Evidence map›Paper›PMID 37547277›Full record

ArticleThe Lancet regional health. Europe2023

Were cancer patients worse off than the general population during the COVID-19 pandemic? A population-based study from Norway, Denmark and Iceland during the pre-vaccination era.

Anna L V Johansson, Anna Skog, Tom Børge Johannesen, Tor Åge Myklebust, Charlotte Wessel Skovlund, Lina Steinrud Mørch, Søren Friis, Mads Gamborg, Marnar Fríðheim Kristiansen, David Pettersson and 7 more

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Interferon-α Nasal Spray Prophylaxis Reduces COVID-19 in Cancer Patients: A Randomized, Double-Blinded, Placebo-Controlled Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  3. COVID-19 mortality risk among women with ovarian cancer: a matched case-control study.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Article
  4. [Incidence of COVID-19 in cancer patients from the HIGA Alende, Mar del Plata, Argentina, 2020-2021]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2025
    Article
  5. Article
  6. Article
  7. Observational
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

17 authors.

Anna L V JohanssonCancer Registry of Norway, P.O. Box 5313 Majorstuen, Oslo N-0304, Norway.
Anna SkogCancer Registry of Norway, P.O. Box 5313 Majorstuen, Oslo N-0304, Norway.
Tom Børge JohannesenCancer Registry of Norway, P.O. Box 5313 Majorstuen, Oslo N-0304, Norway.
Tor Åge MyklebustCancer Registry of Norway, P.O. Box 5313 Majorstuen, Oslo N-0304, Norway.
Charlotte Wessel SkovlundCancer Surveillance and Pharmacoepidemiology, Danish Cancer Society Research Center, Danish Cancer Society, Strandboulevarden 49, Copenhagen DK-2100, Denmark.
Lina Steinrud MørchCancer Surveillance and Pharmacoepidemiology, Danish Cancer Society Research Center, Danish Cancer Society, Strandboulevarden 49, Copenhagen DK-2100, Denmark.
Søren FriisCancer Surveillance and Pharmacoepidemiology, Danish Cancer Society Research Center, Danish Cancer Society, Strandboulevarden 49, Copenhagen DK-2100, Denmark.
Mads GamborgCancer Surveillance and Pharmacoepidemiology, Danish Cancer Society Research Center, Danish Cancer Society, Strandboulevarden 49, Copenhagen DK-2100, Denmark.
Marnar Fríðheim KristiansenCenter of Health Science, Faculty of Health Sciences, Tórshavn, Faroe Islands.
David PetterssonNational Board of Health and Welfare, Stockholm SE-106 30, Sweden.
Elínborg J ÓlafsdóttirICS Research and Registration Center, Icelandic Cancer Society, P.O. Box 5420, 105 Reykjavík, Iceland.
Helgi BirgissonICS Research and Registration Center, Icelandic Cancer Society, P.O. Box 5420, 105 Reykjavík, Iceland.
Runolfur PalssonLandspitali-The National University Hospital of Iceland, Saemundargata 2, 102 Reykjavík, Iceland.
Elias EythorssonLandspitali-The National University Hospital of Iceland, Saemundargata 2, 102 Reykjavík, Iceland.
Sandra IrenaeusRegional Cancer Center Central Sweden, Akademiska Sjukhuset, Uppsala SE-751 85, Sweden.
Mats LambeDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, P.O. Box 281, Stockholm SE-17177, Sweden.
Giske UrsinCancer Registry of Norway, P.O. Box 5313 Majorstuen, Oslo N-0304, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In a population-based setting, we investigated the risks of testing positive for SARS-CoV-2 and developing severe COVID-19 outcomes among cancer patients compared with the general population. Methods: In nationwide cohorts, we identified all individuals in Norway, Denmark and Iceland who tested positive for SARS-CoV-2 or had a severe COVID-19 outcome (hospitalisation, intensive care, and death) from March until December 2020, using data from national health registries. We estimated standardised incidence ratios (SIRs) with 95% confidence intervals (CIs) comparing cancer patients with the general population. Findings: During the first wave of the pandemic, cancer patients in Norway and Denmark had higher risks of testing SARS-CoV-2 positive compared to the general population. Throughout 2020, recently treated cancer patients were more likely to test SARS-CoV-2 positive. In Iceland, cancer patients experienced no increased risk of testing positive. The risk of COVID-19-related hospitalisation was higher among cancer patients diagnosed within one year of hospitalisation (Norway: SIR = 2.43, 95% CI 1.89-3.09; Denmark: 2.23, 1.96-2.54) and within five years (Norway: 1.58, 1.35-1.83; Denmark: 1.54, 1.42-1.66). Risks were higher in recently treated cancer patients and in those diagnosed with haematologic malignancies, colorectal or lung cancer. Risks of COVID-19-related intensive care and death were higher among cancer patients. Interpretation: Cancer patients were at increased risk of testing positive for SARS-CoV-2 during the first pandemic wave when testing availability was limited, while relative risks of severe COVID-19 outcomes remained increased in cancer patients throughout 2020. Recent cancer treatment and haematologic malignancy were the strongest risk factors. Funding: Nordic Cancer Union.

Indexed as

CancerCoronavirus disease 2019COVID-19Critical care outcomesDenmarkHospitalisationIcelandIntensive careMortalityNordicNorwaySARS-CoV-2Severe acute respiratory syndrome coronavirus 2

Identifiers

PMID37547277
PMCPMC10398597

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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.