Evidence map›Paper›PMID 36715684›Full record

ArticleeLife2023

International multicenter study comparing COVID-19 in patients with cancer to patients without cancer: Impact of risk factors and treatment modalities on survivorship.

Issam I Raad, Ray Hachem, Nigo Masayuki, Tarcila Datoguia, Hiba Dagher, Ying Jiang, Vivek Subbiah, Bilal Siddiqui, Arnaud Bayle, Robert Somer and 42 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in eLife, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. 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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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

52 authors at 15 institutions in 11 countries.

Issam I Raad *Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Ray Hachem *Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Nigo MasayukiDivision of Infectious Diseases, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, United States.
Tarcila DatoguiaMédica Hematologista Hospital Israelita Albert Einstein, São Paulo, Brazil.
Hiba DagherDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.ORCID 0000-0002-8483-6977
Ying JiangDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Vivek SubbiahMD Anderson Cancer Network, UT MD Anderson Cancer Center, Houston, United States.
Bilal SiddiquiDepartment of Hematology Oncology, Community Health Network, Indianapolis, United States.
Arnaud BayleDepartment of Medical Oncology, Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Robert SomerCooper Medical School of Rowan University, Cooper University Health Care, Camden, United States.
Ana Fernández CruzUnidad de Enfermedades Infecciosas, Servicio de Medicina Interna, Hospital Universitario Puerta de Hierro, Madrid, Spain.
Edward GorakDepartment of Hematology Oncology, Baptist Health, Jacksonville, United States.
Arvinder BhinderDepartment of Hematology/Oncology, Ohio Health Marion, Marion, United States.
Nobuyoshi MoriDepartment of Infectious Diseases, St. Luke's International Hospital, Tokyo, Japan.ORCID 0000-0001-8815-5135
Nelson HamerschlakMédica Hematologista Hospital Israelita Albert Einstein, São Paulo, Brazil.
Samuel ShelanskiBanner MD Anderson Cancer Center - North Colorado, Greely, United States.
Tomislav DragovichDivision of Cancer Medicine, Banner MD Anderson Cancer Center, Gilbert, United States.
Yee Elise Vong KiatDepartment of Medical Oncology, Tan Tock Seng Hospital, Singapore, Singapore.ORCID 0000-0002-8870-1391
Suha FakhreddineDepartment of Infectious Diseases, Rafik Hariri University Hospital, Beirut, Lebanon.
Abi Hanna PierreDepartment of Infectious Diseases, Rafik Hariri University Hospital, Beirut, Lebanon.
Roy F ChemalyDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Victor MulanovichDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Javier AdachiDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Jovan BorjanDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Fareed KhawajaDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Bruno GranwehrDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Teny JohnDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Eduardo Yepez YepezDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Harrys A TorresDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Natraj Reddy AmmakkanavarDepartment of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, United States.
Marcel YibirinDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Cielito C Reyes-GibbyDepartment of Emergency Medicine, The University of Texas MD Anderson Cancer Center, Houston, United States.ORCID 0000-0003-4500-6476
Mala PandeDepartment of Gastroenterology, The University of Texas MD Anderson Cancer Center, Houston, United States.
Noman AliDepartment of Hospital Medicine, The University of Texas MD Anderson Cancer Center, Houston, United States.
Raniv Dawey RojoDepartment of Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, United States.
Shahnoor M AliDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Rita E DeebaDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Patrick ChaftariDepartment of Emergency Medicine, The University of Texas MD Anderson Cancer Center, Houston, United States.
Takahiro MatsuoDepartment of Infectious Diseases, St. Luke's International Hospital, Tokyo, Japan.
Kazuhiro IshikawaDepartment of Infectious Diseases, St. Luke's International Hospital, Tokyo, Japan.
Ryo HasegawaDepartment of Infectious Diseases, St. Luke's International Hospital, Tokyo, Japan.
Ramón Aguado-NoyaOncology Department, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.
Alvaro Garcia GarcíaHematology Department, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.
Cristina Traseira PucholOncology Department, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.
Dong Gun LeeDivision of Infectious Diseases, Department of Internal Medicine, Vaccine Bio Research Institute, The Catholic University of Korea, Seoul, Republic of Korea.
Monica SlavinDepartment of Infectious Diseases and National Centre for Infections in Cancer, Peter MacCallum Cancer Centre, Melbourne, Australia.
Benjamin TehDepartment of Infectious Diseases and National Centre for Infections in Cancer, Peter MacCallum Cancer Centre, Melbourne, Australia.
Cesar A AriasDivision of Infectious Diseases, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, United States.
Data-Driven Determinants for COVID-19 Oncology Discovery Effort (D3CODE) TeamData-Driven Determinants for COVID-19 Oncology Discovery Effort (D3CODE) Team at The University of Texas MD Anderson Cancer Center, Houston, United States.
Dimitrios P KontoyiannisDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Alexandre E MalekDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.
Anne-Marie Chaftari *Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, United States.ORCID 0000-0001-8097-8452
The University of Texas MD Anderson Cancer Center · USHospital Universitario Puerta de Hierro Majadahonda · ESSt. Luke's International Hospital · JPNational Institutes of Health · USHospital Israelita Albert Einstein · BRPeter MacCallum Cancer Centre · AURafik Hariri University Hospital · LBThe University of Texas Health Science Center at Houston · USBanner Health · USCommunity Health Network · USCooper Medical School of Rowan University · USOffice of Infectious Diseases · USOhioHealth · USTan Tock Seng Hospital · SGUniversité Paris-Saclay · FR

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672NCI NIH HHS P30CA016672
6 · The paper itself

Abstract

Background: In this international multicenter study, we aimed to determine the independent risk factors associated with increased 30 day mortality and the impact of cancer and novel treatment modalities in a large group of patients with and without cancer with COVID-19 from multiple countries. Methods: We retrospectively collected de-identified data on a cohort of patients with and without cancer diagnosed with COVID-19 between January and November 2020 from 16 international centers. Results: We analyzed 3966 COVID-19 confirmed patients, 1115 with cancer and 2851 without cancer patients. Patients with cancer were more likely to be pancytopenic and have a smoking history, pulmonary disorders, hypertension, diabetes mellitus, and corticosteroid use in the preceding 2 wk (p≤0.01). In addition, they were more likely to present with higher inflammatory biomarkers (D-dimer, ferritin, and procalcitonin) but were less likely to present with clinical symptoms (p≤0.01). By country-adjusted multivariable logistic regression analyses, cancer was not found to be an independent risk factor for 30 day mortality (p=0.18), whereas lymphopenia was independently associated with increased mortality in all patients and in patients with cancer. Older age (≥65y) was the strongest predictor of 30 day mortality in all patients (OR = 4.47, p<0.0001). Remdesivir was the only therapeutic agent independently associated with decreased 30 day mortality (OR = 0.64, p=0.036). Among patients on low-flow oxygen at admission, patients who received remdesivir had a lower 30 day mortality rate than those who did not (5.9 vs 17.6%; p=0.03). Conclusions: Increased 30 day all-cause mortality from COVID-19 was not independently associated with cancer but was independently associated with lymphopenia often observed in hematolgic malignancy. Remdesivir, particularly in patients with cancer receiving low-flow oxygen, can reduce 30 day all-cause mortality. Funding: National Cancer Institute and National Institutes of Health.

Indexed as

COVID-19LymphopeniaNeoplasmsHumansOxygenRetrospective StudiesRisk FactorsSARS-CoV-2SurvivorshipOxygencancer biologycancer patientscoronavirusCOVID-19medicinemulticenter studynon-cancer patientsrisk factors

Identifiers

PMID36715684
PMCPMC9981148
OpenAlexW4318483900

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.