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Tagliamento, Marco; Agostinetto, Elisa; Bruzzone, Marco; Ceppi, Marcello; Saini, Kamal S.; de Azambuja, Evandro; Punie, Kevin; Westphalen, C. Benedikt; Morgan, Gilberto; Pronzato, Paolo; Del Mastro, Lucia; Poggio, Francesca und Lambertini, Matteo (2021): Mortality in adult patients with solid or hematological malignancies and SARS-CoV-2 infection with a specific focus on lung and breast cancers: A systematic review and meta-analysis. In: Critical Reviews in Oncology Hematology, Bd. 163, 103365

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Abstract

Background: A systematic review and meta-analysis was performed to estimate mortality in adult patients with solid or hematological malignancies and SARS-CoV-2 infection. Methods: A systematic search of PubMed, up to 31 January 2021, identified publications reporting the casefatality rate (CFR) among adult patients with solid or hematological malignancies and SARS-CoV-2 infection. The CFR, defined as the rate of death in this population, was assessed with a random effect model;95% confidence intervals (CI) were calculated. Results: Among 135 selected studies (N = 33,879 patients), the CFR was 25.4% (95% CI 22.9%-28.2%). At a sensitivity analysis including studies with at least 100 patients, the CFR was 21.9% (95% CI 19.1%-25.1%). Among COVID-19 patients with lung (N = 1,135) and breast (N = 1,296) cancers, CFR were 32.4% (95% CI 26.5%-39.6%) and 14.2% (95% CI 9.3%-21.8%), respectively. Conclusions: Patients with solid or hematological malignancies and SARS-CoV-2 infection have a high probability of mortality, with comparatively higher and lower CFRs in patients with lung and breast cancers, respectively.

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