COVID-19 in persons with haematological cancers
Infection with SARS-CoV-2, the cause of coronavirus infectious disease–19 (COVID-19), has caused a pandemic with >850,000 cases worldwide and increasing. Several studies report outcomes of COVID-19 in predominately well persons. There are also some data on COVID-19 in persons with predominately s...
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Published in | Leukemia Vol. 34; no. 6; pp. 1637 - 1645 |
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Main Authors | , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
Nature Publishing Group UK
01.06.2020
Nature Publishing Group |
Subjects | |
Online Access | Get full text |
ISSN | 0887-6924 1476-5551 1476-5551 |
DOI | 10.1038/s41375-020-0836-7 |
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Abstract | Infection with SARS-CoV-2, the cause of coronavirus infectious disease–19 (COVID-19), has caused a pandemic with >850,000 cases worldwide and increasing. Several studies report outcomes of COVID-19 in predominately well persons. There are also some data on COVID-19 in persons with predominately solid cancer but controversy whether these persons have the same outcomes. We conducted a cohort study at two centres in Wuhan, China, of 128 hospitalised subjects with haematological cancers, 13 (10%) of whom developed COVID-19. We also studied 226 health care providers, 16 of whom developed COVID-19 and 11 of whom were hospitalised. Co-variates were compared with the 115 subjects with haematological cancers without COVID-19 and with 11 hospitalised health care providers with COVID-19. There were no significant differences in baseline co-variates between subjects with haematological cancers developing or not developing COVID-19. Case rates for COVID-19 in hospitalised subjects with haematological cancers was 10% (95% Confidence Interval [CI], 6, 17%) compared with 7% (4, 12%;
P
= 0.322) in health care providers. However, the 13 subjects with haematological cancers had more severe COVID-19 and more deaths compared with hospitalised health care providers with COVID-19. Case fatality rates were 62% (32, 85%) and 0 (0, 32%;
P
= 0.002). Hospitalised persons with haematological cancers have a similar case rate of COVID-19 compared with normal health care providers but have more severe disease and a higher case fatality rate. Because we were unable to identify specific risk factors for COVID-19 in hospitalised persons with haematological cancers, we suggest increased surveillance and possible protective isolation. |
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AbstractList | Infection with SARS-CoV-2, the cause of coronavirus infectious disease-19 (COVID-19), has caused a pandemic with >850,000 cases worldwide and increasing. Several studies report outcomes of COVID-19 in predominately well persons. There are also some data on COVID-19 in persons with predominately solid cancer but controversy whether these persons have the same outcomes. We conducted a cohort study at two centres in Wuhan, China, of 128 hospitalised subjects with haematological cancers, 13 (10%) of whom developed COVID-19. We also studied 226 health care providers, 16 of whom developed COVID-19 and 11 of whom were hospitalised. Co-variates were compared with the 115 subjects with haematological cancers without COVID-19 and with 11 hospitalised health care providers with COVID-19. There were no significant differences in baseline co-variates between subjects with haematological cancers developing or not developing COVID-19. Case rates for COVID-19 in hospitalised subjects with haematological cancers was 10% (95% Confidence Interval [CI], 6, 17%) compared with 7% (4, 12%; P = 0.322) in health care providers. However, the 13 subjects with haematological cancers had more severe COVID-19 and more deaths compared with hospitalised health care providers with COVID-19. Case fatality rates were 62% (32, 85%) and 0 (0, 32%; P = 0.002). Hospitalised persons with haematological cancers have a similar case rate of COVID-19 compared with normal health care providers but have more severe disease and a higher case fatality rate. Because we were unable to identify specific risk factors for COVID-19 in hospitalised persons with haematological cancers, we suggest increased surveillance and possible protective isolation. Infection with SARS-CoV-2, the cause of coronavirus infectious disease-19 (COVID-19), has caused a pandemic with >850,000 cases worldwide and increasing. Several studies report outcomes of COVID-19 in predominately well persons. There are also some data on COVID-19 in persons with predominately solid cancer but controversy whether these persons have the same outcomes. We conducted a cohort study at two centres in Wuhan, China, of 128 hospitalised subjects with haematological cancers, 13 (10%) of whom developed COVID-19. We also studied 226 health care providers, 16 of whom developed COVID-19 and 11 of whom were hospitalised. Co-variates were compared with the 115 subjects with haematological cancers without COVID-19 and with 11 hospitalised health care providers with COVID-19. There were no significant differences in baseline co-variates between subjects with haematological cancers developing or not developing COVID-19. Case rates for COVID-19 in hospitalised subjects with haematological cancers was 10% (95% Confidence Interval [CI], 6, 17%) compared with 7% (4, 12%; P = 0.322) in health care providers. However, the 13 subjects with haematological cancers had more severe COVID-19 and more deaths compared with hospitalised health care providers with COVID-19. Case fatality rates were 62% (32, 85%) and 0 (0, 32%; P = 0.002). Hospitalised persons with haematological cancers have a similar case rate of COVID-19 compared with normal health care providers but have more severe disease and a higher case fatality rate. Because we were unable to identify specific risk factors for COVID-19 in hospitalised persons with haematological cancers, we suggest increased surveillance and possible protective isolation.Infection with SARS-CoV-2, the cause of coronavirus infectious disease-19 (COVID-19), has caused a pandemic with >850,000 cases worldwide and increasing. Several studies report outcomes of COVID-19 in predominately well persons. There are also some data on COVID-19 in persons with predominately solid cancer but controversy whether these persons have the same outcomes. We conducted a cohort study at two centres in Wuhan, China, of 128 hospitalised subjects with haematological cancers, 13 (10%) of whom developed COVID-19. We also studied 226 health care providers, 16 of whom developed COVID-19 and 11 of whom were hospitalised. Co-variates were compared with the 115 subjects with haematological cancers without COVID-19 and with 11 hospitalised health care providers with COVID-19. There were no significant differences in baseline co-variates between subjects with haematological cancers developing or not developing COVID-19. Case rates for COVID-19 in hospitalised subjects with haematological cancers was 10% (95% Confidence Interval [CI], 6, 17%) compared with 7% (4, 12%; P = 0.322) in health care providers. However, the 13 subjects with haematological cancers had more severe COVID-19 and more deaths compared with hospitalised health care providers with COVID-19. Case fatality rates were 62% (32, 85%) and 0 (0, 32%; P = 0.002). Hospitalised persons with haematological cancers have a similar case rate of COVID-19 compared with normal health care providers but have more severe disease and a higher case fatality rate. Because we were unable to identify specific risk factors for COVID-19 in hospitalised persons with haematological cancers, we suggest increased surveillance and possible protective isolation. Infection with SARS-CoV-2, the cause of coronavirus infectious disease–19 (COVID-19), has caused a pandemic with >850,000 cases worldwide and increasing. Several studies report outcomes of COVID-19 in predominately well persons. There are also some data on COVID-19 in persons with predominately solid cancer but controversy whether these persons have the same outcomes. We conducted a cohort study at two centres in Wuhan, China, of 128 hospitalised subjects with haematological cancers, 13 (10%) of whom developed COVID-19. We also studied 226 health care providers, 16 of whom developed COVID-19 and 11 of whom were hospitalised. Co-variates were compared with the 115 subjects with haematological cancers without COVID-19 and with 11 hospitalised health care providers with COVID-19. There were no significant differences in baseline co-variates between subjects with haematological cancers developing or not developing COVID-19. Case rates for COVID-19 in hospitalised subjects with haematological cancers was 10% (95% Confidence Interval [CI], 6, 17%) compared with 7% (4, 12%; P = 0.322) in health care providers. However, the 13 subjects with haematological cancers had more severe COVID-19 and more deaths compared with hospitalised health care providers with COVID-19. Case fatality rates were 62% (32, 85%) and 0 (0, 32%; P = 0.002). Hospitalised persons with haematological cancers have a similar case rate of COVID-19 compared with normal health care providers but have more severe disease and a higher case fatality rate. Because we were unable to identify specific risk factors for COVID-19 in hospitalised persons with haematological cancers, we suggest increased surveillance and possible protective isolation. |
Audience | Academic |
Author | Chen, Wenlan Liang, Bo Ma, Yanling Yuan, Guolin Chen, Lei Chen, Zhichao He, Wenjuan Chen, Li Wu, Di Wang, Hongxiang Li, Qiubai Gale, Robert Peter Lu, Xiaoting Li, Lei Fang, Yun |
Author_xml | – sequence: 1 givenname: Wenjuan surname: He fullname: He, Wenjuan organization: Institute of Haematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 2 givenname: Lei surname: Chen fullname: Chen, Lei organization: Institute of Haematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 3 givenname: Li surname: Chen fullname: Chen, Li organization: Department of Haematology, Wuhan Central Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 4 givenname: Guolin surname: Yuan fullname: Yuan, Guolin organization: Department of Haematology, Xiangyang Central Hospital, The Affiliated Hospital of Hubei University of Arts and Science – sequence: 5 givenname: Yun surname: Fang fullname: Fang, Yun organization: Institute of Haematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 6 givenname: Wenlan surname: Chen fullname: Chen, Wenlan organization: Institute of Haematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 7 givenname: Di surname: Wu fullname: Wu, Di organization: Institute of Haematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 8 givenname: Bo surname: Liang fullname: Liang, Bo organization: Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 9 givenname: Xiaoting surname: Lu fullname: Lu, Xiaoting organization: Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 10 givenname: Yanling surname: Ma fullname: Ma, Yanling organization: Department of Respiratory, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 11 givenname: Lei surname: Li fullname: Li, Lei organization: Wuhan Jin-Yin-Tan Hospital – sequence: 12 givenname: Hongxiang surname: Wang fullname: Wang, Hongxiang email: whitely1972@sina.com organization: Department of Haematology, Wuhan Central Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 13 givenname: Zhichao surname: Chen fullname: Chen, Zhichao email: chenzhichao@hust.edu.cn organization: Institute of Haematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 14 givenname: Qiubai orcidid: 0000-0001-7884-0745 surname: Li fullname: Li, Qiubai email: qiubaili@hust.edu.cn organization: Institute of Haematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology – sequence: 15 givenname: Robert Peter surname: Gale fullname: Gale, Robert Peter organization: Centre for Haematology Research, Department of Immunology and Inflammation, Imperial College London |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32332856$$D View this record in MEDLINE/PubMed |
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A position paper by the European Conference on Infections in Leukemia (ECIL) publication-title: Leukemia doi: 10.1038/s41375-019-0388-x – volume: 323 start-page: 1061 year: 2020 end-page: 9 ident: CR9 article-title: Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China publication-title: JAMA doi: 10.1001/jama.2020.1585 – ident: CR23 – volume: 395 start-page: 507 year: 2020 end-page: 13 ident: CR10 article-title: Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study publication-title: Lancet doi: 10.1016/S0140-6736(20)30211-7 – ident: 836_CR23 – ident: 836_CR22 – ident: 836_CR5 doi: 10.1056/NEJMoa2002032 – volume: 395 start-page: 507 year: 2020 ident: 836_CR10 publication-title: Lancet doi: 10.1016/S0140-6736(20)30211-7 – volume: 21 start-page: 467 year: 2020 ident: 836_CR17 publication-title: Lancet Oncol doi: 10.1016/S1470-2045(20)30175-3 – ident: 836_CR15 doi: 10.1001/jamaoncol.2020.0980 – volume: 323 start-page: 1061 year: 2020 ident: 836_CR9 publication-title: JAMA doi: 10.1001/jama.2020.1585 – volume: 32 start-page: 1542 year: 2018 ident: 836_CR19 publication-title: Leukemia doi: 10.1038/s41375-018-0040-1 – ident: 836_CR12 doi: 10.1016/S1473-3099(20)30086-4 – volume: 9 start-page: 221 year: 2020 ident: 836_CR1 publication-title: Emerg Microbes Infect doi: 10.1080/22221751.2020.1719902 – volume: 382 start-page: 692 year: 2020 ident: 836_CR8 publication-title: N Engl J Med doi: 10.1056/NEJMp2003762 – volume: 21 start-page: e180 year: 2020 ident: 836_CR18 publication-title: Lancet Oncol doi: 10.1016/S1470-2045(20)30150-9 – volume: 21 start-page: 335 year: 2020 ident: 836_CR14 publication-title: Lancet Oncol doi: 10.1016/S1470-2045(20)30096-6 – volume: 8 start-page: e11 year: 2020 ident: 836_CR24 publication-title: Lancet Resp Med doi: 10.1016/S2213-2600(20)30071-0 – volume: 382 start-page: 727 year: 2020 ident: 836_CR11 publication-title: N Engl J Med doi: 10.1056/NEJMoa2001017 – volume: 5 start-page: 536 year: 2020 ident: 836_CR3 publication-title: Nat Microbiol doi: 10.1038/s41564-020-0695-z – volume: 395 start-page: 497 year: 2020 ident: 836_CR6 publication-title: Lancet doi: 10.1016/S0140-6736(20)30183-5 – ident: 836_CR16 doi: 10.7326/m20-1133 – volume: 395 start-page: 470 year: 2020 ident: 836_CR7 publication-title: Lancet doi: 10.1016/S0140-6736(20)30185-9 – ident: 836_CR4 doi: 10.1001/jama.2020.2648 – volume: 395 start-page: 565 year: 2020 ident: 836_CR2 publication-title: Lancet doi: 10.1016/S0140-6736(20)30251-8 – ident: 836_CR13 doi: 10.1016/S2213-2600(20)30079-5 – volume: 33 start-page: 844 year: 2019 ident: 836_CR20 publication-title: Leukemia doi: 10.1038/s41375-019-0388-x – volume: 36 start-page: 3043 year: 2018 ident: 836_CR21 publication-title: J Clin Oncol doi: 10.1200/JCO.18.00374 – reference: 32641731 - Leukemia. 2020 Sep;34(9):2536-2538 – reference: 32475990 - Leukemia. 2020 Jul;34(7):1961-1963 – reference: 32528043 - Leukemia. 2020 Aug;34(8):2265-2270 – reference: 32457356 - Leukemia. 2020 Jul;34(7):1957-1960 – reference: 32801310 - Leukemia. 2020 Oct;34(10):2809-2812 |
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SubjectTerms | 692/699/1541/1990 692/699/255 Adult Betacoronavirus Blood cancer Cancer Cancer Research China - epidemiology Cohort Studies Comparative analysis Confidence intervals Coronavirus Infections - complications Coronavirus Infections - transmission Coronavirus Infections - virology Coronaviruses COVID-19 Critical Care Medicine Development and progression Fatalities Female Health aspects Health care Health care industry Hematologic Neoplasms - complications Hematologic Neoplasms - epidemiology Hematology Humans Incidence Infectious Disease Transmission, Patient-to-Professional - statistics & numerical data Infectious diseases Intensive Internal Medicine Male Medicine Medicine & Public Health Middle Aged Oncology Oncology, Experimental Pandemics Pneumonia, Viral - complications Pneumonia, Viral - transmission Pneumonia, Viral - virology Public health Risk analysis Risk factors SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Viral diseases Young Adult |
Title | COVID-19 in persons with haematological cancers |
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