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Article: COVID-19 Outcomes of Patients With Differentiated Thyroid Cancer: A Multicenter Los Angeles Cohort Study.

Kathuria-Prakash, Nikhita / Mosaferi, Tina / Xie, Mindy / Antrim, Lauren / Angell, Trevor E / In, Gino K / Su, Maureen A / Lechner, Melissa G

Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

2021  Volume 27, Issue 2, Page(s) 90–94

Abstract: ... from coronavirus disease-19 (COVID-19). Therefore, we evaluated COVID-19 outcomes in patients with a differentiated ... thyroid cancer (DTC) history.: Methods: This is a retrospective cohort study of patients with a history ... patients with DTC and COVID-19, 8 (38.1%) were hospitalized and 2 (9.5%) died from COVID-19. Thyroid cancer ...

Abstract Objective: Cancer may be a risk factor for worse outcomes in severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) infections. However, there is a significant variability across cancer types in the extent of disease burden and modalities of cancer treatment that may impact morbidity and mortality from coronavirus disease-19 (COVID-19). Therefore, we evaluated COVID-19 outcomes in patients with a differentiated thyroid cancer (DTC) history.
Methods: This is a retrospective cohort study of patients with a history of DTC and SARS-CoV2 infection from 2 academic Los Angeles healthcare systems. Demographic, thyroid cancer, and treatment data were analyzed for associations with COVID-19 outcomes.
Results: Of 21 patients with DTC and COVID-19, 8 (38.1%) were hospitalized and 2 (9.5%) died from COVID-19. Thyroid cancer initial disease burden and extent, treatment, or current response to therapy (eg, excellent vs incomplete) were not associated with COVID-19 severity in DTC patients. However, older age and the presence of a comorbidity other than DTC were significantly associated with COVID-19 hospitalization (P = .047 and P = .024, respectively). COVID-19-attributed hospitalization and mortality in DTC patients was lower than that previously reported in cancer patients, although similar to patients with nonthyroid malignancies in these centers.
Conclusion: These data suggest that among patients with DTC, advanced age and comorbid conditions are significant contributors to the risk of hospitalization from SARS-CoV2 infection, rather than factors associated with thyroid cancer diagnosis, treatment, or disease burden. This multicenter report of clinical outcomes provides additional data to providers to inform DTC patients regarding their risk of COVID-19.
MeSH term(s) Aged ; COVID-19 ; Cohort Studies ; Comorbidity ; Hospitalization ; Humans ; Los Angeles/epidemiology ; RNA, Viral ; Retrospective Studies ; Risk Factors ; SARS-CoV-2 ; Thyroid Neoplasms/epidemiology
Chemical Substances RNA, Viral
Language English
Publishing date 2021-01-04
Publishing country United States
Document type Journal Article ; Multicenter Study
ZDB-ID 1473503-9
ISSN 1530-891X
ISSN 1530-891X
DOI 10.1016/j.eprac.2020.12.013
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