Table 2.
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. |
Adjusted OR.
There is high risk of bias assessed with the Newcastle-Ottawa Scale specifically in the selection and outcome domains.
There is heterogeneity not explained due to chance.
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.