Cancers (Nov 2022)

Simultaneous Onset of Haematological Malignancy and COVID: An Epicovideha Survey

  • Chiara Cattaneo,
  • Jon Salmanton-García,
  • Francesco Marchesi,
  • Shaimaa El-Ashwah,
  • Federico Itri,
  • Barbora Weinbergerová,
  • Maria Gomes Da Silva,
  • Michelina Dargenio,
  • Julio Dávila-Valls,
  • Sonia Martín-Pérez,
  • Francesca Farina,
  • Jaap Van Doesum,
  • Toni Valković,
  • Caroline Besson,
  • Christian Bjørn Poulsen,
  • Alberto López-García,
  • Pavel Žák,
  • Martin Schönlein,
  • Klára Piukovics,
  • Ozren Jaksic,
  • Alba Cabirta,
  • Natasha Ali,
  • Uluhan Sili,
  • Nicola Fracchiolla,
  • Giulia Dragonetti,
  • Tatjana Adžić-Vukičević,
  • Monia Marchetti,
  • Marina Machado,
  • Andreas Glenthøj,
  • Olimpia Finizio,
  • Fatih Demirkan,
  • Ola Blennow,
  • Maria Chiara Tisi,
  • Ali S. Omrani,
  • Milan Navrátil,
  • Zdeněk Ráčil,
  • Jan Novák,
  • Gabriele Magliano,
  • Moraima Jiménez,
  • Carolina Garcia-Vidal,
  • Nurettin Erben,
  • Maria Ilaria Del Principe,
  • Caterina Buquicchio,
  • Rui Bergantim,
  • Josip Batinić,
  • Murtadha Al-Khabori,
  • Luisa Verga,
  • Tomáš Szotkowski,
  • Michail Samarkos,
  • Irati Ormazabal-Vélez,
  • Stef Meers,
  • Johan Maertens,
  • László Imre Pinczés,
  • Martin Hoenigl,
  • Ľuboš Drgoňa,
  • Annarosa Cuccaro,
  • Yavuz M. Bilgin,
  • Avinash Aujayeb,
  • Laman Rahimli,
  • Stefanie Gräfe,
  • Mariarita Sciumè,
  • Miloš Mladenović,
  • Gökçe Melis Çolak,
  • Maria Vittoria Sacchi,
  • Anna Nordlander,
  • Caroline Berg Venemyr,
  • Michaela Hanáková,
  • Nicole García-Poutón,
  • Ziad Emarah,
  • Giovanni Paolo Maria Zambrotta,
  • Raquel Nunes Rodrigues,
  • Raul Cordoba,
  • Gustavo-Adolfo Méndez,
  • Monika M. Biernat,
  • Oliver A. Cornely,
  • Livio Pagano

DOI
https://doi.org/10.3390/cancers14225530
Journal volume & issue
Vol. 14, no. 22
p. 5530

Abstract

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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 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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