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Association between recent oncologic treatment and mortality among patients with carcinoma who are hospitalized with COVID‐19: A multicenter study
Author(s) -
Song Kehan,
Gong Hongyun,
Xu Bin,
Dong Xiaorong,
Li Linjun,
Hu Weidong,
Wang Qun,
Xie Zhibin,
Rao Zhiguo,
Luo Zhiguo,
Chu Qian,
Li Feng,
Wang Jie
Publication year - 2021
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/cncr.33240
Subject(s) - medicine , odds ratio , hazard ratio , logistic regression , radiation therapy , retrospective cohort study , confounding , confidence interval
Background To the authors' knowledge, little is known regarding the association between recent oncologic treatment and mortality in patients with cancer who are infected with coronavirus disease 2019 (COVID‐19). The objective of the current study was to determine whether recent oncologic treatment is associated with a higher risk of death among patients with carcinoma who are hospitalized with COVID‐19. Methods Data regarding 248 consecutive patients with carcinoma who were hospitalized with COVID‐19 were collected retrospectively from 33 hospitals in Hubei Province, China, from January 1, 2020, to March 25, 2020. The follow‐up cutoff date was July 22, 2020. Univariable and multivariable logistic regression analyses were performed to identify variables associated with a higher risk of death. Results Of the 248 patients enrolled, the median age was 63 years and 128 patients (52%) were male. On admission, 147 patients (59%) did not undergo recent oncologic treatment, whereas 32 patients (13%), 25 patients (10%), 12 patients (5%), and 10 patients (4%), respectively, underwent chemotherapy, surgery, targeted therapy, and radiotherapy. At the time of last follow‐up, 51 patients (21%) were critically ill during hospitalization, 40 of whom had died. Compared with patients without receipt of recent oncologic treatment, the mortality rate of patients who recently received oncologic treatment was significantly higher (24.8% vs 10.2%; hazard ratio, 2.010 [95% CI, 1.079‐3.747; P = .027]). After controlling for confounders, recent receipt of chemotherapy (odds ratio [OR], 7.495; 95% CI, 1.398‐34.187 [ P = .015]), surgery (OR, 8.239; 95% CI, 1.637‐41.955 [ P = .012]), and radiotherapy (OR, 15.213; 95% CI, 2.091‐110.691 [ P = .007]) were identified as independently associated with a higher risk of death. Conclusions The results of the current study demonstrated a possible association between recent receipt of oncologic treatment and a higher risk of death among patients with carcinoma who are hospitalized with COVID‐19.