J 2022

Simultaneous Onset of Haematological Malignancy and COVID: An Epicovideha Survey

CATTANEO, Chiara; Jon SALMANTON-GARCIA; Francesco MARCHESI; Shaimaa EL-ASHWAH; Federico ITRI et al.

Základní údaje

Originální název

Simultaneous Onset of Haematological Malignancy and COVID: An Epicovideha Survey

Autoři

CATTANEO, Chiara; Jon SALMANTON-GARCIA; Francesco MARCHESI; Shaimaa EL-ASHWAH; Federico ITRI; Barbora WEINBERGEROVÁ; Da Silva Maria GOMES; Michelina DARGENIO; Julio DAVILA-VALLS; Sonia MARTIN-PEREZ; Francesca FARINA; Van Doesum JAAP; Toni VALKOVIC; Caroline BESSON; Christian Bjorn POULSEN; Alberto LOPEZ-GARCIA; Pavel ZAK; Martin SCHONLEIN; Klara PIUKOVICS; Ozren JAKSIC; Alba CABIRTA; Natasha ALI; Uluhan SILI; Nicola FRACCHIOLLA; Giulia DRAGONETTI; Tatjana ADZIC-VUKICEVIC; Monia MARCHETTI; Marina MACHADO; Andreas GLENTHOJ; Olimpia FINIZIO; Fatih DEMIRKAN; Ola BLENNOW; Maria Chiara TISI; Ali S OMRANI; Milan NAVRATIL; Zdenek RACIL; Jan NOVAK; Gabriele MAGLIANO; Moraima JIMENEZ; Carolina GARCIA-VIDAL; Nurettin ERBEN; Del Principe Maria ILARIA; Caterina BUQUICCHIO; Rui BERGANTIM; Josip BATINIC; Murtadha AL-KHABORI; Luisa VERGA; Tomas SZOTKOWSKI; Michail SAMARKOS; Irati ORMAZABAL-VELEZ; Stef MEERS; Johan MAERTENS; Laszlo Imre PINCZES; Martin HOENIGL; Lubos DRGONA; Annarosa CUCCARO; Yavuz M BILGIN; Avinash AUJAYEB; Laman RAHIMLI; Stefanie GRAFE; Mariarita SCIUME; Milos MLADENOVIC; Gokce Melis COLAK; Maria Vittoria SACCHI; Anna NORDLANDER; Caroline Berg VENEMYR; Michaela HANAKOVA; Nicole GARCIA-POUTON; Ziad EMARAH; Giovanni Paolo Maria ZAMBROTTA; Raquel Nunes RODRIGUES; Raul CORDOBA; Gustavo-Adolfo MENDEZ; Monika M BIERNAT; Oliver A CORNELY a Livio PAGANO

Vydání

Cancers, Basel, MDPI, 2022, 2072-6694

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30205 Hematology

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 5.200

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/22:00128418

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

haematological malignancy onset; COVID-19; treatment; outcome; prognostic factors

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 31. 1. 2023 08:54, Mgr. Tereza Miškechová

Anotace

V originále

Simple Summary Patients with simultaneous diagnosis of haematological malignancies (HM) and COVID-19 are an even greater challenge for hematologists. To better clarify their outcome, we describe the clinical features and outcome of a cohort of 450 patients with simultaneous diagnosis of HM and COVID-19 registered in the EPICOVIDEHA registry between March 2020 to February 2022. Overall, 343 (76.2%) patients received treatment for HM, and an overall response rate was observed in 140 (40.8%) patients after the first line of treatment. Thirty-day mortality was significantly higher in patients not receiving HM treatment (42.1%) than in those receiving treatment (27.4%, p = 0.004). Statistical analysis showed that, together with age, severe/critical COVID-19, >= 2 comorbidities, lack of HM treatment was an independent risk factors for mortality. These observations suggest the importance of HM treatment in these patients; therefore, it should be delivered as soon as possible for patients requiring immediate therapy. Background: The outcome of patients with simultaneous diagnosis of haematological malignancies (HM) and COVID-19 is unknown and there are no specific treatment guidelines. Methods: We describe the clinical features and outcome of a cohort of 450 patients with simultaneous diagnosis of HM and COVID-19 registered in the EPICOVIDEHA registry between March 2020 to February 2022. Results: Acute leukaemia and lymphoma were the most frequent HM (35.8% and 35.1%, respectively). Overall, 343 (76.2%) patients received treatment for HM, which was delayed for longer than one month since diagnosis in 57 (16.6%). An overall response rate was observed in 140 (40.8%) patients after the first line of treatment. After a median follow-up of 35 days, overall mortality was 177/450 (39.3%); 30-day mortality was significantly higher in patients not receiving HM treatment (42.1%) than in those receiving treatment (27.4%, p = 0.004), either before and/or after COVID-19, or compared to patients receiving HM treatment at least after COVID-19 (15.2%, p < 0.001). Age, severe/critical COVID-19, >= 2 comorbidities, and lack of HM treatment were independent risk factors for mortality, whereas a lymphocyte count >500/mcl at COVID-19 onset was protective. Conclusions: HM treatment should be delivered as soon as possible for patients with simultaneous diagnosis of COVID-19 and HM requiring immediate therapy.