Effect of cancer on outcome of COVID-19 patients: a systematic review and meta-analysis of studies of unvaccinated patients
Figures
Figure 5
Funnel plot of Eggerβs test to assess publication bias β all types of cancer β outcome 1.
Tables
Table 1
Selected characteristics of studies included in the meta-analysis β all cancers.
| References | Country | N patients | N outcomes | Quality score | Comparison | Outcome | RR/OR* | 95% CI |
|---|---|---|---|---|---|---|---|---|
| Dai et al., 2020 | China | 641 | 105 | 9.25 | Internal | Mortality | 2.34 | 1.15β4.77 |
| β | β | β | ICU | 2.84 | 1.59β5.08 | |||
| β | β | β | Severity | 2.79 | 1.75β4.44 | |||
| Haase et al., 2021 | Denmark | 323 | 15 | 11.5 | Internal | Mortality | 3.18 | 1.66β6.09 |
| Meng et al., 2020 | China | 436 | 109 | 9.5 | Internal | Mortality | 2.98β | 1.76β5.05 |
| Sun et al., 2020 | USA | 323 | 67 | 10.5 | Internal | Mortality | 5.67β | 1.49β21.58 |
| β | β | β | ICU | 1.91β | 0.90β4.06 | |||
| β | β | β | Hospitalization | 2.16β | 1.12β4.17 | |||
| Nogueira et al., 2020 | Portugal | 20,293 | 611 | 9.25 | Internal | Mortality | 1.48 | 1.07β2.05 |
| Zandkarimi et al., 2020 | Iran | 1831 | 32 | 6.5 | Internal | Mortality | 3.57 | 1.82β7.02 |
| Zhao et al., 2020 | China | 539 | 23 | 6.5 | Internal | Mortality | 3.23 | 1.39β7.51 |
| Harrison et al., 2020 | USA | 31,461 | 1966 | 9.75 | Internal | Mortality | 0.87β | 0.72β1.09 |
| Gupta et al., 2020 | USA | 2215 | 112 | 7.5 | Internal | Mortality | 2.20 | 1.50β3.22 |
| Ganatra et al., 2020 | USA | 2476 | 195 | 9.25 | Internal | Mortality | 3.53 | 2.95β4.23 |
| β | β | β | Severity | 3.75 | 3.17β4.44 | |||
| β | β | β | Hospitalization | 2.78 | 2.37β3.26 | |||
| Westblade et al., 2020 | USA | 2294 | 100 | 8.5 | Internal | Mortality | 1.29 | 1.04β1.61 |
| β | β | β | Severity | 0.76 | 0.57β1.01 | |||
| Wang et al., 2020 | USA | 16,570 | 1200 | 11 | Internal | Mortality | 3.20 | 2.89β3.55 |
| β | β | β | Hospitalization | 2.85 | 2.63β3.09 | |||
| Cherri et al., 2020 | Italy | 2039 | 53 | 11 | Internal | Mortality | 2.22β | 1.25β3.94 |
| GΓΆrgΓΌlΓΌ and Duyan, 2020 | Turkey | 483 | 75 | 11 | Internal | Mortality | 1.81β | 0.88β3.72 |
| β | β | β | ICU | 2.14 | 1.26β3.63 | |||
| JimΓ©nez et al., 2020 | Spain | 1549 | 103 | 9.75 | Internal | Mortality | 4.29β | 2.40β7.67 |
| Thompson et al., 2020 | UK | 470 | 87 | 10 | Internal | Mortality | 2.20β | 1.27β3.81 |
| Li et al., 2020 | China | 1859 | 65 | 9 | External | Mortality | 1.59β | 0.94β2.68 |
| Shoumariyeh et al., 2020 | Germany | 78 | 39 | 8.5 | External | Mortality | 1.01 | 0.41β2.49 |
| β | β | β | Severity | 1.15 | 0.61β2.17 | |||
| Mehta et al., 2020 | USA | 1308 | 218 | 8.5 | External | Mortality | 2.38 | 1.69β3.35 |
| Rogado et al., 2020 | Spain | 42,495 | 45 | 8 | External | Mortality | 4.82 | 2.67β8.71 |
| Brar et al., 2020 | USA | 585 | 117 | 9.5 | External | Mortality | 0.98 | 0.58β1.66 |
| β | β | β | Severity | 0.80 | 0.57β1.13 | |||
| Zhang et al., 2020b | China | 217 | 112 | 9.5 | External | Mortality | 4.83 | 2.87β8.12 |
| β | β | β | ICU | 2.60 | 1.87β3.62 | |||
| β | β | β | Severity | 1.43 | 1.09β1.87 | |||
| Sorouri et al., 2020 | Iran | 159 | 53 | 10 | External | Mortality | 3.27β | 0.93β11.55 |
| β | β | β | ICU | 1.52β | 0.56β4.12 | |||
| Lunski et al., 2021 | USA | 5145 | 312 | 9.5 | External | Mortality | 2.03β | 1.44β2.87 |
| Atalla et al., 2021 | USA | 339 | 27 | 10.5 | Internal | Hospitalization | 3.34 | 1.81β6.16 |
| Cheng et al., 2020 | China | 1476 | 29 | 6 | Internal | Severity | 2.14 | 0.97β4.73 |
| Song et al., 2021 | China | 961 | 21 | 7 | Internal | Severity | 2.77 | 1.16β6.62 |
| Liang et al., 2020 | China | 1590 | 18 | 8.75 | Internal | Severity | 4.07β | 1.23β13.45 |
| Bauer et al., 2021 | USA | 1449 | 108 | 8.5 | Internal | Severity | 1.72β | 1.11β2.67 |
| Tian et al., 2020 | China | 751 | 232 | 9 | External | Severity | 3.75 | 2.71β5.19 |
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*
Results derived from data reported in the publication are in italics.
-
β
Risk estimates derived from multivariate analysis.
-
RR: Relative Risk; OR: Odds Ratio; CI: Confidence interval; ICU: Intensive Care Unit.
Table 2
Selected characteristics of studies included in the meta-analysis β hematological tumors.
| Author β Year | Country | Sample size (n) | Cancer (n)O number of cancer (%) | Quality assessment (CASP) | Comparison | Outcome | RR/OR* | IC |
|---|---|---|---|---|---|---|---|---|
| Dai et al., 2020 | China | 641 | 9 | 9.25 | Internal | Mortality | 9.07 | 2.16β38.13 |
| Haase et al., 2021 | Denmark | 323 | 13 | 11.5 | Internal | Mortality | 1.83 | 0.85β3.93 |
| Meng et al., 2020 | China | 327 | 16 | 9.5 | Internal | Mortality | 2.83β | 0.96β8.32 |
| Yigenoglu et al., 2021 | Turkey | 1480 | 740 | 10.5 | External | Mortality | 2.20 | 1.93β2.50 |
| Shah et al., 2020 | UK | 1183 | 68 | 9.75 | External | Mortality | 1.74β | 1.12β2.71 |
| Sanchez-Pina et al., 2020 | Spain | 92 | 39 | 10.25 | External | Mortality | 6.65β | 1.87β23.67 |
| Passamonti et al., 2020 | Italy | 536 | 11 | External | Mortality | 2.04β | 1.77β2.35 | |
| Cattaneo et al., 2020 | Italy | 204 | 102 | 9 | External | Mortality | 2.10 | 1.14β3.85 |
-
*
italics characters when calculated manually.
-
β
Risk estimates derived from multivariate analysis.
-
CASP: Critical Appraisal Skills Programme; RR: Relative Risk; OR: Odds Ratio; IC: Interval Confidence; ICU: Intensive Care Unit.
Additional files
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Supplementary file 1
Protocol.
- https://cdn.elifesciences.org/articles/74634/elife-74634-supp1-v2.docx
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Supplementary file 2
Quality Assessment.
- https://cdn.elifesciences.org/articles/74634/elife-74634-supp2-v2.docx
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Reporting standard 1
PRISMA checklist.
- https://cdn.elifesciences.org/articles/74634/elife-74634-repstand1-v2.pdf
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Effect of cancer on outcome of COVID-19 patients: a systematic review and meta-analysis of studies of unvaccinated patients
eLife 11:e74634.
https://doi.org/10.7554/eLife.74634