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. 2022 Oct 25:10.1002/hon.3086. Online ahead of print. doi: 10.1002/hon.3086

TABLE 1.

COVID‐19 in patients with lymphoma and other hematologic malignancies

Study Design Demographic and clinical characteristics Mortality rate Predictors of mortality
Passamonti et al., 2020 6
  • Retrospective, multicenter study

  • Observation period: 3 m

  • To determine mortality and predictive factors of mortality

  • In‐patients with HM, N = 536 (44% with lymphomas)

  • Median age 68 (58–77) yr

  • 63% male

  • Median CCI 4 (3–6)

  • 50% with severe/critical COVID‐19

  • 37%

  • Older age

  • Progressive HM (HR 2.10, 95% CI 1.41–3.12)

  • HM type (indolent lymphoma HR 2.19, 95% CI 1.07–4.48; aggressive lymphoma, HR 2.56, 95% CI 1.34–4.89)

  • Severe/critical COVID‐19 (HR 4.08, 95% CI 2.73–6.09)

Yigenoglu et al., 2020 7
  • Retrospective analysis

  • To compare the outcomes of pts with HM, N = 740 (33.7% with lymphomas) versus pts with no cancer (N = 740)

  • Median age: 56 versus 56 y

  • Male gender: 53.6% versus 54.1%

  • 28.7% versus 19.6% with severe/critical COVID‐19

  • CFR 13.8% versus 6.8%, p = 0.0001; 10.8% for NHL and 14.8% for HL

  • Significantly worse COVID‐19 outcomes for HM pts versus pts with no cancer

NA
Garcia‐Suarez et al., 2020 39
  • Prospective, registry study

  • To define mortality rate, prognostic factors

  • In‐ and out‐patients with HM, N = 697 (69% with lymphoid malignancy)

  • Median age 72 (IQR 60–79) yr

  • 60% male

  • 59% on active treatment for HM

  • 62% with severe/critical COVID‐19

  • 33%

  • Age ≥60 yr

  • >2 comorbidities

  • AML versus NHL

  • Lymphoma treatment with mAb versus no treatment

Lamure et al., 2020 35
  • Retrospective, multicenter study

  • To characterize presentation and outcomes

  • Pts with lymphoma hospitalized for COVID‐19, N = 89

  • Median age, 67 (19–92) yr

  • 66% male

  • 72% with comorbidities

  • 44% with lymphoma complete remission

  • 34%

  • 30‐d OS, 71% (95% CI 62%–81%)

  • Age ≥70 yr (HR 2.87, 95% CI 1.20–6.85, p = 0.02)

  • Relapsed/refractory lymphoma (HR 2.54, 95% CI 1.14–5.66, p = 0.02)

Regalado‐Artamundi et al., 2021 36
  • Retrospective registry study

  • To define epidemiology and predictors of death

  • In‐ and out‐patients with lymphoma, N = 177

  • Median age 70 (IQR 56–77) yr

  • 55.9% male

  • >70% with comorbidities

  • 49.7% on active treatment for lymphoma

  • 86.3% hospitalized due to COVID‐19

  • 34.5%

  • Age > 70 yr

  • Comorbidities

  • Active disease (vs. complete response, HR 2.770 [95% CI 1.143–6.712, p = 0.024])

Duléry et al., 2021 40
  • Retrospective, multicenter study

  • To examine prolonged length of stay in hospital and its determinants

  • 111 lymphoma in‐pts

  • Median age, 65 y

  • 71% treated for lymphoma within 1 yr

  • 12% with relapsed/refractory lymphoma

  • 6‐m survival 69%

  • Recent anti‐CD20 therapy was associated with prolonged stay in hospital and higher risk of death (HR 2.17, 95% CI 1.04–4.52, p = 0.039)

Pagano et al., 2021 41
  • EPICOVIDHEA registry survey

  • To characterize epidemiology and predictors of mortality

  • Pts with HM, N = 3801; N = 1084 with NHL, N = 135 with HL

  • Median age 65 (54–74) yr

  • 58.5% male

  • 30.8% with complete remission of HM; 51.6% with active HM

  • 63.8% with severe/critical COVID‐19

  • Overall 31.2%; COVID‐19‐related, 22.2%

  • Age

  • Active HM

  • Chronic cardiac disease

  • Renal impairment

  • Smoking history

  • ICU stay

Visco et al., 2022 37
  • Multicenter retrospective study and analysis of prospectively collected data

  • To identify predictors of death

  • In‐ and out‐patients with lymphoma, N = 856 a (N = 468 in‐pts, N = 388 out‐pts)

  • Median age, 63 (19–94) yr

  • 59% male

  • 46% with complete remission of lymphoma

  • 59% of hospitalized pts had severe/critical COVID‐19 versus 8% of out‐pts

  • Overall, 19.5%

  • 33.4% for in‐pts

  • 3.8% for out‐pts

  • Age > 65 yr

  • Male gender

  • ALC < 650 × 109/L

  • Platelets < 100 × 109/L

Abbreviations: ALC, absolute lymphocyte count; CCI, Charlson Comorbidity Index; CFR, case fatality rate; HL, Hodgkin lymphoma; HM, hematologic malignancy; HR, hazard ratio; ICU, intensive care unit; NHL, non‐Hodgkin lymphoma.

a

237 patients included also in the study by Passamonti et al.