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Simultaneous Onset of Haematological Malignancy and COVID: An Epicovideha Survey

C. Cattaneo, J. Salmanton-García, F. Marchesi, S. El-Ashwah, F. Itri, B. Weinbergerová, M. Gomes Da Silva, M. Dargenio, J. Dávila-Valls, S. Martín-Pérez, F. Farina, J. Van Doesum, T. Valković, C. Besson, CB. Poulsen, A. López-García, P. Žák, M....

. 2022 ; 14 (22) : . [pub] 20221110

Status neindexováno Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22031313

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.

Aga Khan University 74000 Karachi Pakistan

ASST Grande Ospedale Metropolitano Niguarda 20162 Milan Italy

AZ KLINA 2930 Brasschaat Belgium

Azienda Ospedaliera Nazionale SS Antonio e Biagio e Cesare Arrigo 15121 Alessandria Italy

Azienda Ospedaliera San Gerardo Monza 20900 Monza Italy

Centre Hospitalier de Versailles Le Chesnay Université Paris Saclay UVSQ Inserm Équipe Exposome et Hérédité CESP 94800 Villejuif France

Centro Hospitalar e Universitário São João 4200 319 Porto Portugal

Clinic for Orthopedic Surgery and Traumatology University Clinical Center of Serbia 11000 Belgrade Serbia

Clinical and Translational Fungal Working Group University of California San Diego La Jolla CA 92093 USA

Clinical Microbiology and Infectious Diseases Department Hospital General Universitario Gregorio Marañón 28009 Madrid Spain

Communicable Disease Center Hamad Medical Corporation Doha 3050 Qatar

COVID Hospital Batajnica 11000 Belgrade Serbia

Croatian Cooperative Group for Hematological Diseases 10000 Zagreb Croatia

Departament de Medicina Universitat Autònoma de Barcelona 08193 Bellaterra Spain

Department of Haematology Blood Neoplasms and Bone Marrow Transplantation Wroclaw Medical University 50 425 Wroclaw Poland

Department of Hematology Copenhagen University Hospital Rigshospitalet DK 2100 Copenhagen Denmark

Department of Hematology University Hospital Kralovske Vinohrady and 3rd Faculty of Medicine Charles University 12808 Prague Czech Republic

Department of Hematology University Hospital Vall d'Hebron Experimental Hematology 08035 Barcelona Spain

Department of Hematology Vall d'Hebron Hospital Universitari Experimental Hematology Vall d'Hebron Institute of Oncology Vall d'Hebron Barcelona Hospital Campus 08193 Barcelona Spain

Department of Infectious Diseases and Clinical Microbiology Faculty of Medicine Eskisehir Osmangazi University 26040 Eskisehir Turkey

Department of Infectious Diseases and Clinical Microbiology School of Medicine Marmara University 34854 Istanbul Turkey

Department of Infectious Diseases Hospital Clinic de Barcelona University of Barcelona IDIBAPS 08035 Barcelona Spain

Department of Infectious Diseases Karolinska University Hospital 17176 Stockholm Sweden

Department of Internal Medicine ADRZ 4462 RA Goes The Netherlands

Department of Internal Medicine South Division Faculty of Medicine University of Szeged 6720 Szeged Hungary

Department of Oncohematology Comenius University and National Cancer Institute 81499 Bratislava Slovakia

Department of Oncology Hematology and Bone Marrow Transplantation with Section of Pneumology University Medical Center Hamburg Eppendorf 20251 Hamburg Germany

Division of Hematology Department of Internal Medicine Faculty of Medicine University of Debrecen H 4032 Debrecen Hungary

Division of Infectious Diseases and Global Public Health Department of Medicine University of California San Diego San Diego CA 92093 USA

Division of Infectious Diseases Department of Internal Medicine Medical University of Graz A 8036 Graz Austria

Dokuz Eylul University Division of Hematology 35340 Izmir Turkey

Ematologia Con Trapianto Ospedale Dimiccoli Barletta 70051 Barletta Italy

Faculty of Medicine University of Rijeka 51000 Rijeka Croatia

Fundacion Jimenez Diaz University Hospital Health Research Institute IIS FJD 28040 Madrid Spain

German Centre for Infection Research Partner Site Bonn Cologne 50931 Cologne Germany

Hematology and Stem Cell Transplan Unit Vito Fazzi 73100 Lecce Italy

Hematology and Stem Cell Transplant Unit IRCCS Regina Elena National Cancer Institute 00144 Rome Italy

Hematology Department of Biomedicine and Prevention University of Rome Tor Vergata 00133 Rome Italy

Hematology Unit ASST Spedali Civili 25123 Brescia Italy

Hematology Unit Center for Translational Medicine Azienda USL Toscana NordOvest 55100 Livorno Italy

Hematology Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico 20122 Milan Italy

Hematology Unit Fondazione Policlinico Universitario Agostino Gemelli IRCCS 00168 Rome Italy

Hematology Unit Università Cattolica del Sacro Cuore 86100 Rome Italy

Hospital Escuela de Agudos Dr Ramón Madariaga Posadas 3736 Argentina

Hospital Nuestra Señora de Sonsoles 05004 Ávila Spain

Hospital Universitario de Navarra 31008 Iruña Pamplona Spain

Institute of Hematology and Blood Transfusion 12800 Prague Czech Republic

IRCCS Ospedale San Raffaele 20132 Milan Italy

KU Leuven 3000 Leuven Belgium

Laikon Hospital 11527 Athens Greece

Masaryk University and University Hospital Brno Department of Internal Medicine Hematology and Oncology 62500 Brno Czech Republic

Northumbria Healthcare Newcastle NE29 8NH UK

Oncology Center Mansoura University Mansoura 35516 Egypt

Ospedale San Bortolo 36100 Vicenza Italy

Portuguese Institute of Oncology 1099 023 Lisbon Portugal

San Luigi Gonzaga Hospital 10043 Orbassano Italy

School of Medicine University of Zagreb 10000 Zagreb Croatia

Sultan Qaboos University Hospital Muscat 123 Oman

Università Milano Bicocca 20126 Milan Italy

Universitätsklinikum Hamburg Eppendorf 20251 Hamburg Germany

University Hospital Centre Rijeka 51000 Rijeka Croatia

University Hospital Centre Zagreb 10000 Zagreb Croatia

University Hospital Dubrava 10000 Zagreb Croatia

University Hospital Hradec Králové 50005 Hradec Králové Czech Republic

University Hospital Olomouc 77900 Olomouc Czech Republic

University Hospital Ostrava 70852 Ostrava Czech Republic

University Medical Center Groningen 9713 GZ Groningen The Netherlands

University of Cologne Faculty of Medicine University Hospital Cologne Clinical Trials Centre Cologne 50931 Cologne Germany

University of Cologne Faculty of Medicine University Hospital Cologne Department 1 of Internal Medicine Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf 50931 Cologne Germany

University of Cologne Faculty of Medicine University Hospital Cologne Translational Research Cologne Excellence Cluster on Cellular Stress Responses in Aging Associated Diseases 50931 Cologne Germany

UOC Hematology AORN Cardarelli 80131 Naples Italy

Vall d'Hebron Institute of Oncology Vall d'Hebron Barcelona Hospital Campus 08035 Barcelona Spain

Zealand University Hospital 4000 Roskilde Denmark

Citace poskytuje Crossref.org

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$a BACKGROUND: The outcome of patients with simultaneous diagnosis of haematological malignancies (HM) and COVID-19 is unknown and there are no specific treatment guidelines. METHODS: We describe the clinical features and outcome of a cohort of 450 patients with simultaneous diagnosis of HM and COVID-19 registered in the EPICOVIDEHA registry between March 2020 to February 2022. RESULTS: Acute leukaemia and lymphoma were the most frequent HM (35.8% and 35.1%, respectively). Overall, 343 (76.2%) patients received treatment for HM, which was delayed for longer than one month since diagnosis in 57 (16.6%). An overall response rate was observed in 140 (40.8%) patients after the first line of treatment. After a median follow-up of 35 days, overall mortality was 177/450 (39.3%); 30-day mortality was significantly higher in patients not receiving HM treatment (42.1%) than in those receiving treatment (27.4%, p = 0.004), either before and/or after COVID-19, or compared to patients receiving HM treatment at least after COVID-19 (15.2%, p &lt; 0.001). Age, severe/critical COVID-19, ≥2 comorbidities, and lack of HM treatment were independent risk factors for mortality, whereas a lymphocyte count &gt;500/mcl at COVID-19 onset was protective. CONCLUSIONS: HM treatment should be delivered as soon as possible for patients with simultaneous diagnosis of COVID-19 and HM requiring immediate therapy.
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$a Žák, Pavel $u University Hospital Hradec Králové, 50005 Hradec Králové, Czech Republic
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$a Piukovics, Klára $u Department of Internal Medicine, South Division, Faculty of Medicine University of Szeged, 6720 Szeged, Hungary
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$a Jaksic, Ozren $u University Hospital Dubrava, 10000 Zagreb, Croatia
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$a Cabirta, Alba $u Department of Hematology, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, 08193 Barcelona, Spain $u Departament de Medicina, Universitat Autònoma de Barcelona, 08193 Bellaterra, Spain $1 https://orcid.org/0000000171988894
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$a Ali, Natasha $u Aga Khan University, 74000 Karachi, Pakistan $1 https://orcid.org/000000034990330X
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$a Sili, Uluhan $u Department of Infectious Diseases and Clinical Microbiology, School of Medicine, Marmara University, 34854 Istanbul, Turkey $1 https://orcid.org/0000000299399298
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$a Fracchiolla, Nicola $u Hematology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy $1 https://orcid.org/0000000289828079
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$a Machado, Marina $u Clinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain
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$a Glenthøj, Andreas $u Department of Hematology, Copenhagen University Hospital-Rigshospitalet, DK-2100 Copenhagen, Denmark
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$a Finizio, Olimpia $u UOC Hematology, AORN Cardarelli, 80131 Naples, Italy
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$a Tisi, Maria Chiara $u Ospedale San Bortolo, 36100 Vicenza, Italy
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$a Omrani, Ali S $u Communicable Disease Center, Hamad Medical Corporation, Doha 3050, Qatar $1 https://orcid.org/0000000153096358
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$a Ráčil, Zdeněk $u Institute of Hematology and Blood Transfusion, 12800 Prague, Czech Republic
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$a Magliano, Gabriele $u ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy $1 https://orcid.org/0000000291291530
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$a Garcia-Vidal, Carolina $u Department of Infectious Diseases, Hospital Clinic de Barcelona, University of Barcelona, IDIBAPS, 08035 Barcelona, Spain
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$a Erben, Nurettin $u Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine Eskisehir Osmangazi University, 26040 Eskisehir, Turkey
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$a Del Principe, Maria Ilaria $u Hematology, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy
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$a Buquicchio, Caterina $u Ematologia Con Trapianto, Ospedale Dimiccoli Barletta, 70051 Barletta, Italy
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$a Bergantim, Rui $u Centro Hospitalar e Universitário São João, 4200-319 Porto, Portugal $1 https://orcid.org/0000000278119509
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$a Al-Khabori, Murtadha $u Sultan Qaboos University Hospital, Muscat 123, Oman $1 https://orcid.org/0000000229378838
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$a Maertens, Johan $u KU Leuven, 3000 Leuven, Belgium $1 https://orcid.org/0000000342575980
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$a Pinczés, László Imre $u Division of Hematology, Department of Internal Medicine, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary $1 https://orcid.org/0000000304531709
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$a Hoenigl, Martin $u Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, San Diego, CA 92093, USA $u Clinical and Translational Fungal-Working Group, University of California San Diego, La Jolla, CA 92093, USA $u Division of Infectious Diseases, Department of Internal Medicine, Medical University of Graz, A-8036 Graz, Austria $1 https://orcid.org/0000000216532824
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$a Drgoňa, Ľuboš $u Department of Oncohematology, Comenius University and National Cancer Institute, 81499 Bratislava, Slovakia
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$a Gräfe, Stefanie $u University of Cologne, Faculty of Medicine, University Hospital Cologne, Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), 50931 Cologne, Germany $u University of Cologne, Faculty of Medicine, University Hospital Cologne, Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) and Excellence Center for Medical Mycology (ECMM), 50931 Cologne, Germany $u Universitätsklinikum Hamburg Eppendorf, 20251 Hamburg, Germany
700    1_
$a Sciumè, Mariarita $u Hematology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy $1 https://orcid.org/0000000179584966
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$a Mladenović, Miloš $u COVID Hospital "Batajnica", 11000 Belgrade, Serbia $u Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
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$a Nordlander, Anna $u Department of Infectious Diseases, Karolinska University Hospital, 17176 Stockholm, Sweden
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$a Hanáková, Michaela $u Institute of Hematology and Blood Transfusion, 12800 Prague, Czech Republic
700    1_
$a García-Poutón, Nicole $u Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, 08035 Barcelona, Spain
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$a Nunes Rodrigues, Raquel $u Portuguese Institute of Oncology, 1099-023 Lisbon, Portugal
700    1_
$a Cordoba, Raul $u Fundacion Jimenez Diaz University Hospital, Health Research Institute IIS-FJD, 28040 Madrid, Spain
700    1_
$a Méndez, Gustavo-Adolfo $u Hospital Escuela de Agudos Dr. Ramón Madariaga, Posadas 3736, Argentina
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$a Biernat, Monika M $u Department of Haematology, Blood Neoplasms, and Bone Marrow Transplantation, Wroclaw Medical University, 50-425 Wroclaw, Poland
700    1_
$a Cornely, Oliver A $u University of Cologne, Faculty of Medicine, University Hospital Cologne, Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), 50931 Cologne, Germany $u University of Cologne, Faculty of Medicine, University Hospital Cologne, Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) and Excellence Center for Medical Mycology (ECMM), 50931 Cologne, Germany $u University of Cologne, Faculty of Medicine, University Hospital Cologne, Clinical Trials Centre Cologne (ZKS Köln), 50931 Cologne, Germany $u German Centre for Infection Research (DZIF), Partner Site Bonn-Cologne, 50931 Cologne, Germany $1 https://orcid.org/0000000195993137
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$a Pagano, Livio $u Hematology Unit, Fondazione Policlinico Universitario Agostino Gemelli-IRCCS, 00168 Rome, Italy $u Hematology Unit, Università Cattolica del Sacro Cuore, 86100 Rome, Italy $1 https://orcid.org/000000018287928X
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