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套细胞淋巴瘤患者的COVID-19结局——来自欧洲MCL登记处的报告

Outcome of COVID-19 in Patients With Mantle Cell Lymphoma-Report From the European MCL Registry.

作者信息

Tilch Marie-Kristin, Visco Carlo, Kinda Sandra, Hermine Olivier, Kohn Milena, Besson Caroline, Lamure Sylvain, Duléry Rémy, Ragaini Simone, Eyre Toby A, Van Meerten Tom, Ohler Anke, Eckerle Steffen, Dreyling Martin, Hess Georg, Giné Eva, Gomes da Silva Maria

机构信息

Department of Hematology, Oncology and Pneumology & University Cancer Center, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.

Department of Medicine, Section of Hematology, University of Verona, Verona, Italy.

出版信息

Hemasphere. 2022 Apr 8;6(5):e0711. doi: 10.1097/HS9.0000000000000711. eCollection 2022 May.

Abstract

Data on outcome of patients with mantle cell lymphoma (MCL) and COVID-19 infection are limited. The European MCL (EMCL) registry is a centralized registry of the EMCL network, collecting real-world information about treatments and disease courses. During the COVID-19 pandemic, additional data on MCL patients with COVID-19 infection were collected, aiming to identify risk factors for mortality from COVID-19. In our retrospective, multicenter, international study, we collected data from 63 MCL patients with a median age of 64 years (range, 44-84) in 9 countries with evidence of a COVID-19 infection between February 2020 and October 2021. The overall mortality rate was high (44.4%), especially in hospitalized patients (61%) and in patients with need for intensive care unit care (94%). Patients receiving rituximab had significantly poorer survival than patients not receiving rituximab ( = 0.04). Our data highlight the importance of prevention strategies and underline the need for effective vaccination in this vulnerable cohort.

摘要

关于套细胞淋巴瘤(MCL)患者与新型冠状病毒肺炎(COVID-19)感染的预后数据有限。欧洲MCL(EMCL)登记处是EMCL网络的一个集中登记处,收集有关治疗和疾病病程的真实世界信息。在COVID-19大流行期间,收集了更多关于感染COVID-19的MCL患者的数据,旨在确定COVID-19导致死亡的危险因素。在我们的回顾性、多中心、国际研究中,我们收集了来自9个国家63例MCL患者的数据,这些患者年龄中位数为64岁(范围44 - 84岁),有2020年2月至2021年10月期间感染COVID-19的证据。总体死亡率很高(44.4%),尤其是住院患者(61%)和需要重症监护病房护理的患者(94%)。接受利妥昔单抗治疗的患者生存率明显低于未接受利妥昔单抗治疗的患者(P = 0.04)。我们的数据强调了预防策略的重要性,并突出了在这个脆弱群体中进行有效疫苗接种的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bec/9000040/64a31b6fd66b/hs9-6-e0711-g001.jpg

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