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 inLeukemia Vol. 34; no. 6; pp. 1637 - 1645
Main Authors He, Wenjuan, Chen, Lei, Chen, Li, Yuan, Guolin, Fang, Yun, Chen, Wenlan, Wu, Di, Liang, Bo, Lu, Xiaoting, Ma, Yanling, Li, Lei, Wang, Hongxiang, Chen, Zhichao, Li, Qiubai, Gale, Robert Peter
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 01.06.2020
Nature Publishing Group
Subjects
Online AccessGet full text
ISSN0887-6924
1476-5551
1476-5551
DOI10.1038/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.
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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Snippet 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....
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....
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StartPage 1637
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
URI https://link.springer.com/article/10.1038/s41375-020-0836-7
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Volume 34
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