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Clinical portrait of the SARS-CoV-2 epidemic in European cancer patients.


ABSTRACT: The SARS-Cov-2 pandemic significantly impacted on oncology practice across the globe. There is uncertainty as to the contribution of patients' demographics and oncological features on severity and mortality from Covid-19 and little guidance as to the role of anti-cancer and anti-Covid-19 therapy in this population. In a multi-center study of 890 cancer patients with confirmed Covid-19 we demonstrated a worsening gradient of mortality from breast cancer to haematological malignancies and showed that male gender, older age, and number of co-morbidities identifies a subset of patients with significantly worse mortality rates from Covid-19. Provision of chemotherapy, targeted therapy and immunotherapy did not worsen mortality. Exposure to antimalarials was associated with improved mortality rates independent of baseline prognostic factors. This study highlights the clinical utility of demographic factors for individualized risk-stratification of patients and support further research into emerging anti-Covid-19 therapeutics in SARS-Cov-2 infected cancer patients.

SUBMITTER: Pinato DJ 

PROVIDER: S-EPMC7668225 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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Clinical portrait of the SARS-CoV-2 epidemic in European cancer patients.

Pinato David J DJ   Zambelli Alberto A   Aguilar-Company Juan J   Bower Mark M   Sng Christopher C   Salazar Ramon R   Bertuzzi Alexia A   Brunet Joan J   Mesia Ricard R   Segui Elia E   Biello Federica F   Generali Daniele D   Grisanti Salvatore S   Rizzo Gianpiero G   Libertini Michela M   Maconi Antonio A   Harbeck Nadia N   Vincenzi Bruno B   Bertulli Rossella R   Ottaviani Diego D   Carbo Anna A   Bruna Riccardo R   Benafif Sarah S   Marrari Andrea A   Wuerstlein Rachel R   Carmona-Garcia M Carmen MC   Chopra Neha N   Tondini Carlo C   Mirallas Oriol O   Tovazzi Valeria V   Betti Marta M   Provenzano Salvatore S   Fotia Vittoria V   Cruz Claudia Andrea CA   Dalla Pria Alessia A   D'Avanzo Francesca F   Evans Joanne S JS   Saoudi-Gonzalez Nadia N   Felip Eudald E   Galazi Myria M   Garcia-Fructuoso Isabel I   Lee Alvin J X AJX   Newsom-Davis Thomas T   Patriarca Andrea A   Garcia-Illescas David D   Reyes Roxana R   Dileo Palma P   Sharkey Rachel R   Wong Yien Ning Sophia YNS   Ferrante Daniela D   Marco-Hernandez Javier J   Sureda Anna A   Maluquer Clara C   Ruiz-Camps Isabel I   Gaidano Gianluca G   Rimassa Lorenza L   Chiudinelli Lorenzo L   Izuzquiza Macarena M   Cabirta Alba A   Franchi Michela M   Santoro Armando A   Prat Aleix A   Tabernero Josep J   Gennari Alessandra A  

Cancer discovery 20200731


The SARS-Cov-2 pandemic significantly impacted on oncology practice across the globe. There is uncertainty as to the contribution of patients' demographics and oncological features on severity and mortality from Covid-19 and little guidance as to the role of anti-cancer and anti-Covid-19 therapy in this population. In a multi-center study of 890 cancer patients with confirmed Covid-19 we demonstrated a worsening gradient of mortality from breast cancer to haematological malignancies and showed t  ...[more]

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