par Geukens, Tatjana;Brandao, Marianna;Laenen, Annouschka;Collignon, J.;Van Marcke, Cédric;Louviaux, Ingrid;Demey, Wim;Van Wambeke, Simon;Schrijvers, Dirk;Lecomte, Sylvie
;Mebis, Jeroen;Rutten, Annemie;Fontaine, Christel;Lybaert, Willem;Aspeslagh, Sandrine;Goeminne, Jean Charles;Van Den Bulck, Heidi;Seront, Emmanuel;De Backer, L.;De Roock, Wendy;Ignatiadis, Michail
;Prenen, Hans;Van Beckhoven, Dominique;Heijlen, Marjolein;Verheezen, Jolanda;Rottey, Sylvie;Punie, Kevin;de Azambuja, Evandro ![](/vufind/images/ULB/publications_list.png)
Référence ESMO Open, 7, 6, 100610
Publication Publié, 2022-12
![](/vufind/images/ULB/publications_list.png)
![](/vufind/images/ULB/publications_list.png)
![](/vufind/images/ULB/publications_list.png)
Référence ESMO Open, 7, 6, 100610
Publication Publié, 2022-12
Article révisé par les pairs
Résumé : | Background: Solid cancer is an independent prognostic factor for poor outcome with COVID-19. As guidelines for patient management in that setting depend on retrospective efforts, we here present the first analyses of a nationwide database of patients with cancer hospitalized with COVID-19 in Belgium, with a focus on changes in anticancer treatment plans at the time of SARS-CoV-2 infection. Methods: Nineteen Belgian hospitals identified all patients with a history of solid cancer hospitalized with COVID-19 between March 2020 and February 2021. Demographic, cancer-specific and COVID-specific data were pseudonymously entered into a central Belgian Society of Medical Oncology (BSMO)-COVID database. The association between survival and primary cancer type was analyzed through multivariate multinomial logistic regression. Group comparisons for categorical variables were carried out through a Chi-square test. Results: A total of 928 patients were registered in the database; most of them were aged ≥70 years (61.0%) and with poor performance scores [57.2% Eastern Cooperative Oncology Group (ECOG) ≥2]. Thirty-day COVID-related mortality was 19.8%. In multivariate analysis, a trend was seen for higher mortality in patients with lung cancer (27.6% versus 20.8%, P = 0.062) and lower mortality for patients with breast cancer (13.0% versus 23.3%, P = 0.052) compared with other tumour types. Non-curative treatment was associated with higher 30-day COVID-related mortality rates compared with curative or no active treatment (25.8% versus 14.3% versus 21.9%, respectively, P < 0.001). In 33% of patients under active treatment, the therapeutic plan was changed due to COVID-19 diagnosis, most frequently involving delays/interruptions in systemic treatments (18.6%). Thirty-day COVID-related mortality was not significantly different between patients with and without treatment modifications (21.4% versus 20.5%). Conclusion: Interruption in anticancer treatments at the time of SARS-CoV-2 infection was not associated with a reduction in COVID-related mortality in our cohort of patients with solid cancer, highlighting that treatment continuation should be strived for, especially in the curative setting. |