2021-10-01
Characteristics and outcomes of over 300,000 patients with COVID-19 and history of cancer in the United States and Spain
Publication
Publication
Cancer Epidemiology Biomarkers and Prevention , Volume 30 - Issue 10 p. 1884- 1894
<p>Background: We described the demographics, cancer subtypes, comorbidities, and outcomes of patients with a history of cancer and coronavirus disease 2019 (COVID-19). Second, we compared patients hospitalized with COVID-19 to patients diagnosed with COVID-19 and patients hospitalized with influenza. Methods: We conducted a cohort study using eight routinely collected health care databases from Spain and the United States, standardized to the Observational Medical Outcome Partnership common data model. Three cohorts of patients with a history of cancer were included: (i) diagnosed with COVID-19, (ii) hospitalized with COVID-19, and (iii) hospitalized with influenza in 2017 to 2018. Patients were followed from index date to 30 days or death. We reported demographics, cancer subtypes, comorbidities, and 30-day outcomes. Results: We included 366,050 and 119,597 patients diagnosed and hospitalized with COVID-19, respectively. Prostate and breast cancers were the most frequent cancers (range: 5%–18% and 1%–14% in the diagnosed cohort, respectively). Hematologic malignancies were also frequent, with non-Hodgkin’s lymphoma being among the five most common cancer subtypes in the diagnosed cohort. Overall, patients were aged above 65 years and had multiple comorbidities. Occurrence of death ranged from 2% to 14% and from 6% to 26% in the diagnosed and hospitalized COVID-19 cohorts, respectively. Patients hospitalized with influenza (n ¼ 67,743) had a similar distribution of cancer subtypes, sex, age, and comorbidities but lower occurrence of adverse events. Conclusions: Patients with a history of cancer and COVID-19 had multiple comorbidities and a high occurrence of COVID-19-related events. Hematologic malignancies were frequent. Impact: This study provides epidemiologic characteristics that can inform clinical care and etiologic studies.</p>
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| doi.org/10.1158/1055-9965.EPI-21-0266, hdl.handle.net/1765/136788 | |
| Cancer Epidemiology Biomarkers and Prevention | |
| Organisation | Rotterdam School of Management (RSM), Erasmus University |
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Elena Roel, Andrea Pistillo, Martina Recalde, A.G. (Anthony) Sena, Sergio Fernandez-Bertolin, Maria Aragón, … Talita Duarte-Salles. (2021). Characteristics and outcomes of over 300,000 patients with COVID-19 and history of cancer in the United States and Spain. Cancer Epidemiology Biomarkers and Prevention, 30(10), 1884–1894. doi:10.1158/1055-9965.EPI-21-0266 |
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