Division of Hematology-Oncology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Korean J Intern Med. 2021 Nov;36(6):1459-1470. doi: 10.3904/kjim.2021.186. Epub 2021 Oct 21.
BACKGROUND/AIMS: Relatively little data are available on how the response to the coronavirus disease 2019 (COVID-19) pandemic has affected treatment outcomes in patients receiving chemotherapy for lymphoma or multiple myeloma. We aimed to determine the effect of COVID-19 countermeasures on treatment outcomes in this patient population.
We retrospectively analyzed data on patients treated for lymphoma or multiple myeloma in two tertiary hospitals in Seoul. Patients were divided into two groups: group 1 included patients who received chemotherapy between September and December 2019 (the control period), and group 2 included patients who received chemotherapy between September and December 2020 (the study period). Countermeasures to COVID-19 were applied to the patients in group 2. The countermeasures implemented included mask wearing and regular handwashing at home and in hospital; COVID-19 risk assessments on all hospital visitors; and pre-emptive COVID-19 screening for all newly hospitalized patients and their resident guardians.
No differences in treatment outcomes, including treatment response, incidence and duration of neutropenia or neutropenic fever, delays in chemotherapy, or number of deaths during chemotherapy, were observed between the g roups. None of the patients in group 2 tested positive for COVID-19, and there were no COVID-19-related deaths during the study period.
Countermeasures to COVID-19 did not affect treatment outcomes in patients receiving chemotherapy for lymphoma or multiple myeloma. Data on the effect of countermeasures to COVID-19 on treatment outcomes should continue to be analyzed to ensure that treatment outcomes are not adversely affected.
背景/目的:关于 2019 年冠状病毒病(COVID-19)大流行对接受淋巴瘤或多发性骨髓瘤化疗患者的治疗结果的影响,相关数据相对较少。我们旨在确定针对 COVID-19 的对策对该患者人群治疗结果的影响。
我们回顾性分析了首尔两家三级医院治疗的淋巴瘤或多发性骨髓瘤患者的数据。患者分为两组:第 1 组包括 2019 年 9 月至 12 月接受化疗的患者(对照组),第 2 组包括 2020 年 9 月至 12 月接受化疗的患者(研究组)。第 2 组的患者采取了针对 COVID-19 的对策。实施的对策包括在家中和医院内佩戴口罩和定期洗手;对所有医院访客进行 COVID-19 风险评估;对所有新住院患者及其居民监护人进行预防性 COVID-19 筛查。
两组患者的治疗结果(包括治疗反应、中性粒细胞减少症或中性粒细胞减少性发热的发生率和持续时间、化疗延迟或化疗期间的死亡人数)无差异。第 2 组患者均未检测出 COVID-19 阳性,且研究期间无 COVID-19 相关死亡。
针对 COVID-19 的对策并未影响接受淋巴瘤或多发性骨髓瘤化疗的患者的治疗结果。应继续分析针对 COVID-19 的对策对治疗结果的影响,以确保治疗结果不受不利影响。