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March 1, 2021Journal of the National Comprehensive Cancer Network

Outcomes of COVID-19 in Patients With a History of Cancer and Comorbid Cardiovascular Disease

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Why the study?

Does a history of both cancer and cardiovascular disease increase the risk of severe disease in patients with COVID-19?

Population

2,476 patients who tested positive for SARS-CoV-2 at 4 Massachusetts hospitals between March 11 and May 21…

Comparison

History of both cancer and cardiovascular disease vs History of cancer alone, cardiovascular disease…

Design

Cohort

Key result

Patients with both cancer and cardiovascular disease had a higher likelihood of COVID-19-associated severe disease compared with those with cancer alone (HR 1.86; 95% CI 1.11-3.10; P=0.02).

Authors

SGSarju GanatraSDSourbha S. DaniRRRobert Redd

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Overview

Patients with cancer and CVD may warrant closer monitoring; extends observational comorbidity data but leaves open prospective validation.

Study Design

Type

Cohort (n=2,476)

Multicenter

Yes

Structured PICO

Does a history of both cancer and cardiovascular disease increase the risk of severe disease in patients with COVID-19?

P
Population
2,476 patients who tested positive for SARS-CoV-2 at 4 Massachusetts hospitals between March 11 and May 21, 2020, including those with cancer (n=195), CVD (n=414), and both (n=82).
I
Intervention
History of both cancer and cardiovascular disease (exposure)
C
Comparator
History of cancer alone, cardiovascular disease alone, or neither
O
Outcome
COVID-19-associated severe disease, defined as a composite of the need for mechanical ventilation, shock, or deathcomposite

Main Result

Effect estimate: HR 1.86 (95% CI 1.11-3.10)

p-value: p=0.02

Patients with COVID-19 and a history of both cancer and cardiovascular disease are at significantly higher risk for severe disease and death compared to those with either condition alone.

Cite This Study

Ganatra et al. (2021) conducted a cohort in COVID-19 (n=2,476). History of both cancer and cardiovascular disease vs. History of either cancer or cardiovascular disease alone was evaluated on COVID-19-associated severe disease (composite of mechanical ventilation, shock, or death) (HR 1.86, 95% CI 1.11-3.10, p=0.02). Patients with both cancer and cardiovascular disease had a higher likelihood of COVID-19-associated severe disease compared with those with cancer alone (HR 1.86; 95% CI 1.11-3.10; P=0.02).

synapsesocial.com/papers/6a0cc1633fce92745334c304https://doi.org/10.6004/jnccn.2020.7658
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