{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:54:19Z","timestamp":1790776459128,"version":"4.1.0"},"reference-count":82,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1194679"],"award-info":[{"award-number":["APP1194679"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2024,4,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    While previous reviews found a positive association between pre\u2010existing cancer diagnosis and COVID\u201019\u2010related death, most early studies did not distinguish long\u2010term cancer survivors from those recently diagnosed\/treated, nor adjust for important confounders including age. We aimed to consolidate higher\u2010quality evidence on risk of COVID\u201019\u2010related death for people with recent\/active cancer (compared to people without) in the pre\u2010COVID\u201019\u2010vaccination period. We searched the WHO COVID\u201019 Global Research Database (20 December 2021), and Medline and Embase (10 May 2023). We included studies adjusting for age and sex, and providing details of cancer status. Risk\u2010of\u2010bias assessment was based on the Newcastle\u2010Ottawa Scale. Pooled adjusted odds or risk ratios (aORs, aRRs) or hazard ratios (aHRs) and 95% confidence intervals (95% CIs) were calculated using generic inverse\u2010variance random\u2010effects models. Random\u2010effects meta\u2010regressions were used to assess associations between effect estimates and time since cancer diagnosis\/treatment. Of 23\u2009773 unique title\/abstract records, 39 studies were eligible for inclusion (2 low, 17 moderate, 20 high risk of bias). Risk of COVID\u201019\u2010related death was higher for people with active or recently diagnosed\/treated cancer (general population: aOR\u2009=\u20091.48, 95% CI: 1.36\u20101.61,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090; people with COVID\u201019: aOR\u2009=\u20091.58, 95% CI: 1.41\u20101.77,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090.58; inpatients with COVID\u201019: aOR\u2009=\u20091.66, 95% CI: 1.34\u20102.06,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090.98). Risks were more elevated for lung (general population: aOR\u2009=\u20093.4, 95% CI: 2.4\u20104.7) and hematological cancers (general population: aOR\u2009=\u20092.13, 95% CI: 1.68\u20102.68,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090.43), and for metastatic cancers. Meta\u2010regression suggested risk of COVID\u201019\u2010related death decreased with time since diagnosis\/treatment, for example, for any\/solid cancers, fitted aOR\u2009=\u20091.55 (95% CI: 1.37\u20101.75) at 1\u2009year and aOR\u2009=\u20090.98 (95% CI: 0.80\u20101.20) at 5\u2009years post\u2010cancer diagnosis\/treatment. In conclusion, before COVID\u201019\u2010vaccination, risk of COVID\u201019\u2010related death was higher for people with recent cancer, with risk depending on cancer type and time since diagnosis\/treatment.\n                  <\/jats:p>","DOI":"10.1002\/ijc.34798","type":"journal-article","created":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T15:42:55Z","timestamp":1702395775000},"page":"1394-1412","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Risk of\n                    <scp>COVID<\/scp>\n                    \u201019 death for people with a pre\u2010existing cancer diagnosis prior to\n                    <scp>COVID<\/scp>\n                    \u201019\u2010vaccination: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"154","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0585-2312","authenticated-orcid":false,"given":"Julia","family":"Steinberg","sequence":"first","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Hughes","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harriet","family":"Hui","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Allsop","sequence":"additional","affiliation":[{"name":"Leeds Institute of Health Sciences University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Egger","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"David","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney Australia"},{"name":"School of Medicine and Dentistry Griffith University  Gold Coast Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Caruana","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Coxeter","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Carle","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonia","family":"Onyeka","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia\/Pain &amp; Palliative Care Unit College of Medicine, University of Nigeria, Ituku\u2010Ozalla Campus  Enugu Nigeria"},{"name":"IVAN Research Institute  Enugu Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Rewais","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria J.","family":"Monroy Iglesias","sequence":"additional","affiliation":[{"name":"Translational Oncology and Urology Research (TOUR), Centre for Cancer, Society, and Public Health School of Cancer and Pharmaceutical Sciences, King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria","family":"Vives","sequence":"additional","affiliation":[{"name":"Cancer Screening Unit Institut Catal\u00e0 d'Oncologia (ICO), Early Detection of Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Institut d'Investigaci\u00f3 Biom\u00e8dica de Bellvitge (IDIBELL)  Barcelona Spain"},{"name":"Ciber Salud P\u00fablica (CIBERESP), Instituto Salud Carlos III  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feixue","family":"Wei","sequence":"additional","affiliation":[{"name":"Early Detection, Prevention and Infections Branch, International Agency for Research on Cancer  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derrick Bary","family":"Abila","sequence":"additional","affiliation":[{"name":"Makerere University College of Health Sciences  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Carreras","sequence":"additional","affiliation":[{"name":"Oncologic Network, Prevention and Research Institute (ISPRO)  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilina","family":"Santero","sequence":"additional","affiliation":[{"name":"Iberoamerican Cochrane Centre, IIB Sant Pau\u2010Servei d'Epidemiologia Cl\u00ednica i Salut P\u00fablica, Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma L.","family":"O'Dowd","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Nottingham University Hospitals NHS Trust  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gigi","family":"Lui","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musliu Adetola","family":"Tolani","sequence":"additional","affiliation":[{"name":"Department of Surgery Ahmadu Bello University  Zaria Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maeve","family":"Mullooly","sequence":"additional","affiliation":[{"name":"School of Population Health RCSI University of Medicine and Health Sciences  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shing Fung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology National University Cancer Institute, National University Hospital  Singapore"},{"name":"Department of Clinical Oncology Tuen Mun Hospital, New Territories West Cluster, Hospital Authority  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4042-4820","authenticated-orcid":false,"given":"Rebecca","family":"Landy","sequence":"additional","affiliation":[{"name":"Division of Cancer Epidemiology and Genetics National Cancer Institute  Rockville Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon J. B.","family":"Hanley","sequence":"additional","affiliation":[{"name":"Department of Academic Primary Care Institute of Applied Health Sciences, University of Aberdeen  Aberdeen Scotland"},{"name":"Center for Environmental and Health Sciences Hokkaido University  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Binefa","sequence":"additional","affiliation":[{"name":"Cancer Screening Unit, Cancer Prevention and Control Program Catalan Institute of Oncology, Hospitalet de Llobregat  Barcelona Spain"},{"name":"Early Detection of Cancer Research Group EPIBELL Programme, Bellvitge Biomedical Research Institute, Hospitalet de Llobregat  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlene M.","family":"McShane","sequence":"additional","affiliation":[{"name":"Centre for Public Health Queen's University Belfast, Institute of Clinical Sciences Block B, Royal Victoria Hospital  Belfast Northern 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