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Cancer associates with risk and severe events of COVID ‐19: A systematic review and meta‐analysis
Open accessAbstract
Evidence is mounting to indicate that cancer patients may have more likelihood of having coronavirus disease 2019 (COVID-19) but lack consistency. A robust estimate is urgently needed to convey appropriate information to the society and the public, in the time of ongoing COVID-19 pandemic. We performed a systematic review and meta-analysis through a comprehensive literature search in major databases in English and Chinese, and two investigators conducted publication selection and data extraction independently. A meta-analysis was used to obtain estimates of pooled prevalence of cancer in patients with COVID-19 and determine the association of cancer with severe events, after assessment of potential heterogeneity, publication bias, and correction for the estimates when necessary. Total 38 studies comprising 7094 patients with COVID-9 were included; the pooled prevalence of cancer was estimated at 2.3% (95% confidence limit [CL] [0.018, 0.029]; P < .001) overall and 3.2% (95% CL [0.023, 0.041]; P < .001) in Hubei province; the corresponding estimates were 1.4% and 1.9% after correction for publication bias; cancer was significantly associated with the events of severe cases (odds ratio [OR] = 2.20, 95% CL [1.53, 3.17]; P < .001) and death (OR = 2.97, 95% CL [1.48, 5.96]; P = .002) in patients with COVID-19, there was no significant heterogeneity and a minimal publication bias. We conclude that cancer comorbidity is associated with the risk and severe events of COVID-19; special measures should be taken for individuals with cancer.
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“This is particularly true of older adults with cancer, who may be among the most vulnerable to the effects of COVID-19 due to their immunocompromised status and increased presence of comorbidities [1,2,3,4,5].”
From The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review (2022) · cites this paper as [4]
In the citing paper
“Older adults diagnosed with both cancer and COVID-19 face increased mortality, hospitalization, and ICU admission [3,4,5].”
From The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review (2022) · cites this paper as [4]
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Metadata
- Authors
- Tian, Y., Qiu, X., Wang, C., Zhao, J., Jiang, X., Niu, W., Huang, J., & Zhang, F.
- Affiliations
- Beijing University of Chinese Medicine (CN)
- China-Japan Friendship Hospital (CN)
- Peking University (CN)
- Corresponding author
- Niu, Wenquan
- Huang, Jinchang
- Zhang, Fengyu
- Venue
- International Journal of Cancer
- Publisher
- Wiley
- Published
- 2020-08-15
- Volume
- 148
- Issue
- 2
- Pages
- 363-374
- ISSN
- 0020-7136 (ISSN-L)
- 1097-0215
- PMC
- PMC7404763
- OpenAlex
- W3042427819
- Cited by
- 129
- References
- 64
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 6 · 2023: 22 · 2022: 42 · 2021: 41 · 2020: 7
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Cancer (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (81573736)
- Topics
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
- Keywords
- COVID-19 pandemic, cancer comorbidity, disease severity, mortality, risk factors, Hubei Province, publication bias
- MeSH terms
- COVID-19, SARS-CoV-2, Humans, Neoplasms, Risk Factors, Severity of Illness Index, Comorbidity, Prevalence, Risk Assessment, Pandemics
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