Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic. Issue 10 (19th October 2022)

• Record Type: Journal Article
• Other Names: Bandyopadhyay Soham author non-byline.; Peter Noel author non-byline.; Lakhoo Kokila author non-byline.; Abib Simone de Campos Vieira author non-byline.; Abdelhafeez Hafeez author non-byline.; Wilson Shaun author non-byline.; Pachl Max author non-byline.; Martin Benjamin author non-byline.; Nagras Sonal author non-byline.; Sheth Mihir author non-byline.; Dominic Catherine author non-byline.; Gandhi Suraj author non-byline.; Parwani Divya author non-byline.; Raj Rhea author non-byline.; Munezero Diella author non-byline.; Dutta Rohini author non-byline.; Roseline Nsimire Mulanga author non-byline.; McClafferty Kellie author non-byline.; Nazari Armin author non-byline.; Sriram Smrithi author non-byline.; Pillarisetti Sai author non-byline.; Nweze King-David author non-byline.; Ashwinee Aishwarya author non-byline.; Kalra Gul author non-byline.; Patil Poorvaprabha author non-byline.; Nathani Priyansh author non-byline.; Bhullar Khushman Kaur author non-byline.; Elhadi Muhammed author non-byline.; Khan Maryam author non-byline.; Rahim Nehal author non-byline.; Madhusudanan Shweta author non-byline.; Erhabor Joshua author non-byline.; Shirke Manasi author non-byline.; Mughal Aishah author non-byline.; Au Darica author non-byline.; Salehi Mahan author non-byline.; Royyuru Sravani author non-byline.; Ahmed Mohamed author non-byline.; Hussain Syeda Namayah Fatima author non-byline.; Robinson Daniel author non-byline.; Casey Anna author non-byline.; Khan Mehdi author non-byline.; Dukundane Alexandre author non-byline.; Festus Kwizera author non-byline.; Govind Vaishnavi author non-byline.; Pancharatnam Rohan author non-byline.; Ochieng Lorraine author non-byline.; Taylor Elliott H author non-byline.; Nautiyal Hritik author non-byline.; Crespo Marta deAndres author non-byline.; Charuvila Somy author non-byline.; Valetopoulou Alexandra author non-byline.; Bandyopadhyay Soham author non-byline.; Brar Amanpreet author non-byline.; Zuberi Hira author non-byline.; Ammouze Imane author non-byline.; Ghosh Dhruva author non-byline.; Peters Nitin James author non-byline.; Peter Noel author non-byline.; Lakhoo Kokila author non-byline.; Bandyopadhyay Soham author non-byline.; Sheth Mihir author non-byline.; Bwala Kefas John author non-byline.; Umar AM author non-byline.; Aremu Abdurahaman author non-byline.; Suleiman Dauda E author non-byline.; Aliyu Tybat author non-byline.; Saleem Ayesha author non-byline.; Arshad Muhammad author non-byline.; Turk Kashaf author non-byline.; Altaf Sadaf author non-byline.; Ogunsua Oluseyi Oyebode author non-byline.; Sholadoye Tunde Talib author non-byline.; Tolani Musliu Adetola author non-byline.; Alfa Yakubu author non-byline.; Musa Keffi Mubarak author non-byline.; Irungu Eric Mwangi author non-byline.; Muma Ken author non-byline.; Muma Sarah author non-byline.; Obat Mitchelle author non-byline.; Badran Youssef Sameh author non-byline.; Qasem Abdulrahman Ghassan author non-byline.; Ayasra Faris author non-byline.; Alnajjar Reema author non-byline.; Abdel-Maboud Mohamed author non-byline.; Bahaa Abdelrahman author non-byline.; Saadeldin Ayat M author non-byline.; Adwi Mohamed author non-byline.; Adly Mahmoud author non-byline.; Elshenawy Abdallah author non-byline.; Harky Amer author non-byline.; Gentle Leanne author non-byline.; Wright Kirstie author non-byline.; Luyt Jessica author non-byline.; White Olivia author non-byline.; Smith Charlotte author non-byline.; Thompson Nathan author non-byline.; Smith Thomas author non-byline.; Harrison Imogen author non-byline.; Mahalik Santosh Kumar author non-byline.; Piplani Rajat author non-byline.; Yhoshu Enono author non-byline.; Gupta Manoj author non-byline.; Nath Uttam Kumar author non-byline.; Sehrawat Amit author non-byline.; Rajkumar K S author non-byline.; Singh Vivek author non-byline.; Abukhalaf Sadi A author non-byline.; Mitul Ashrarur Rahman author non-byline.; Karim Sabbir author non-byline.; Islam Nazmul author non-byline.; Alsaeiti Sara Kader author non-byline.; Benkhial Fatma Saleh author non-byline.; Almihashhish Mohammed Miftah Faraj author non-byline.; Burzeiza Eman Salem Muftah author non-byline.; Masoud Hend Mohammed author non-byline.; Alshamikh Mabroukah Saeid author non-byline.; Nasef Raja Mari Mohammed author non-byline.; Masoud Fatma Mohammed author non-byline.; Lo William B author non-byline.; Togarepi Nyararai author non-byline.; Carrolan Elaine author non-byline.; Martin Benjamin author non-byline.; Pachl Max author non-byline.; O'Sullivan Benjamin J author non-byline.; Hassanin Mohamed author non-byline.; Saleh Ahmed author non-byline.; Bassiony Mahmoud author non-byline.; Qatora Mostafa author non-byline.; Bahaaeldin Mohamed author non-byline.; Fadel Shady author non-byline.; Chazli Yasmine El author non-byline.; Bouderbala Anfel author non-byline.; Hamizi Kamel author non-byline.; Lorabi Safia author non-byline.; Zekkour Mehdi Anouar author non-byline.; Rahmoun Rima author non-byline.; Drid Boutheyna author non-byline.; Teir Salma Naje Abu author non-byline.; Lorabi Safia author non-byline.; 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Suroy Atul author non-byline.; Ilic Rosanda author non-byline.; Grujicic Danica author non-byline.; Nastasovic Tijana author non-byline.; Lazic Igor author non-byline.; Milicevic Mihailo author non-byline.; Bascarevic Vladimir author non-byline.; Mijalcic Radovan author non-byline.; Scepanovic Vuk author non-byline.; Stanimirovic Aleksandar author non-byline.; Paunovic Aleksandra author non-byline.; Bogdanovic Ivan author non-byline.; Kakkar Shruti author non-byline.; Kamboj Shaina author non-byline.; Singh Suraj author non-byline.; Islam Shahnoor author non-byline.; Amirul Morshed AKM author non-byline.; Khairul Basher AKM author non-byline.; Akter Mehnaz author non-byline.; Rezanur Rahman SM author non-byline.; Ara Zannat author non-byline.; Ahammed Mohammed Tanvir author non-byline.; Akter Tania author non-byline.; Nahar Kamrun author non-byline.; Sayed Fatema author non-byline.; Nabi Ashfaque author non-byline.; Iqbal Md Asif author non-byline.; Rana Md Masud author non-byline.; Asaduzzaman Md author non-byline.; 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Erwee Danelle author non-byline.; Brown Robyn author non-byline.; Chylinska Agata author non-byline.; Simpson Robin author non-byline.; Gomes Prasanna author non-byline.; Peter Noel author non-byline.; Padilha Marco Aurelio Ciriaco author non-byline.; de Oliveira Junior Elvercio Pereira author non-byline.; deCarvalho Lucas Garschagen author non-byline.; Diz Fabiola Leonelli author non-byline.; Kassas Mohamed El author non-byline.; Eldaly Usama author non-byline.; Tawheed Ahmed author non-byline.; Abdelwahab Mohamed author non-byline.; Yassaad Oudrhiri Mohammed author non-byline.; Hajar Bechri author non-byline.; Abdessamad El Ouahabi author non-byline.; Yasser Arkha author non-byline.; Laila Hessissen author non-byline.; Yahya Farah Sameer author non-byline.; Yahya Farah Sameer author non-byline.; Rahul Sandip Kumar author non-byline.; Kumar Vijayendra author non-byline.; Chaubey Digamber author non-byline.; Gallardo Maria Teresa Peña author non-byline.; Vásquez Jacqueline Elizabeth Montoya author non-byline.; 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• Is Part Of: BMJ global health. Volume 7:Issue 10(2022)
• Publication Date: 2022-10-19
• Subjects: Paediatrics -- Cancer -- Health systems -- COVID-19; World health -- Periodicals; 362.105
• DOI: 10.1136/bmjgh-2022-008797
• Languages: English
• ISSNs: 2059-7908

Abstract

Abstract : Introduction: Childhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality. Methods: Prospective cohort study in 109 institutions in 41 countries. Inclusion criteria: children <18 years who were newly diagnosed with or undergoing active treatment for acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, retinoblastoma, Wilms tumour, glioma, osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, medulloblastoma and neuroblastoma. Of 2327 cases, 2118 patients were included in the study. The primary outcome measure was all-cause mortality at 30 days, 90 days and 12 months. Results: All-cause mortality was 3.4% (n=71/2084) at 30-day follow-up, 5.7% (n=113/1969) at 90-day follow-up and 13.0% (n=206/1581) at 12-month follow-up. The median time from diagnosis to multidisciplinary team (MDT) plan was longest in low-income countries (7 days, IQR 3–11). Multivariable analysis revealed several factors associated with 12-month mortality, including low-income (OR 6.99 (95% CI 2.49 to 19.68); p<0.001), lower middle income (OR 3.32 (95% CI 1.96 to 5.61); p<0.001) and upper middle income (OR 3.49 (95% CI 2.02 to 6.03); p<0.001) country status and chemotherapy (OR 0.55 (95% CI 0.36 to 0.86); p=0.008) and immunotherapy (OR 0.27 (95% CI 0.08 to 0.91); p=0.035) within 30 days from MDT plan. Multivariable analysis revealed laboratory-confirmed SARS-CoV-2 infection (OR 5.33 (95% CI 1.19 to 23.84); p=0.029) was associated with 30-day mortality. Conclusions: Children with cancer are more likely to die within 30 days if infected with SARS-CoV-2. However, timely treatment reduced odds of death. This report provides crucial information to balance the benefits of providing anticancer therapy against the risks of SARS-CoV-2 infection in children with cancer.