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Clinical Characteristics, Racial Inequities, and Outcomes in Patients with Breast Cancer and COVID-19: A COVID-19 and Cancer Consortium (CCC19) Cohort Study
BACKGROUND: Limited information is available for patients with breast cancer (BC) and coronavirus disease 2019 (COVID-19), especially among underrepresented racial/ethnic populations. METHODS: This is a COVID-19 and Cancer Consortium (CCC19) registry-based retrospective cohort study of females with...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cold Spring Harbor Laboratory
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187350/ https://www.ncbi.nlm.nih.gov/pubmed/37205429 http://dx.doi.org/10.1101/2023.03.09.23287038 |
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author | Nagaraj, Gayathri Vinayak, Shaveta Khaki, Ali Raza Sun, Tianyi Kuderer, Nicole M. Aboulafia, David M. Acoba, Jared D. Awosika, Joy Bakouny, Ziad Balmaceda, Nicole B. Bao, Ting Bashir, Babar Berg, Stephanie Bilen, Mehmet A. Bindal, Poorva Blau, Sibel Bodin, Brianne E. Borno, Hala T. Castellano, Cecilia Choi, Horyun Deeken, John Desai, Aakash Edwin, Natasha Feldman, Lawrence E. Flora, Daniel B. Friese, Christopher R. Galsky, Matthew D. Gonzalez, Cyndi J. Grivas, Petros Gupta, Shilpa Haynam, Marcy Heilman, Hannah Hershman, Dawn L. Hwang, Clara Jani, Chinmay Jhawar, Sachin R. Joshi, Monika Kaklamani, Virginia Klein, Elizabeth J. Knox, Natalie Koshkin, Vadim S. Kulkarni, Amit A. Kwon, Daniel H. Labaki, Chris Lammers, Philip E. Lathrop, Kate I. Lewis, Mark A. Li, Xuanyi de Lima Lopes, Gilberto Lyman, Gary H. Makower, Della F. Mansoor, Abdul-Hai Markham, Merry-Jennifer Mashru, Sandeep H. McKay, Rana R. Messing, Ian Mico, Vasil Nadkarni, Rajani Namburi, Swathi Nguyen, Ryan H. Nonato, Taylor Kristian O’Connor, Tracey Lynn Panagiotou, Orestis A. Park, Kyu Patel, Jaymin M. Patel, Kanishka GopikaBimal Peppercorn, Jeffrey Polimera, Hyma Puc, Matthew Rao, Yuan James Razavi, Pedram Reid, Sonya A. Riess, Jonathan W. Rivera, Donna R. Robson, Mark Rose, Suzanne J. Russ, Atlantis D. Schapira, Lidia Shah, Pankil K. Shanahan, M. Kelly Shapiro, Lauren C. Smits, Melissa Stover, Daniel G. Streckfuss, Mitrianna Tachiki, Lisa Thompson, Michael A. Tolaney, Sara M. Weissmann, Lisa B. Wilson, Grace Wotman, Michael T. Wulff-Burchfield, Elizabeth M. Mishra, Sanjay French, Benjamin Warner, Jeremy L. Lustberg, Maryam B. Accordino, Melissa K. Shah, Dimpy P. |
author_facet | Nagaraj, Gayathri Vinayak, Shaveta Khaki, Ali Raza Sun, Tianyi Kuderer, Nicole M. Aboulafia, David M. Acoba, Jared D. Awosika, Joy Bakouny, Ziad Balmaceda, Nicole B. Bao, Ting Bashir, Babar Berg, Stephanie Bilen, Mehmet A. Bindal, Poorva Blau, Sibel Bodin, Brianne E. Borno, Hala T. Castellano, Cecilia Choi, Horyun Deeken, John Desai, Aakash Edwin, Natasha Feldman, Lawrence E. Flora, Daniel B. Friese, Christopher R. Galsky, Matthew D. Gonzalez, Cyndi J. Grivas, Petros Gupta, Shilpa Haynam, Marcy Heilman, Hannah Hershman, Dawn L. Hwang, Clara Jani, Chinmay Jhawar, Sachin R. Joshi, Monika Kaklamani, Virginia Klein, Elizabeth J. Knox, Natalie Koshkin, Vadim S. Kulkarni, Amit A. Kwon, Daniel H. Labaki, Chris Lammers, Philip E. Lathrop, Kate I. Lewis, Mark A. Li, Xuanyi de Lima Lopes, Gilberto Lyman, Gary H. Makower, Della F. Mansoor, Abdul-Hai Markham, Merry-Jennifer Mashru, Sandeep H. McKay, Rana R. Messing, Ian Mico, Vasil Nadkarni, Rajani Namburi, Swathi Nguyen, Ryan H. Nonato, Taylor Kristian O’Connor, Tracey Lynn Panagiotou, Orestis A. Park, Kyu Patel, Jaymin M. Patel, Kanishka GopikaBimal Peppercorn, Jeffrey Polimera, Hyma Puc, Matthew Rao, Yuan James Razavi, Pedram Reid, Sonya A. Riess, Jonathan W. Rivera, Donna R. Robson, Mark Rose, Suzanne J. Russ, Atlantis D. Schapira, Lidia Shah, Pankil K. Shanahan, M. Kelly Shapiro, Lauren C. Smits, Melissa Stover, Daniel G. Streckfuss, Mitrianna Tachiki, Lisa Thompson, Michael A. Tolaney, Sara M. Weissmann, Lisa B. Wilson, Grace Wotman, Michael T. Wulff-Burchfield, Elizabeth M. Mishra, Sanjay French, Benjamin Warner, Jeremy L. Lustberg, Maryam B. Accordino, Melissa K. Shah, Dimpy P. |
author_sort | Nagaraj, Gayathri |
collection | PubMed |
description | BACKGROUND: Limited information is available for patients with breast cancer (BC) and coronavirus disease 2019 (COVID-19), especially among underrepresented racial/ethnic populations. METHODS: This is a COVID-19 and Cancer Consortium (CCC19) registry-based retrospective cohort study of females with active or history of BC and laboratory-confirmed severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection diagnosed between March 2020 and June 2021 in the US. Primary outcome was COVID-19 severity measured on a five-level ordinal scale, including none of the following complications, hospitalization, intensive care unit admission, mechanical ventilation, and all-cause mortality. Multivariable ordinal logistic regression model identified characteristics associated with COVID-19 severity. RESULTS: 1,383 female patient records with BC and COVID-19 were included in the analysis, the median age was 61 years, and median follow-up was 90 days. Multivariable analysis revealed higher odds of COVID-19 severity for older age (aOR per decade, 1.48 [95% CI, 1.32 – 1.67]); Black patients (aOR 1.74; 95 CI 1.24–2.45), Asian Americans and Pacific Islander patients (aOR 3.40; 95 CI 1.70 – 6.79) and Other (aOR 2.97; 95 CI 1.71–5.17) racial/ethnic groups; worse ECOG performance status (ECOG PS ≥2: aOR, 7.78 [95% CI, 4.83 – 12.5]); pre-existing cardiovascular (aOR, 2.26 [95% CI, 1.63 – 3.15])/pulmonary comorbidities (aOR, 1.65 [95% CI, 1.20 – 2.29]); diabetes mellitus (aOR, 2.25 [95% CI, 1.66 – 3.04]); and active and progressing cancer (aOR, 12.5 [95% CI, 6.89 – 22.6]). Hispanic ethnicity, timing and type of anti-cancer therapy modalities were not significantly associated with worse COVID-19 outcomes. The total all-cause mortality and hospitalization rate for the entire cohort was 9% and 37%, respectively however, it varied according to the BC disease status. CONCLUSIONS: Using one of the largest registries on cancer and COVID-19, we identified patient and BC related factors associated with worse COVID-19 outcomes. After adjusting for baseline characteristics, underrepresented racial/ethnic patients experienced worse outcomes compared to Non-Hispanic White patients. |
format | Online Article Text |
id | pubmed-10187350 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cold Spring Harbor Laboratory |
record_format | MEDLINE/PubMed |
spelling | pubmed-101873502023-05-17 Clinical Characteristics, Racial Inequities, and Outcomes in Patients with Breast Cancer and COVID-19: A COVID-19 and Cancer Consortium (CCC19) Cohort Study Nagaraj, Gayathri Vinayak, Shaveta Khaki, Ali Raza Sun, Tianyi Kuderer, Nicole M. Aboulafia, David M. Acoba, Jared D. Awosika, Joy Bakouny, Ziad Balmaceda, Nicole B. Bao, Ting Bashir, Babar Berg, Stephanie Bilen, Mehmet A. Bindal, Poorva Blau, Sibel Bodin, Brianne E. Borno, Hala T. Castellano, Cecilia Choi, Horyun Deeken, John Desai, Aakash Edwin, Natasha Feldman, Lawrence E. Flora, Daniel B. Friese, Christopher R. Galsky, Matthew D. Gonzalez, Cyndi J. Grivas, Petros Gupta, Shilpa Haynam, Marcy Heilman, Hannah Hershman, Dawn L. Hwang, Clara Jani, Chinmay Jhawar, Sachin R. Joshi, Monika Kaklamani, Virginia Klein, Elizabeth J. Knox, Natalie Koshkin, Vadim S. Kulkarni, Amit A. Kwon, Daniel H. Labaki, Chris Lammers, Philip E. Lathrop, Kate I. Lewis, Mark A. Li, Xuanyi de Lima Lopes, Gilberto Lyman, Gary H. Makower, Della F. Mansoor, Abdul-Hai Markham, Merry-Jennifer Mashru, Sandeep H. McKay, Rana R. Messing, Ian Mico, Vasil Nadkarni, Rajani Namburi, Swathi Nguyen, Ryan H. Nonato, Taylor Kristian O’Connor, Tracey Lynn Panagiotou, Orestis A. Park, Kyu Patel, Jaymin M. Patel, Kanishka GopikaBimal Peppercorn, Jeffrey Polimera, Hyma Puc, Matthew Rao, Yuan James Razavi, Pedram Reid, Sonya A. Riess, Jonathan W. Rivera, Donna R. Robson, Mark Rose, Suzanne J. Russ, Atlantis D. Schapira, Lidia Shah, Pankil K. Shanahan, M. Kelly Shapiro, Lauren C. Smits, Melissa Stover, Daniel G. Streckfuss, Mitrianna Tachiki, Lisa Thompson, Michael A. Tolaney, Sara M. Weissmann, Lisa B. Wilson, Grace Wotman, Michael T. Wulff-Burchfield, Elizabeth M. Mishra, Sanjay French, Benjamin Warner, Jeremy L. Lustberg, Maryam B. Accordino, Melissa K. Shah, Dimpy P. medRxiv Article BACKGROUND: Limited information is available for patients with breast cancer (BC) and coronavirus disease 2019 (COVID-19), especially among underrepresented racial/ethnic populations. METHODS: This is a COVID-19 and Cancer Consortium (CCC19) registry-based retrospective cohort study of females with active or history of BC and laboratory-confirmed severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection diagnosed between March 2020 and June 2021 in the US. Primary outcome was COVID-19 severity measured on a five-level ordinal scale, including none of the following complications, hospitalization, intensive care unit admission, mechanical ventilation, and all-cause mortality. Multivariable ordinal logistic regression model identified characteristics associated with COVID-19 severity. RESULTS: 1,383 female patient records with BC and COVID-19 were included in the analysis, the median age was 61 years, and median follow-up was 90 days. Multivariable analysis revealed higher odds of COVID-19 severity for older age (aOR per decade, 1.48 [95% CI, 1.32 – 1.67]); Black patients (aOR 1.74; 95 CI 1.24–2.45), Asian Americans and Pacific Islander patients (aOR 3.40; 95 CI 1.70 – 6.79) and Other (aOR 2.97; 95 CI 1.71–5.17) racial/ethnic groups; worse ECOG performance status (ECOG PS ≥2: aOR, 7.78 [95% CI, 4.83 – 12.5]); pre-existing cardiovascular (aOR, 2.26 [95% CI, 1.63 – 3.15])/pulmonary comorbidities (aOR, 1.65 [95% CI, 1.20 – 2.29]); diabetes mellitus (aOR, 2.25 [95% CI, 1.66 – 3.04]); and active and progressing cancer (aOR, 12.5 [95% CI, 6.89 – 22.6]). Hispanic ethnicity, timing and type of anti-cancer therapy modalities were not significantly associated with worse COVID-19 outcomes. The total all-cause mortality and hospitalization rate for the entire cohort was 9% and 37%, respectively however, it varied according to the BC disease status. CONCLUSIONS: Using one of the largest registries on cancer and COVID-19, we identified patient and BC related factors associated with worse COVID-19 outcomes. After adjusting for baseline characteristics, underrepresented racial/ethnic patients experienced worse outcomes compared to Non-Hispanic White patients. Cold Spring Harbor Laboratory 2023-03-10 /pmc/articles/PMC10187350/ /pubmed/37205429 http://dx.doi.org/10.1101/2023.03.09.23287038 Text en https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) , which allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator. The license allows for commercial use. |
spellingShingle | Article Nagaraj, Gayathri Vinayak, Shaveta Khaki, Ali Raza Sun, Tianyi Kuderer, Nicole M. Aboulafia, David M. Acoba, Jared D. Awosika, Joy Bakouny, Ziad Balmaceda, Nicole B. Bao, Ting Bashir, Babar Berg, Stephanie Bilen, Mehmet A. Bindal, Poorva Blau, Sibel Bodin, Brianne E. Borno, Hala T. Castellano, Cecilia Choi, Horyun Deeken, John Desai, Aakash Edwin, Natasha Feldman, Lawrence E. Flora, Daniel B. Friese, Christopher R. Galsky, Matthew D. Gonzalez, Cyndi J. Grivas, Petros Gupta, Shilpa Haynam, Marcy Heilman, Hannah Hershman, Dawn L. Hwang, Clara Jani, Chinmay Jhawar, Sachin R. Joshi, Monika Kaklamani, Virginia Klein, Elizabeth J. Knox, Natalie Koshkin, Vadim S. Kulkarni, Amit A. Kwon, Daniel H. Labaki, Chris Lammers, Philip E. Lathrop, Kate I. Lewis, Mark A. Li, Xuanyi de Lima Lopes, Gilberto Lyman, Gary H. Makower, Della F. Mansoor, Abdul-Hai Markham, Merry-Jennifer Mashru, Sandeep H. McKay, Rana R. Messing, Ian Mico, Vasil Nadkarni, Rajani Namburi, Swathi Nguyen, Ryan H. Nonato, Taylor Kristian O’Connor, Tracey Lynn Panagiotou, Orestis A. Park, Kyu Patel, Jaymin M. Patel, Kanishka GopikaBimal Peppercorn, Jeffrey Polimera, Hyma Puc, Matthew Rao, Yuan James Razavi, Pedram Reid, Sonya A. Riess, Jonathan W. Rivera, Donna R. Robson, Mark Rose, Suzanne J. Russ, Atlantis D. Schapira, Lidia Shah, Pankil K. Shanahan, M. Kelly Shapiro, Lauren C. Smits, Melissa Stover, Daniel G. Streckfuss, Mitrianna Tachiki, Lisa Thompson, Michael A. Tolaney, Sara M. Weissmann, Lisa B. Wilson, Grace Wotman, Michael T. Wulff-Burchfield, Elizabeth M. Mishra, Sanjay French, Benjamin Warner, Jeremy L. Lustberg, Maryam B. Accordino, Melissa K. Shah, Dimpy P. Clinical Characteristics, Racial Inequities, and Outcomes in Patients with Breast Cancer and COVID-19: A COVID-19 and Cancer Consortium (CCC19) Cohort Study |
title | Clinical Characteristics, Racial Inequities, and Outcomes in Patients with Breast Cancer and COVID-19: A COVID-19 and Cancer Consortium (CCC19) Cohort Study |
title_full | Clinical Characteristics, Racial Inequities, and Outcomes in Patients with Breast Cancer and COVID-19: A COVID-19 and Cancer Consortium (CCC19) Cohort Study |
title_fullStr | Clinical Characteristics, Racial Inequities, and Outcomes in Patients with Breast Cancer and COVID-19: A COVID-19 and Cancer Consortium (CCC19) Cohort Study |
title_full_unstemmed | Clinical Characteristics, Racial Inequities, and Outcomes in Patients with Breast Cancer and COVID-19: A COVID-19 and Cancer Consortium (CCC19) Cohort Study |
title_short | Clinical Characteristics, Racial Inequities, and Outcomes in Patients with Breast Cancer and COVID-19: A COVID-19 and Cancer Consortium (CCC19) Cohort Study |
title_sort | clinical characteristics, racial inequities, and outcomes in patients with breast cancer and covid-19: a covid-19 and cancer consortium (ccc19) cohort study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187350/ https://www.ncbi.nlm.nih.gov/pubmed/37205429 http://dx.doi.org/10.1101/2023.03.09.23287038 |
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clinicalcharacteristicsracialinequitiesandoutcomesinpatientswithbreastcancerandcovid19acovid19andcancerconsortiumccc19cohortstudy |