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全球报告的COVID-19对淋巴瘤患者的影响以及针对当前大流行的新出现的临床管理方法。

Global reported impacts of COVID-19 on lymphoma patients and the emerging clinical management approaches in response to the ongoing pandemic.

作者信息

Elliott Esther K, Hensen Robert, Haupt Larisa M, Griffiths Lyn R

机构信息

Genomics Research Centre, Centre for Genomics and Personalised Health, School of Biomedical Sciences, Queensland University of Technology (QUT), Kelvin Grove, Queensland, Australia.

Icon Cancer Centre, Brisbane, Queensland, Australia.

出版信息

Eur J Haematol. 2023 May;110(5):457-469. doi: 10.1111/ejh.13926. Epub 2023 Jan 30.

DOI:10.1111/ejh.13926
PMID:36656099
Abstract

The Coronavirus disease 2019 (COVID-19) pandemic has dramatically impacted the health risk and management of patients with lymphoma. Clinical evaluations on the impact of COVID-19 on lymphoma patients are currently limited however, reports have shown a correlation with specific variants and more severe COVID-19 complications and higher mortality rates relative to other disease states and age-matched populations. During peak pandemic periods this created a concerning management problem for clinicians and raised the question of how different immunocompromised states increase COVID-19-associated risk and provided insights into how immunity interacts with the circulating variant, including the effects of low virulent variants in vaccinated lymphoma populations. Treatment management approaches, polymerase chain reaction tests and rapid antigen screening guidelines have been offered in an attempt to reduce the risk of harm to lymphoma patients, particularly prior to and following bone marrow or stem cell transplant. Here we systematically review the current literature to provide a novel global perspective on incidence, mortality, management and rapid antigen test (RAT) screening for COVID-19, in patients with various subtypes of lymphoma. Furthermore, lessons learned from emerging variants that continue to inform evolving lymphoma management and public health policies are addressed across these associated matters.

摘要

2019年冠状病毒病(COVID-19)大流行对淋巴瘤患者的健康风险和管理产生了巨大影响。目前关于COVID-19对淋巴瘤患者影响的临床评估有限,然而,报告显示其与特定变体相关,且相对于其他疾病状态和年龄匹配人群,COVID-19并发症更严重,死亡率更高。在大流行高峰期,这给临床医生带来了一个令人担忧的管理问题,并引发了不同免疫功能低下状态如何增加COVID-19相关风险的问题,还提供了关于免疫力如何与循环变体相互作用的见解,包括低毒力变体在接种疫苗的淋巴瘤人群中的影响。为降低对淋巴瘤患者造成伤害的风险,特别是在骨髓或干细胞移植之前和之后,已经提供了治疗管理方法、聚合酶链反应检测和快速抗原筛查指南。在此,我们系统地回顾当前文献,以提供关于各类淋巴瘤亚型患者中COVID-19的发病率、死亡率、管理和快速抗原检测(RAT)筛查的全新全球视角。此外,还将探讨从不断出现的变体中吸取的经验教训,这些经验教训继续为不断演变的淋巴瘤管理和公共卫生政策提供信息,涉及这些相关问题。

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