医学
肺癌
荟萃分析
内科学
优势比
置信区间
癌症
死亡率
疾病
肺
胃肠病学
大流行
2019年冠状病毒病(COVID-19)
传染病(医学专业)
作者
Linlin Wang,Ye Wang,Xianbin Cheng,Xingzhao Li,Jun Li
标识
DOI:10.1016/j.tranon.2022.101605
摘要
The coronavirus disease 2019 (COVID-19) pandemic poses a great challenge to the treatment of lung cancer patients.The PubMed, Embase, and Web of Science databases were searched for studies published before March 15, 2022, and Stata 14.0 software was used to perform a meta-analysis with a random-effects model. The odds ratio (OR) along with the corresponding 95% confidence interval (CI) was reported.Our meta-analysis included 80 articles with 318,352 patients involved. The proportion of lung cancer patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was 2.4% (95% CI: 0.02-0.03) prior to the Omicron variant outbreak. Among COVID-19 patients, those with lung cancer showed a higher mortality rate than those with other types of malignant solid tumors (OR = 1.82, 95% CI: 1.61-2.06) and non-cancer patients (OR = 4.67, 95% CI: 3.61-6.05); however, no significant difference was observed in the mortality rate between patients with lung cancer and those with hematologic malignancies (OR = 1.07, 95% CI: 0.85-1.33). SARS-CoV-2 infection significantly increased the mortality rate in lung cancer patients (OR = 8.94, 95% CI: 6.50-12.31). By contrast, the all-cause mortality rate in lung cancer patients (OR = 1.04, 95% CI: 0.69-1.57) and the proportion of patients diagnosed with advanced lung cancer (OR = 1.04, 95% CI: 0.85-1.27) did not significantly change before and after the pandemic.More attention should be paid on improving the health of lung cancer patients during the COVID-19 pandemic.
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