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. 2023 Feb 22;6(2):103–110. doi: 10.36401/JIPO-22-24

Table 2.

COVID-19 outcomes in patients with cancer receiving ICIs compared to those not receiving ICI Therapy

Outcomes
Anticipated Absolute Effects
Relative Effect, OR (95% CI)
No. of Studies
Certainty of the Evidence (GRADE)
Comments
Risk With No ICI
Risk With ICI (95% CI)
Mortality 100 per 1000 95 per 1000 (60–151) 0.95 (0.57–1.60)a 5 Very lowb,d There is uncertainty based on the quality of evidence if the risk of COVID-19 mortality is higher in patients with cancer exposed to ICI compared with those not exposed to ICI.
Hospital admission 300 per 1000 464 per 1000 (291–647) 2.02 (0.96– 4.27)a 2 Very lowd There is uncertainty based on the quality of evidence if the risk of COVID-19 hospital admission is higher in patients with cancer exposed to ICI compared with those not exposed to ICI.
Severe COVID-19 120 per 1000 125 per 1000 (58–251) 1.05 (0.45–2.46)a 3 Very lowc,d There is uncertainty based on the quality of evidence if the risk of severe COVID-19 is higher in patients with cancer exposed to ICI compared with those not exposed to ICI.
a

Adjusted OR.

b

There is high risk of bias assessed with the Newcastle-Ottawa Scale specifically in the selection and outcome domains.

c

There is heterogeneity not explained due to chance.

d

The true effect can benefit either the experimental or the control group.

CI: confidence interval; GRADE: Grading of Recommendations, Assessment, Development and Evaluations; ICI: immune checkpoint inhibitor; OR: odds ratio.