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Flash survey on severe acute respiratory syndrome coronavirus-2 infections in paediatric patients on anticancer treatment
Open accessAbstract
Introduction Since the beginning of COVID-19 pandemic, it is known that the severe course of the disease occurs mostly among the elderly, whereas it is rare among children and young adults. Comorbidities, in particular, diabetes and hypertension, clearly associated with age, besides obesity and smoke, are strongly associated with the need for intensive treatment and a dismal outcome. A weaker immunity of the elderly has been proposed as a possible explanation of this uneven age distribution. Thus, there is concern that children treated for cancer may allso be at risk for an unfavourable course of infection. Along the same line, anecdotal information from Wuhan, China, mentioned a severe course of COVID-19 in a child treated for leukaemia.Aim and methods We made a flash survey on COVID-19 incidence and severity among children on anticancer treatment. Respondents were asked by email to fill in a short Web-based survey.Results We received reports from 25 countries, where approximately 10,000 patients at risk are followed up. At the time of the survey, more than 200 of these children were tested, nine of whom were positive for COVID-19. Eight of the nine cases had asymptomatic to mild disease, and one was just diagnosed with COVID-19. We also discuss preventive measures that are in place or should be taken and treatment options in immunocompromised children with COVID-19.Conclusion Thus, even children receiving anticancer chemotherapy may have a mild or asymptomatic course of COVID-19. While we should not underestimate the risk of developing a more severe course of COVID-19 than that observed here, the intensity of preventive measures should not cause delays or obstructions in oncological treatment.
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Clinical manifestation and prognosis of COVID-19 infection may be milder in paediatric cancer patients than in adults.
“Despite emerging evidence showing that clinical manifestation and prognosis of COVID-19 infection may be milder in paediatric cancer patients than in adults, immunosuppressed paediatric patients are treated as a high risk group [60,61].”
From Exploring the Impact of COVID-19 on Mental Health Outcomes in Children and Adolescents: A Systematic Review (2020) · cites this paper as [61]
Immunosuppressed paediatric patients are treated as a high risk group.
“Despite emerging evidence showing that clinical manifestation and prognosis of COVID-19 infection may be milder in paediatric cancer patients than in adults, immunosuppressed paediatric patients are treated as a high risk group [60,61].”
From Exploring the Impact of COVID-19 on Mental Health Outcomes in Children and Adolescents: A Systematic Review (2020) · cites this paper as [61]
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Metadata
- Authors
- Hrusak, O., Kalina, T., Wolf, J., Balduzzi, A., Provenzi, M., Rizzari, C., Rives, S., del Pozo Carlavilla, M., Alonso, M. E. V., Domínguez-Pinilla, N., Bourquin, J.-P., Schmiegelow, K., Attarbaschi, A., Grillner, P., Mellgren, K., van der Werff ten Bosch, J., Pieters, R., Brozou, T., Borkhardt, A., Escherich, G., Lauten, M., Stanulla, M., Smith, O., Yeoh, A. E. J., Elitzur, S., Vora, A., Li, C.-K., Ariffin, H., Kolenova, A., Dallapozza, L., Farah, R., Lazic, J., Manabe, A., Styczynski, J., Kovacs, G., Ottoffy, G., Felice, M. S., Buldini, B., Conter, V., Stary, J., & Schrappe, M.
- Affiliations
- St. Jude Children's Research Hospital (US)
- University of Milano-Bicocca (IT)
- Ospedale Papa Giovanni XXIII (IT)
- Hospital Sant Joan de Déu Barcelona (ES)
- University Hospital Zurich (CH)
- Rigshospitalet (DK)
- St Anna Children's Hospital (AT)
- Karolinska University Hospital (SE)
- Sahlgrenska University Hospital (SE)
- Princess Máxima Center (NL)
- Heinrich Heine University Düsseldorf (DE)
- University Medical Center Hamburg-Eppendorf (DE)
- University Hospital Schleswig-Holstein (DE)
- Medizinische Hochschule Hannover (DE)
- Children's Health Ireland at Crumlin (IE)
- National University of Singapore (SG)
- Schneider Children's Medical Center (IL)
- Great Ormond Street Hospital (GB)
- Chinese University of Hong Kong (HK)
- University Malaya Medical Centre (MY)
- University Medical Center Rizk Hospital (LB)
- Hokkaido University (JP)
- University of Padua (IT)
- ORCID
- Hrusak, Ondrej
- Wolf, Joshua
- Balduzzi, Adriana
- Provenzi, Massimo
- Rizzari, Carmelo
- Rives, Susana
- Domínguez-Pinilla, Nerea
- Bourquin, Jean-Pierre
- Schmiegelow, Kjeld
- Attarbaschi, Andishe
- Grillner, Pernilla
- Mellgren, Karin
- Pieters, Rob
- Brozou, Triantafyllia
- Borkhardt, Arndt
- Escherich, Gabriele
- Lauten, Melchior
- Stanulla, Martin
- Smith, Owen
- Yeoh, Allen E.J.
- Elitzur, Sarah
- Vora, Ajay
- Li, Chi-Kong
- Ariffin, Hany
- Kolenova, Alexandra
- Farah, Roula
- Manabe, Atsushi
- Buldini, Barbara
- Conter, Valentino
- Schrappe, Martin
- Venue
- European Journal of Cancer
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 132
- Pages
- 11-16
- ISSN
- 0959-8049 (ISSN-L)
- PMC
- PMC7141482
- OpenAlex
- W3016005709
- Cited by
- 187
- References
- 22
- Citations by year
- 2026: 1 · 2024: 6 · 2023: 11 · 2022: 26 · 2021: 68 · 2020: 74
- FWCI
- 5.87
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Cancer (publishedVersion)
- PubMed Central (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
- PubMed (publishedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion, other-oa)
- Minerva Access (University of Melbourne) (submittedVersion)
- Semmelweis University Repository (Semmelweis University) (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Health Sciences › Medicine › Oncology › Neutropenia and Cancer Infections
- Keywords
- COVID-19 pandemic, SARS-CoV-2, childhood cancer, immunocompromised patients, disease severity, asymptomatic infection, preventive measures, chemotherapy, leukemia, cancer treatment delays
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, COVID-19 Drug Treatment, Adolescent, Antineoplastic Agents, Child, Female, Humans, Male, Neoplasms, Pneumonia, Viral, Surveys and Questionnaires, Coronavirus Infections, Pandemics
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