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Published on: November 5, 2021
The mortality of COVID-19 in CML patients from 2020 until 2022: results from the EPICOVIDEHA survey
Shaimaa El-Ashwah1, Jon Salmanton-García2,3, Yavuz M Bilgin4
1Oncology Center, Mansoura University, Mansoura, Egypt.
Insights
COVID-19 infections in chronic myeloid leukemia (CML) patients are generally mild, with low mortality rates. Vaccinations have proven effective in reducing severe infections and improving outcomes for CML patients during the pandemic.
Area of Science:
- Hematology
- Infectious Diseases
- Oncology
Background:
- COVID-19 significantly impacts patients with hematological malignancies, leading to high hospitalization and mortality rates.
- Patients with chronic myeloid leukemia (CML) typically have a better prognosis compared to other hematological malignancy patients.
Purpose of the Study:
- To evaluate the impact of COVID-19 on patients with chronic myeloid leukemia (CML).
- To assess the effectiveness of vaccinations in mitigating severe infections and mortality among CML patients.
Main Methods:
- Utilized the large EPICOVIDEHA database of hematological malignancy patients.
- Analyzed infection severity, hospitalization rates, ICU admissions, and mortality trends in CML patients.
Main Results:
- The majority of CML patients experienced mild COVID-19 infections.
- A significant decline in severe and critical infections was observed over time, linked to vaccination.
- CML patients demonstrated a low mortality rate, with a downward trend in subsequent years.
- Vaccination effectiveness was confirmed in the CML patient cohort.
Conclusions:
- Chronic myeloid leukemia patients generally tolerate COVID-19 well, with mild infections being most common.
- Vaccination strategies have successfully reduced severe COVID-19 outcomes in CML patients.
- The study confirms the protective role of vaccines in this vulnerable patient population.
Abstract:
Since the beginning of the COVID-19 pandemic, there has been an overall improvement in patient mortality. However, haematological malignancy patients continue to experience significant impacts from COVID-19, including high rates of hospitalization, intensive care unit (ICU) admissions, and mortality. In comparison to other haematological malignancy patients, individuals with chronic myeloid leukemia (CML) generally have better prognosis. This study, conducted using a large haematological malignancy patient database (EPICOVIDEHA), demonstrated that the majority of CML patients experienced mild infections. The decline in severe and critical infections over the years can largely be attributed to the widespread administration of vaccinations and the positive response they elicited. Notably, the mortality rate among CML patients was low and exhibited a downward trend in subsequent years. Importantly, our analysis provided confirmation of the effectiveness of vaccinations in CML patients.
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