment type (chemotherapy [CT] vs endocrine and/or HER2 directed therapy [E/H]) was compared by Inverse Probability of Treatment Weighting. In those diagnosed with SARS-CoV-2 infection, Mann-Whitney test was used to a assess risk factors for severe disease and mortality.

resultsThree thousand sixty-two patients met study inclusion criteria with 641 patients tested for SARS-COV-2 by RT-PCR or serology. Overall, 64 patients (2.1%) were diagnosed with SARS-CoV-2 infection by either serology, RT-PCR, or documented clinical diagnosis. Comparing matched patients who received chemotherapy (n = 379) with those who received non-cytotoxic therapies (n = 2343) the incidence of SARS-CoV-2 did not differ between treatment groups (weighted risk; 3.5% CT vs 2.7% E/H, P = .523). Twenty-seven patients (0.9%) expired over follow-up, with 10 deaths attributed to SARS-CoV-2 infection. Chemotherapy was not associated with increased risk for death following SARS-CoV-2 infection (weighted risk; 0.7% CT vs 0.1% E/H, P = .246). Advanced disease (stage IV), age, BMI, and Charlson's Comorbidity Index score were associated with increased mortality following SARS-CoV-2 infection (P ≤ .05).

conclusionBC treatment, including chemotherapy, can be safely administered in the context of enhanced infectious precautions, and should not be withheld particularly when given for curative intent.

Indexed as

Breast NeoplasmsCOVID-19Biological TherapyCOVID-19 TestingFemaleHumansPandemicsSARS-CoV-2Watchful Waitingbreast cancercancer treatmentCOVID-19SARS-CoV-2

Identifiers

PMID35641208
PMCPMC8895753
OpenAlexW4206103203

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.