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COVID-19 in patients with chronic lymphocytic leukemia: a multicenter analysis by the Czech CLL study group
M. Šimkovič, P. Turcsányi, M. Špaček, J. Mihályová, P. Ryznerová, M. Maco, P. Vodárek, D. Écsiová, H. Poul, H. Móciková, J. Zuchnická, A. Panovská, M. Lekaa, M. Oršulová, A. Prchlíková, L. Stejskal, S. Mašlejová, Y. Brychtová, L. Bezděková, T....
Language English Country Germany
Document type Multicenter Study, Journal Article
NLK
ProQuest Central
from 1997-03-01
Medline Complete (EBSCOhost)
from 2000-01-01 to 1 year ago
Nursing & Allied Health Database (ProQuest)
from 1997-03-01
Health & Medicine (ProQuest)
from 1997-03-01
Springer Nature OA/Free Journals
from 1955-03-01
- MeSH
- Leukemia, Lymphocytic, Chronic, B-Cell * drug therapy epidemiology MeSH
- COVID-19 * complications MeSH
- Adult MeSH
- Phosphatidylinositol 3-Kinases MeSH
- Cohort Studies MeSH
- Middle Aged MeSH
- Humans MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- COVID-19 Testing MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Geographicals
- Czech Republic MeSH
Patients with chronic lymphocytic leukemia (CLL) have a high risk of poor outcomes related to coronavirus disease 2019 (COVID-19). This multicenter cohort study evaluated the impact of COVID-19 infection on the population of CLL patients in the Czech Republic. Between March 2020 and May 2021, 341 patients (237 males) with CLL and COVID-19 disease were identified. The median age was 69 years (range 38-91). Out of the 214 (63%) patients with the history of therapy for CLL, 97 (45%) were receiving CLL-directed treatment at diagnosis of COVID-19: 29% Bruton tyrosine kinase inhibitor (BTKi), 16% chemoimmunotherapy (CIT), 11% Bcl-2 inhibitor, and 4% phosphoinositide 3-kinase inhibitor. Regarding the severity of COVID-19, 60% pts required admission to the hospital, 21% pts were admitted to the intensive care unit (ICU), and 12% received invasive mechanical ventilation. The overall case fatality rate was 28%. Major comorbidities, age over 72, male gender, CLL treatment in history, CLL-directed treatment at COVID-19 diagnosis were associated with increased risk of death. Of note, concurrent therapy with BTKi compared to CIT was not associated with better outcome of COVID-19.
1st Department of Medicine Haematology University General Hospital Prague Czech Republic
Department of Haematology Oncology University Hospital Olomouc Czech Republic
Department of Hematology and Transfusion Medicine Hospital Pelhrimov Pelhrimov Czech Republic
Department of Hematooncology University Hospital Ostrava Czech Republic
Department of Internal Medicine Haematology and Oncology University Hospital Brno Czech Republic
Haematology Tranfusiology Department Silesian Hospital Opava Opava Czech Republic
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