SARS-CoV-2 Testing for Asymptomatic Patients with Cancer Prior and during Treatment: A Single Centre Experience.


Journal

Current oncology (Toronto, Ont.)
ISSN: 1718-7729
Titre abrégé: Curr Oncol
Pays: Switzerland
ID NLM: 9502503

Informations de publication

Date de publication:
06 01 2021
Historique:
received: 07 10 2020
revised: 22 12 2020
accepted: 22 12 2020
entrez: 9 1 2021
pubmed: 10 1 2021
medline: 16 1 2021
Statut: epublish

Résumé

Patients with cancer are more vulnerable to severe COVID-19. As a result, routine SARS-CoV-2 testing of asymptomatic patients with cancer is recommended prior to treatment. However, there is limited evidence of its clinical usefulness. The objective of this study is to evaluate the value of routine testing of asymptomatic patients with cancer. Asymptomatic patients with cancer attending Odette Cancer Centre (Toronto, ON, Canada) were tested for SARS-CoV-2 prior to and during treatment cycles. Results were compared to positivity rates of SARS-CoV-2 locally and provincially. All 890 asymptomatic patients tested negative. Positivity rates in the province were 1.5%, in hospital were 1.0%, and among OCC's symptomatic cancer patients were 0% over the study period. Given our findings and the low SARS-CoV-2 community positivity rates, we recommend a dynamic testing model of asymptomatic patients that triggers testing during increasing community positivity rates of SARS-CoV-2.

Identifiants

pubmed: 33419159
pii: curroncol28010032
doi: 10.3390/curroncol28010032
pmc: PMC7903264
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

278-282

Références

Oncologist. 2020 Jun;25(6):e936-e945
pubmed: 32243668
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pubmed: 32345594
JAMA Oncol. 2020 Oct 1;6(10):1627-1628
pubmed: 32459297
Ann Intern Med. 2020 Jun 2;172(11):756-758
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PLoS One. 2017 Jul 14;12(7):e0180888
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Science. 2020 May 22;368(6493):860-868
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Am J Epidemiol. 2018 May 1;187(5):1040-1050
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Lancet Oncol. 2020 Mar;21(3):335-337
pubmed: 32066541

Auteurs

Nicholas Meti (N)

Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.

Houman Tahmasebi (H)

Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.

Angela Leahey (A)

Division of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

Angela Boudreau (A)

Division of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

Alia Thawer (A)

Department of Pharmacy, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

Janice Stewart (J)

Division of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

Paige Reason (P)

Division of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

Kirsty Albright (K)

Division of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

Jerome A Leis (JA)

Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
Division of Infectious Diseases, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

Kevin Katz (K)

Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
Department of Laboratory Medicine, North York General Hospital, Toronto, ON M2K 1E1, Canada.

Matthew C Cheung (MC)

Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
Division of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

Simron Singh (S)

Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
Division of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

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