Patients with Cancer Appear More Vulnerable to SARS-CoV-2: A Multicenter Study during the COVID-19 Outbreak.


Journal

Cancer discovery
ISSN: 2159-8290
Titre abrégé: Cancer Discov
Pays: United States
ID NLM: 101561693

Informations de publication

Date de publication:
06 2020
Historique:
received: 02 04 2020
revised: 16 04 2020
accepted: 23 04 2020
pubmed: 30 4 2020
medline: 19 6 2020
entrez: 30 4 2020
Statut: ppublish

Résumé

The novel COVID-19 outbreak has affected more than 200 countries and territories as of March 2020. Given that patients with cancer are generally more vulnerable to infections, systematic analysis of diverse cohorts of patients with cancer affected by COVID-19 is needed. We performed a multicenter study including 105 patients with cancer and 536 age-matched noncancer patients confirmed with COVID-19. Our results showed COVID-19 patients with cancer had higher risks in all severe outcomes. Patients with hematologic cancer, lung cancer, or with metastatic cancer (stage IV) had the highest frequency of severe events. Patients with nonmetastatic cancer experienced similar frequencies of severe conditions to those observed in patients without cancer. Patients who received surgery had higher risks of having severe events, whereas patients who underwent only radiotherapy did not demonstrate significant differences in severe events when compared with patients without cancer. These findings indicate that patients with cancer appear more vulnerable to SARS-CoV-2 outbreak. SIGNIFICANCE: Because this is the first large cohort study on this topic, our report will provide much-needed information that will benefit patients with cancer globally. As such, we believe it is extremely important that our study be disseminated widely to alert clinicians and patients.

Identifiants

pubmed: 32345594
pii: 2159-8290.CD-20-0422
doi: 10.1158/2159-8290.CD-20-0422
pmc: PMC7309152
mid: NIHMS1589488
doi:

Types de publication

Journal Article Multicenter Study Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

783-791

Subventions

Organisme : NHLBI NIH HHS
ID : P01 HL095489
Pays : United States
Organisme : NHLBI NIH HHS
ID : P01 HL131477
Pays : United States
Organisme : NIGMS NIH HHS
ID : R01 GM130668
Pays : United States
Organisme : NCI NIH HHS
ID : R35 CA197697
Pays : United States

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

©2020 American Association for Cancer Research.

Références

Ann Oncol. 2020 Jul;31(7):894-901
pubmed: 32224151
Cell Cycle. 2013 Sep 15;12(18):2978-91
pubmed: 23974111
N Engl J Med. 2020 Apr 30;382(18):1708-1720
pubmed: 32109013
Lancet Oncol. 2020 Apr;21(4):e181
pubmed: 32142621
Lancet. 2014 Apr 26;383(9927):1503-1516
pubmed: 24290661
JAMA. 2020 Feb 24;:
pubmed: 32091533
CA Cancer J Clin. 2016 Mar-Apr;66(2):115-32
pubmed: 26808342
Zhonghua Zhong Liu Za Zhi. 2019 Jan 23;41(1):19-28
pubmed: 30678413
Lancet. 2009 Jul 25;374(9686):324-39
pubmed: 19541364
Lancet. 2020 Feb 15;395(10223):473-475
pubmed: 32043983
Lancet Oncol. 2020 Apr;21(4):e180
pubmed: 32142622
CA Cancer J Clin. 2020 Mar;70(2):86-104
pubmed: 31944278
Lancet Respir Med. 2020 Apr;8(4):420-422
pubmed: 32085846
Nat Rev Immunol. 2018 Mar;18(3):195-203
pubmed: 29332937
Lancet Oncol. 2020 Mar;21(3):335-337
pubmed: 32066541
Pediatr Blood Cancer. 2017 Dec;64(12):
pubmed: 28544595
CA Cancer J Clin. 2018 Nov;68(6):394-424
pubmed: 30207593
Lancet. 2020 Feb 15;395(10223):507-513
pubmed: 32007143
Lancet. 2003 May 24;361(9371):1773-8
pubmed: 12781536
Int J Mol Sci. 2018 Apr 20;19(4):
pubmed: 29677173
Lancet Respir Med. 2020 May;8(5):475-481
pubmed: 32105632

Auteurs

Mengyuan Dai (M)

Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.
Hubei Cancer Clinical Study Center, Wuhan, China.

Dianbo Liu (D)

Computational Health Informatics Program, Boston Children's Hospital, Boston, Massachusetts.
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Miao Liu (M)

Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. chb21051@163.com msantill@g.harvard.edu mliu0@bwh.harvard.edu.

Fuxiang Zhou (F)

Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.
Hubei Cancer Clinical Study Center, Wuhan, China.
Department of Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.

Guiling Li (G)

Cancer Center, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.

Zhen Chen (Z)

Department of Emergency, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.

Zhian Zhang (Z)

Department of Gynecology, The Central Hospital of Huanggang, Huanggang, Hubei, China.

Hua You (H)

Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Guangzhou, Guangdong Province, China.

Meng Wu (M)

Department of Ultrasound, Zhongnan Hospital of Wuhan University, Wuhan, China.

Qichao Zheng (Q)

Department of Ultrasound, Zhongnan Hospital of Wuhan University, Wuhan, China.

Yong Xiong (Y)

Department of Infectious Disease, Zhongnan Hospital of Wuhan University, Wuhan, China.

Huihua Xiong (H)

Cancer Center, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.

Chun Wang (C)

Department of Oncology, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.

Changchun Chen (C)

Department of Radiology, Hubei Cancer Hospital, Wuhan, Hubei, China.

Fei Xiong (F)

Department of Thoracic Surgery, Hubei Cancer Hospital, Wuhan, Hubei, China.

Yan Zhang (Y)

Department of Obstetrics and Gynecology, Renmin Hospital of Wuhan University, Wuhan, China.

Yaqin Peng (Y)

Department of Obstetrics and Gynecology, Renmin Hospital of Wuhan University, Wuhan, China.

Siping Ge (S)

Department of Oncology, Wuhan Puren Hospital, Wuhan, Hubei, China.

Bo Zhen (B)

Department of Obstetrics and Gynecology, The Central Hospital of Xianning, Xianning, Hubei, China.

Tingting Yu (T)

Department of Oncology, The Central Hospital of Xiaogan, Xiaogan, China.

Ling Wang (L)

Department of Obstetrics and Gynecology, The People's Hospital of Huangmei, Huangmei, Hubei, China.

Hua Wang (H)

Department of Obstetrics and Gynecology, Xiangyang First People's Hospital affiliated to Hubei University of Medicine, Xiangyang, Hubei, China.

Yu Liu (Y)

Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.
Hubei Cancer Clinical Study Center, Wuhan, China.
Department of Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.

Yeshan Chen (Y)

Cancer Center, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.

Junhua Mei (J)

Department of Gynecology, The Central Hospital of Huanggang, Huanggang, Hubei, China.

Xiaojia Gao (X)

Department of Oncology, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.

Zhuyan Li (Z)

Department of Obstetrics and Gynecology, The People's Hospital of Shiyan, Shiyan, Hubei, China.

Lijuan Gan (L)

Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.
Hubei Cancer Clinical Study Center, Wuhan, China.

Can He (C)

Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.
Hubei Cancer Clinical Study Center, Wuhan, China.

Zhen Li (Z)

Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.
Hubei Cancer Clinical Study Center, Wuhan, China.

Yuying Shi (Y)

Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.
Hubei Cancer Clinical Study Center, Wuhan, China.

Yuwen Qi (Y)

Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.
Hubei Cancer Clinical Study Center, Wuhan, China.

Jing Yang (J)

Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.
Hubei Cancer Clinical Study Center, Wuhan, China.

Daniel G Tenen (DG)

Harvard Stem Cell Institute, Harvard Medical School, Boston, Massachusetts.
Cancer Science Institute of Singapore, National University of Singapore, Singapore.

Li Chai (L)

Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Lorelei A Mucci (LA)

Harvard T.H. Chan School of Public Health, Dana-Farber, Harvard Cancer Center, Boston, Massachusetts.

Mauricio Santillana (M)

Computational Health Informatics Program, Boston Children's Hospital, Boston, Massachusetts. chb21051@163.com msantill@g.harvard.edu mliu0@bwh.harvard.edu.
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Hongbing Cai (H)

Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China. chb21051@163.com msantill@g.harvard.edu mliu0@bwh.harvard.edu.
Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.
Hubei Cancer Clinical Study Center, Wuhan, China.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH