Outcomes of Cancer Patients Affected by COVID-19 in Different Settings: A Retrospective Study in Lebanon

Cancer Rep (Hoboken). 2024 Nov;7(11):e70045. doi: 10.1002/cnr2.70045.

Abstract

Background: The diverse presentation of COVID-19 symptoms and outcomes has revealed a significant gap in understanding the specific risk factors and characteristics of the virus among immunocompromised cancer patients, particularly in the Middle East.

Aims: We our study aimed to address this gap by investigating the characteristics and outcomes of COVID-19 in cancer patients compared to non-cancer patients.

Methods and results: We carried out a retrospective analysis, collecting demographic, oncologic, and COVID-19-related data from electronic medical records of 248 patients admitted to our tertiary care center in Lebanon. Statistical analysis was conducted using SPSS to identify patterns. Patients with solid tumors were 3.433 times more likely to die than those who were cancer-free (p = 0.012). Moreover, patients with advancing disease were 2.805 times more likely to be admitted to the ICU (p = 0.03) and 14.7 times more likely to die (p < 0.001) compared with those in remission.

Conclusion: Our findings emphasize the critical need for tailored preventive measures and specialized care for immunocompromised cancer patients, given their heightened vulnerability to severe COVID-19 outcomes. These insights contribute to the development of specific strategies aimed at enhancing the protection and clinical management of this high-risk group.

Keywords: COVID‐19; cancer; comorbidities; disease severity; intensive care unit; intubation; risk factors.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • COVID-19* / complications
  • COVID-19* / epidemiology
  • COVID-19* / mortality
  • COVID-19* / prevention & control
  • Female
  • Hospitalization / statistics & numerical data
  • Humans
  • Immunocompromised Host
  • Intensive Care Units / statistics & numerical data
  • Lebanon / epidemiology
  • Male
  • Middle Aged
  • Neoplasms* / epidemiology
  • Neoplasms* / mortality
  • Neoplasms* / therapy
  • Neoplasms* / virology
  • Retrospective Studies
  • Risk Factors
  • SARS-CoV-2*