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. 2021 Nov 10;17(2):214–227. doi: 10.1016/j.jtho.2021.11.001

Table 2.

Impact of Anticancer Treatments on COVID-19 Severity

Summary of Select Studies Exploring the Impact of Cancer Treatments on COVID-19 Severity
Study Country/Countries Cancer Types Number of Patients With COVID-19 Key Insights
Grivas et al.42 95% in U.S. All cancer 4966 Recent (past 3 mo) cytotoxic chemotherapy associated with severe COVID-19 (OR = 1.28) and 30-d mortality (OR = 1.61). Noncytotoxic anticancer therapies, including immunotherapy, targeted therapy, and endocrine therapy not associated with severe COVID-19 nor 30-d mortality
Thoracic 409
Kuderer et al.47 U.S. All cancer 928 No association between 30-d all-cause mortality and recent surgery, recent noncytotoxic therapy, or recent cytotoxic systemic therapy
Thoracic 91
Pinato et al.45 UK, Italy, Spain, and Germany All cancer 890 No association between cytotoxic chemotherapy, targeted therapy, or immunotherapy and COVID-19 severity
Lee et al.44 UK All cancer 800 No significant mortality effect for recent (past 4 wk) chemotherapy, immunotherapy, hormonal therapy, targeted therapy, or radiotherapy
Respiratory and intrathoracic organs 90
Mehta et al.78 U.S. All cancer 218 Neither chemotherapy nor radiotherapy associated with
Lung 11 increased case fatality rate
Garassino et al.7 Mostly Italy, Spain, and France Thoracic cancer 200 In multivariable analysis, TKIs, chemotherapy, and immunotherapy, not associated with increased mortality
Luo et al.41 U.S. Lung cancer 102 No observed impact of TKIs or chemotherapy and COVID-19 severity
Luo et al.6 U.S. Lung cancer 69 No significant association between PD-1 blockade and COVID-19 severity

Note: Active cancer treatments do not worsen COVID-19 outcomes in patients with cancer and COVID-19.

COVID-19, coronavirus disease 2019; PD-1, programmed cell death protein-1; TKI, tyrosine kinase inhibitor; U.S., United States; UK, United Kingdom.