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新冠病毒疫苗接种对肿瘤患者有益吗?来自中国的一项横断面研究。

Is COVID-19 Vaccination Beneficial for Tumor Patients: A Cross-Sectional Investigation in China.

机构信息

School of Public Health, Shantou University, Shantou, China.

Department of Gynecologic Oncology, Cancer Hospital of Shantou University Medical College, Shantou, China.

出版信息

Immun Inflamm Dis. 2024 Nov;12(11):e70069. doi: 10.1002/iid3.70069.

Abstract

INTRODUCTION

Tumor patients take a high risk of SARS-CoV-2 infection, high incidence of serious events, poor prognosis and high mortality in the coronavirus disease 2019 (COVID-19) epidemic, but there is still lack of supporting evidence that the COVID-19 vaccination is beneficial for tumor patients to encourage them to receive the vaccination.

METHODS

A cross-sectional study was conducted in Shantou, China and questionnaires were collected in the hospitals from February 13, 2023 to April 23, 2023. Using the receiving of COVID-19 vaccination as the primary outcome, descriptive, univariate and multivariate analyses were generated.

RESULTS

161 out of 241 patients (66.80%) had received at least one dose of COVID-19 vaccine and 61.00% patients had been infected with SARS-CoV-2. Patients with general symptoms (p = 0.013) and others (p = 0.022) had a higher proportion of nonvaccinated patients than vaccinated ones. In the multivariate analysis, age (aOR = 0.971, 95% CI = 0.946-0.997, p = 0.031), the cognition of vaccines' impact on tumor treatment (aOR = 4.475, 95% CI = 1.772-11.299, p = 0.002), time since tumor diagnosis (aOR = 4.586, 95% CI = 2.122-9.909, p < 0.001) were identified as factors of COVID-19 vaccination uptake.

CONCLUSION

COVID-19 vaccination in China offers numerous advantages for tumor patients, helping to alleviate symptoms following infection and potentially decreasing the chances of tumor metastasis and recurrence.

摘要

引言

在 2019 年冠状病毒病(COVID-19)流行期间,肿瘤患者感染 SARS-CoV-2 的风险高、严重事件发生率高、预后差、死亡率高,但仍缺乏支持肿瘤患者接种 COVID-19 疫苗有益的证据,以鼓励他们接种疫苗。

方法

在中国汕头进行了一项横断面研究,于 2023 年 2 月 13 日至 4 月 23 日在医院收集问卷。以接种 COVID-19 疫苗为主要结局,进行描述性、单变量和多变量分析。

结果

241 例患者中有 161 例(66.80%)至少接种了一剂 COVID-19 疫苗,61.00%的患者感染了 SARS-CoV-2。有全身症状(p=0.013)和其他症状(p=0.022)的患者未接种疫苗的比例高于接种疫苗的患者。在多变量分析中,年龄(aOR=0.971,95%CI=0.946-0.997,p=0.031)、疫苗对肿瘤治疗影响的认知(aOR=4.475,95%CI=1.772-11.299,p=0.002)、肿瘤诊断后时间(aOR=4.586,95%CI=2.122-9.909,p<0.001)是 COVID-19 疫苗接种的因素。

结论

中国的 COVID-19 疫苗接种为肿瘤患者带来了诸多益处,有助于减轻感染后的症状,并可能降低肿瘤转移和复发的机会。

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