COVID-19 对癌症患者的临床影响 (CCC19):一项队列研究
Nicole M Kuderer1, Toni K Choueiri2, Dimpy P Shah3
1Advanced Cancer Research Group, Kirkland, WA, USA.
Lancet (London, England)
|June 1, 2020
概括
癌症患者的COVID-19死亡率很高. 晚年,男性,并发性疾病和活跃癌症增加了30天的死亡风险. 地理位置也会影响结果.
科学领域:
- 癌症学
- 传染性疾病
- 流行病学
背景情况:
- 对于被诊断患有COVID-19的癌症患者的结果存在有限的数据.
- 这些结果的特征对于确定预后因素至关重要.
研究的目的:
- 描述COVID-19癌症患者的结果.
- 确定该群体死亡率和严重疾病的预后因素.
主要方法:
- 一项队列研究分析了CCC19数据库 (美国,加拿大,西班牙) 的非识别数据.
- 包括已确认感染SARS-CoV-2的18岁以上的患者和活跃或以前的恶性病变.
- 主要终点是使用后勤回归分析的30天全因死亡率.
主要成果:
- 928名患者符合纳入标准;13%的患者在30天内死亡.
- 独立的死亡预测因素包括年龄,男性性别,吸烟史,并发症,表现不佳和活跃的癌症.
- 服用亚胺加与死亡率的增加有关 (可能引起混).
结论:
- 患有COVID-19的癌症患者的30天死亡率很高.
- 死亡率与一般风险因素和癌症特异性因素有关.
- 需要进一步的随访,以了解长期影响和治疗影响.
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