Article ; Online: Adolescents and young adults (AYA) with cancer: the clinical course of COVID-19 infections.
Journal of the National Cancer Institute
2024
Abstract: Adolescents and Young Adults (AYAs: 15-39 y) with cancer face unique vulnerabilities, yet remain under-represented on clinical trials, including adult registries of COVID-19 in cancer (AYAs: 8-12%). Thus, we leveraged the Pediatric Oncology COVID-19 Case ...
Abstract | Adolescents and Young Adults (AYAs: 15-39 y) with cancer face unique vulnerabilities, yet remain under-represented on clinical trials, including adult registries of COVID-19 in cancer (AYAs: 8-12%). Thus, we leveraged the Pediatric Oncology COVID-19 Case Report (POCC) to examine the clinical course of COVID-19 among AYAs with cancer. POCC collects de-identified clinical and sociodemographic data regarding 0-39yo with cancer (AYAs = 37%) and COVID-19 from >100 institutions. Between 04/01/2020-11/28/2023, 191 older AYAs [22-39y] and 640 younger AYAs [15-21y] were captured. Older AYAs were less often hospitalized (p < .001), admitted to the intensive care unit (ICU, p = .02), and/or required respiratory support (p = .057). In multivariable analyses, older AYAs faced 80% lower odds of ICU admission but 2.3-times greater odds of changes to cancer-directed therapy. Unvaccinated patients had 5.4-times higher odds of ICU admission. Among AYAs with cancer, the COVID-19 course varies by age. These findings can inform pediatric/adult oncology teams surrounding COVID-19 management and prevention. |
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Language | English |
Publishing date | 2024-04-16 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2992-0 |
ISSN | 1460-2105 ; 0027-8874 ; 0198-0157 |
ISSN (online) | 1460-2105 |
ISSN | 0027-8874 ; 0198-0157 |
DOI | 10.1093/jnci/djae085 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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