ArticleBMC infectious diseases2025
Evaluating the impact of COVID-19 on cancer care: a comprehensive analysis of treatment modifications, risk factors, and patient outcomes.
Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundCancer patients will have an increased incidence of corona virus disease 2019 (COVID-19) infection. The severity of COVID-19 infection varies among cancer patients who have other complications and are being treated.
methodThis retrospective cohort study evaluated the impact of cancer treatments on COVID-19 incidence and outcomes in 603 cancer patients. Key objectives included assessing treatment-related risks, severity, and treatment efficacy, along with the effects of treatment interruptions on patient recovery and therapy resumption.
resultThis study included 603 cancer patients, of whom 68 (11.28%) were infected with COVID-19, and 398 (66%) were vaccinated. Logistic regression analysis revealed that underlying comorbidities, chemotherapy, and radiotherapy were significantly associated with an increased risk of COVID-19 infection (P < 0.05 for chemotherapy and radiotherapy). Factors such as sex, smoking status, cancer pathology, and staging showed no significant correlation with COVID-19 incidence. Treatment disruptions during the pandemic were observed, with chemotherapy being most affected (42.86% suspension), while surgery and TKI therapy showed minimal interruption. Efficacy analysis indicated no significant difference in treatment outcomes between suspended and uninterrupted treatments (P = 0.758). Treatment suspensions did not significantly alter toxicity profiles, with bone marrow suppression being the most frequent toxicity.
conclusionChemotherapy and radiotherapy increased the risk of COVID-19 in cancer patients, with treatment interruptions not affecting efficacy or toxicity, underscoring the need for tailored management.
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