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10.1016/j.eclinm.2020.100549

http://scihub22266oqcxt.onion/10.1016/j.eclinm.2020.100549
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suck abstract from ncbi

pmid33073216      EClinicalMedicine 2020 ; 27 (?): 100549
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  • Determinants of outcome in Covid-19 hospitalized patients with lymphoma: A retrospective multicentric cohort study #MMPMID33073216
  • Lamure S; Dulery R; Di Blasi R; Chauchet A; Laureana C; Deau-Fischer B; Drenou B; Soussain C; Rossi C; Noel N; Choquet S; Bologna S; Joly B; Kohn M; Malak S; Fouquet G; Daguindau E; Bernard S; Thieblemont C; Cartron G; Lacombe K; Besson C
  • EClinicalMedicine 2020[Oct]; 27 (?): 100549 PMID33073216show ga
  • BACKGROUND: Patients with lymphoma are immunocompromised because of the disease per se and its treatments. We aimed to describe the characteristics of patients with lymphoma hospitalized for Coronavirus Disease 2019 (Covid-19) and to analyze pre-Covid-19 determinants of mortality. METHODS: This retrospective multicentric cohort study used the Programme de Medicalisation des Systemes d'Information database to identify all adult patients with lymphoma, hospitalized for Covid-19 in March and April 2020, in 12 hospitals of three French regions with pandemic outbreaks. The characteristics of lymphoma and Covid-19 were collected from medical charts. FINDINGS: Eighty-nine patients were included. The median age was 67 years (range, 19-92), 66% were male and 72% had a comorbidity. Most patients had B-cell non-Hodgkin lymphoma (86%) and had received a lymphoma treatment within one year (70%). With a median follow-up of 33 days from admission, 30-day overall survival was 71%, (95% confidence interval, 62-81%). In multivariable analysis, having an age >/= 70 years (hazard ratio 2.87, 1.20-6.85, p = 0.02) and relapsed/refractory lymphoma (hazard ratio 2.54, 1.14-5.66, p = 0.02) were associated with mortality. Recent bendamustine treatment (n = 9) was also pejorative (hazard ratio 3.20, 1.33-7.72, p = 0.01), but was strongly associated with relapsed/refractory lymphoma. Remarkably, 30-day overall survival for patients < 70 years of age without relapsed/refractory lymphoma was 88% (78% - 99%). INTERPRETATION: Thirty-day mortality was associated with being older and relapsed/refractory lymphoma. Survival of patients younger than 70 years without relapsed/refractory lymphoma was comparable to that of the general population. FUNDING: There have been no specific funds to run this study.
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