4.7 Article

Cancer and Risk ofCOVID-19 Through a General Community Survey

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ONCOLOGIST
卷 26, 期 1, 页码 E182-E185

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OXFORD UNIV PRESS
DOI: 10.1634/theoncologist.2020-0572

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  1. Wellcome Trust
  2. EPSRC [WT212904/Z/18/Z, WT203148/Z/16/Z, T213038/Z/18/Z]
  3. NIHR GSTT/KCL Biomedical Research Centre, MRC/BHF [MR/M016560/1]
  4. Alzheimer's Society [AS-JF-17-011]
  5. Seerave Foundation
  6. Massachusetts Consortium on Pathogen Readiness (MassCPR)
  7. Swedish Foundation for Strategic Research [LUDC-IRC 15-0067]
  8. Swedish Heart-Lung Foundation
  9. Swedish research Council
  10. NHS

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A study showed that cancer patients are at higher risk of COVID-19 infection compared to non-cancer patients, especially those undergoing chemotherapy or immunotherapy. The association between cancer and COVID-19 infection was stronger in older individuals over 65 years and males. Further research is needed to identify specific subgroups at higher risk for COVID-19 infection and adverse outcomes based on tumor types and treatment regimens.
Individuals with cancer may be at high risk for coronavirus disease 2019 (COVID-19) and adverse outcomes. However, evidence from large population-based studies examining whether cancer and cancer-related therapy exacerbates the risk of COVID-19 infection is still limited. Data were collected from the COVID Symptom Study smartphone application since March 29 through May 8, 2020. Among 23,266 participants with cancer and 1,784,293 without cancer, we documented 10,404 reports of a positive COVID-19 test. Compared with participants without cancer, those living with cancer had a 60% increased risk of a positive COVID-19 test. Among patients with cancer, current treatment with chemotherapy or immunotherapy was associated with a 2.2-fold increased risk of a positive test. The association between cancer and COVID-19 infection was stronger among participants >65 years and males. Future studies are needed to identify subgroups by tumor types and treatment regimens who are particularly at risk for COVID-19 infection and adverse outcomes.

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