{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:13:31Z","timestamp":1777522411335,"version":"3.51.4"},"reference-count":64,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T00:00:00Z","timestamp":1609372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81471781"],"award-info":[{"award-number":["81471781"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The relationship between cancer and COVID\u201019\u00a0has been revealed during the pandemic. Some anticancer treatments have been reported to have negative influences on COVID\u201019\u2010infected patients while other studies did not support this hypothesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A literature search was conducted in WOS, PubMed, Embase, Cochrane Library, CNKI and VIP between Dec 1, 2019 and Sept 23, 2020 for studies on anticancer treatments in patients with COVID\u201019. Cohort studies involving over 20 patients with cancer were included. The characteristics of the patients and studies, treatment types, mortality, and other additional outcomes were extracted and pooled for synthesis. RRs and forest plots were adopted to present the results. The literature quality and publication bias were assessed using NOS and Egger's test, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We analyzed the data from 29 studies, with 5121 cancer patients with COVID\u201019 meeting the inclusion criteria. There were no significant differences in mortality between patients receiving anticancer treatment and those not (RR 1.17, 95%CI: 0.96\u20131.43, <jats:italic>I<jats:sup>2<\/jats:sup><\/jats:italic>=66%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.12). Importantly, in patients with hematological malignancies, chemotherapy could markedly increase the mortality (RR 2.68, 95% CI: 1.90\u20133.78, <jats:italic>I<jats:sup>2<\/jats:sup><\/jats:italic>=0%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.00001). In patients with solid tumors, no significant differences in mortality were observed (RR 1.16, 95% CI: 0.57\u20132.36, <jats:italic>I<jats:sup>2<\/jats:sup><\/jats:italic>=72%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.67). In addition, our analysis revealed that anticancer therapies had no effects on the ICU admission rate (RR 0.87, 95% CI: 0.70\u20131.09, <jats:italic>I<jats:sup>2<\/jats:sup><\/jats:italic>=25%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.23), the severe rate (RR 1.04, 95% CI: 0.95\u20131.13, <jats:italic>I<jats:sup>2<\/jats:sup><\/jats:italic>=31%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.42), or respiratory support rate (RR 0.92, 95% CI: 0.70\u20131.21, <jats:italic>I<jats:sup>2<\/jats:sup><\/jats:italic>=32%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.55) in COVID\u201019\u2010infected patients with cancer. Notably, patients receiving surgery had a higher rate of respiratory support than those without any antitumor treatment (RR 1.87, 95%CI: 1.02\u20133.46, <jats:italic>I<jats:sup>2<\/jats:sup><\/jats:italic>=0%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No significant difference was seen in any anticancer treatments in the solid tumor subgroup. Chemotherapy, however, will lead to higher mortality in patients with hematological malignancies. Multicenter, prospective studies are needed to re\u2010evaluate the results.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.3692","type":"journal-article","created":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T08:37:42Z","timestamp":1609403862000},"page":"1043-1056","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["The effect of anticancer treatment on cancer patients with COVID\u201019: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"10","author":[{"given":"Hanqing","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Thyroid and Breast Surgery Renmin Hospital of Wuhan University Wuhan Hubei PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Renmin Hospital of Wuhan University Wuhan Hubei PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinyue","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Thyroid and Breast Surgery Renmin Hospital of Wuhan University Wuhan Hubei PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhihong","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Thyroid and Breast Surgery Renmin Hospital of Wuhan University Wuhan Hubei PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutong","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine Peking Union Medical College Hospital Chinese Academy of Medical Sciences Dongcheng District Beijing PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Thyroid and Breast Surgery Renmin Hospital of Wuhan University Wuhan Hubei PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2893-6735","authenticated-orcid":false,"given":"Shengrong","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Thyroid and Breast Surgery Renmin Hospital of Wuhan University Wuhan Hubei PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41564-020-0695-z"},{"key":"e_1_2_9_3_1","unstructured":"World Health Organization.Coronavirus disease (COVID\u201019) pandemic.https:\/\/www.who.int\/emergencies\/diseases\/novel\u2010coronavirus\u20102019. 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