Evidence map›Paper›PMID 35753213›Full record

SynthesisEuropean journal of cancer (Oxford, England : 1990)2022

Booster doses of COVID-19 vaccines for patients with haematological and solid cancer: a systematic review and individual patient data meta-analysis.

Aaron Shengting Mai, Ainsley Ryan Yan Bin Lee, Ryan Yong Kiat Tay, Lauren Shapiro, Astha Thakkar, Balazs Halmos, Albert Grinshpun, Yair Herishanu, Ohad Benjamini, Tamar Tadmor and 10 more

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European journal of cancer (Oxford, England : 1990), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Vaccination of Adults With Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
  3. Pooled it
  4. Guideline
  5. Trial
  6. Trial
  7. Article
  8. Cancer and COVID-19: A review of immune insights and partnerships to inform public health strategy.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
    Review
  9. Article
  10. Impact of COVID-19 vaccination on cancer patients: safety, efficacy, and long-term effects.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
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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

20 authors at 8 institutions in 3 countries.

Aaron Shengting MaiYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ainsley Ryan Yan Bin LeeYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ryan Yong Kiat TayYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Lauren ShapiroDepartment of Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Astha ThakkarDepartment of Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Balazs HalmosDepartment of Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Albert GrinshpunSharett Institute of Oncology, Hadassah Medical Center and the Faculty of Medicine, The Hebrew University, Jerusalem, Israel.
Yair HerishanuTel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Ohad BenjaminiHematology Division, Chaim Sheba Medical Center, Ramat-Gan, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Tamar TadmorHematology Unit, Bnai Zion Medical Center, Haifa, Israel; The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Rachna T ShroffDivision of Hematology and Oncology, Department of Medicine, University of Arizona Cancer Center, Tucson, AZ, USA.
Bonnie J LaFleurBIO5 Institute, University of Arizona, Tucson, AZ, USA.
Deepta BhattacharyaBIO5 Institute, University of Arizona, Tucson, AZ, USA; Department of Immunobiology, University of Arizona College of Medicine, Tucson, AZ, USA.
Siyu PengDepartment of Medicine, National University Health System, Singapore.
Jeremy TeyDepartment of Radiation Oncology, National University Cancer Institute, Singapore, Singapore.
Soo Chin LeeDepartment of Haematology-Oncology, National University Cancer Institute, Singapore, Singapore; Cancer Science Institute of Singapore, National University of Singapore, Singapore.
Louis Yi Ann ChaiDivision of Infectious Diseases, Department of Medicine, National University Health System, Singapore; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Synthetic Biology for Clinical and Technological Innovation, National University of Singapore, Singapore; National University Cancer Institute, Singapore, Singapore.
Yu Yang SoonDepartment of Radiation Oncology, National University Cancer Institute, Singapore, Singapore; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Raghav SundarDepartment of Haematology-Oncology, National University Cancer Institute, Singapore, Singapore; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Cancer and Stem Cell Biology Program, Duke-NUS Medical School, Singapore; The N.1 Institute for Health, National University of Singapore, Singapore; Singapore Gastric Cancer Consortium, Singapore. Electronic address: mdcragh@nus.edu.sg.
Matilda Xinwei LeeDepartment of Haematology-Oncology, National University Cancer Institute, Singapore, Singapore.
National University of Singapore · SGAlbert Einstein College of Medicine · USUniversity of Arizona · USNational University Cancer Institute, Singapore · SGTel Aviv University · ILBnai Zion Medical Center · ILHadassah Medical Center · ILNational University Health System · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importancePatients with cancer have an increased risk of severe disease and mortality from COVID-19, as the disease and antineoplastic therapy cause reduced vaccine immunogenicity. Booster doses have been proposed to enhance protection, and efficacy data are emerging from several studies.

objectiveTo evaluate the proportion of COVID-19 primary vaccination non-responders with cancer who seroconvert after a booster dose.

methodsPubMed, EMBASE, CENTRAL and medRxiv were searched from 1st January 2021 to 10th March 2022. Quality was assessed using the Joanna Briggs Institute Critical Appraisal checklist.

resultsAfter the eligibility assessment, 22 studies were included in this systematic review and 17 for meta-analysis of seroconversion in non-responders, pooling a total of 849 patients with haematological cancer and 82 patients with solid cancer. Haematological cancer non-responders exhibited lower seroconversion at 44% (95% CI 36-53%) than solid cancer at 80% (95% CI 69-87%). Individual patient data meta-analysis found the odds of having a meaningful rise in antibody titres to be significantly associated with increased duration between the second and third dose (OR 1.02, 95% CI 1.00-1.03, P ≤ 0.05), age of patient (OR 0.960, 95% CI 0.934-0.987, P ≤ 0.05) and cancer type. With patients with haematological cancer as a reference, patients with lung cancer had 16.8 times the odds of achieving a meaningful increase in antibody titres (OR 16.8, 95% CI 2.95-318, P ≤ 0.05) and gastrointestinal cancer patients had 25.4 times the odds of achieving a meaningful increase in antibody titres (OR 25.4, 95% CI 5.26-492.21, P ≤ 0.05).

conclusionsadministration of a COVID-19 vaccine booster dose is effective in improving seroconversion and antibody levels. Patients with haematological cancer consistently demonstrate poorer response to booster vaccines than patients with solid cancer.

Indexed as

COVID-19Hematologic NeoplasmsNeoplasmsCOVID-19 VaccinesHumansImmunization, SecondaryCOVID-19 VaccinesCOVID-19COVID-19 vaccinehaematological cancerimmunocompromisesolid cancer

Identifiers

PMID35753213
PMCPMC9163022
OpenAlexW4281707870

What OpenQuestion holds

Textmetadata
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.