Evidence map›Paper›PMID 36230641›Full record

ArticleCancers2022

Remdesivir Decreases Mortality in COVID-19 Patients with Active Malignancy.

Jerzy Jaroszewicz, Justyna Kowalska, Małgorzata Pawłowska, Magdalena Rogalska, Dorota Zarębska-Michaluk, Marta Rorat, Beata Lorenc, Piotr Czupryna, Katarzyna Sikorska, Anna Piekarska and 14 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Remdesivir-Associated Survival Outcomes Among Immunocompromised Patients Hospitalized for COVID-19: Real-world Evidence From the Omicron-Dominant Era.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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  6. Article
  7. Article
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  9. 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

24 authors at 12 institutions in 2 countries.

Jerzy JaroszewiczDepartment of Infectious Diseases and Hepatology, Medical University of Silesia in Katowice, 41-902 Bytom, Poland.ORCID 0000-0003-0139-4753
Justyna KowalskaDepartment of Adult's Infectious Diseases, Medical University of Warsaw, Hospital for Infectious Diseases, 02-091 Warsaw, Poland.ORCID 0000-0003-1166-4462
Małgorzata PawłowskaDepartment of Infectious Diseases and Hepatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 87-100 Torun, Poland.ORCID 0000-0002-6044-0425
Magdalena RogalskaDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, 15-809 Bialystok, Poland.
Dorota Zarębska-MichalukDepartment of Infectious Diseases, Jan Kochanowski University, 25-317 Kielce, Poland.ORCID 0000-0003-0938-1084
Marta RoratDepartment of Forensic Medicine, Wrocław Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0002-5318-4945
Beata LorencPomeranian Center of Infectious Diseases, Department of Infectious Diseases, 80-210 Gdansk, Poland.ORCID 0000-0002-6319-9278
Piotr CzuprynaDepartment of Infectious Diseases and Neuroinfections, Medical University of Białystok, 15-809 Bialystok, Poland.
Katarzyna SikorskaDivision of Tropical and Parasitic Diseases, Faculty of Health Sciences, Medical University of Gdańsk, 80-210 Gdansk, Poland.
Anna PiekarskaDepartment of Infectious Diseases and Hepatology, Medical University of Łódź, 90-549 Lodz, Poland.ORCID 0000-0002-7188-4881
Anna DworzańskaDepartment of Infectious Diseases and Hepatology, Medical University of Lublin, 20-059 Lublin, Poland.
Izabela ZaleskaDepartment of Paediatrics and Infectious Diseases, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Włodzimierz MazurClinical Department of Infectious Diseases in Chorzów, Medical University of Silesia, 41-500 Katowice, Poland.
Dorota KozielewiczDepartment of Infectious Diseases and Hepatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 87-100 Torun, Poland.ORCID 0000-0003-4651-6443
Krzysztof KłosDepartment of Infectious Diseases and Allergology, Military Institute of Medicine, 04-141 Warsaw, Poland.ORCID 0000-0001-9629-5680
Regina PodlasinHospital for Infectious Diseases, The IVth Department, 01-201 Warsaw, Poland.ORCID 0000-0002-4063-1646
Grzegorz Angielski7th Navy Hospital, 80-305 Gdansk, Poland.
Barbara Oczko-GrzesikDepartment of Infectious Diseases and Hepatology, Medical University of Silesia in Katowice, 41-902 Bytom, Poland.
Magdalena FiglerowiczDepartment of Infectious Diseases and Child Neurology, Poznan University of Medical Sciences, 60-572 Poznan, Poland.
Bartosz SzetelaDepartment of Infectious Diseases, Liver Diseases and Acquired Immune Deficiencies, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0001-7178-9801
Beata BolewskaDepartment of Infectious Diseases, Poznań University of Medical Sciences, 61-701 Poznan, Poland.
Paulina Frańczak-ChmuraDepartment of Children's Infectious Diseases, Provincial Jan Boży Hospital, 20-089 Lublin, Poland.
Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, 15-809 Bialystok, Poland.ORCID 0000-0003-3394-1635
Krzysztof TomasiewiczDepartment of Infectious Diseases and Hepatology, Medical University of Lublin, 20-059 Lublin, Poland.
Medical University of Białystok · PLMedical University of Silesia · PLWroclaw Medical University · PLMedical University of Lublin · PLNicolaus Copernicus University · PLPoznan University of Medical Sciences · PLGdańsk Medical University · PLHospital for Tropical Diseases · VNJan Kochanowski University · PLMedical University of Lodz · PLMedical University of Warsaw · PLWojskowy Instytut Medycyny Lotniczej · PL

Funding

Polish Association of Epidemiologists and Infectiologists (PTEiLChZ) SARSTER
6 · The paper itself

Abstract

Data on the use of remdesivir, the first antiviral agent against SARS-CoV-2, are limited in oncologic patients. We aimed to analyze contributing factors for mortality in patients with malignancies in the real-world CSOVID-19 study. In total, 222 patients with active oncological disorders were selected from a nationwide COVID-19 study of 4890 subjects. The main endpoint of the current study was the 28-day in-hospital mortality. Approximately half of the patients were male, and the majority had multimorbidity (69.8%), with a median age of 70 years. Baseline SpO2 < 85% was observed in 25%. Overall, 59 (26.6%) patients died before day 28 of hospitalization: 29% due to hematological, and 20% due to other forms of cancers. The only factor increasing the odds of death in the multivariable model was eGFR < 60 mL/min/m2 (4.621, p = 0.02), whereas SpO2 decreased the odds of death at baseline (0.479 per 5%, p = 0.002) and the use of remdesivir (0.425, p = 0.03). This study shows that patients with COVID-19 and malignancy benefit from early remdesivir therapy, resulting in a decrease in early mortality by 80%. The prognosis was worsened by low glomerular filtration rate and low peripheral oxygen saturation at baseline underlying the role of kidney protection and early hospitalization.

Indexed as

cancerCOVID-19malignancymortalityreal-world dataremdesivir

Identifiers

PMID36230641
PMCPMC9563758
OpenAlexW4297521008

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.