From: Colorectal cancer in patients with SARS-CoV-2: a systematic review and meta-analysis
Variable | Findingsb | |||
---|---|---|---|---|
 | All (n = 3362) | Survived (n = 2056) | Died (n = 731) | p-valuec |
Age (years) | ||||
 < 60 | 126 (3.7) | 1990 (86.8) | 5 (0.7) | 0.000* |
 ≥ 60 | 1126 (33.5) | 106 (5.1) | 664 (90.8) |  |
Gender | ||||
Female | 236 (7.0) | 151 (7.3) | 17 (2.3) | 0.000* |
Male | 2243 (66.7) | 58 (2.8) | 50 (6.8) | Â |
Ethnicity | ||||
White (Caucasian) | 262 (7.8) | 185 (9) | 20 (2.7) | 0.011* |
Hispanic | 156 (4.6) | 69 (3.3) | 31 (4.2) | Â |
Asian | 153 (4.5) | 117 (5.7) | 37 (5.1) | Â |
Persian | 72 (2.1) | 71 (3.4) | 1 (0.1) | Â |
Indian | 65 (1.9) | 12 (0.6) | 0 | Â |
Blacka | 4 (0.12) | 1 (0.05) | 0 | Â |
Arab | 2 (0.06) | 2 (0.1) | 0 | Â |
Source of SARS-CoV-2 infection | ||||
Community-acquired | 2882 (85.7) | 1932 (94) | 647 (88.5) | 0.014* |
Hospital-acquired | 480 (14.3) | 124 (6) | 84 (11.5) | Â |
Colorectal cancer staging | ||||
Stage I | 524 (15.6) | 134 (6.5) | 4 (0.5) | 0.036* |
Stage II | 507 (15.1) | 51 (2.5) | 2 (0.2) | Â |
Stage III | 725 (21.6) | 66 (3.2) | 17 (2.3) | Â |
Stage IV | 227 (6.7) | 39 (1.9) | 61 (8.3) | Â |
Treatment | ||||
Surgical resections | 304 (9.0) | 53 (2.6) | 21 (2.9) | 0.008* |
Chemotherapies | 187 (5.6) | 111 (5.4) | 39 (5.3) | Â |
Antibiotics | 53 (1.6) | 46 (2.2) | 7 (0.9) | Â |
Antivirals | 49 (1.4) | 54 (2.6) | 5 (0.7) | Â |
Colectomies | 46 (1.4) | 12 (0.6) | 2 (0.3) | Â |
Monoclonal antibodies | 43 (1.3) | 26 (1.3) | 1 (0.1) | Â |
Steroids | 29 (0.9) | 21 (1) | 4 (0.5) | Â |
Surgeries (nonspecific) | 24 (0.7) | 19 (0.9) | 3 (0.4) | Â |
Conservative (no treatment) | 22 (0.6) | 19 (0.9) | 3 (0.4) | Â |
Targeted therapies | 20 (0.6) | 3 (0.1) | 2 (0.3) | Â |
Immunotherapies | 17 (0.5) | 8 (0.4) | 3 (0.4) | Â |
Radiotherapy | 12 (0.3) | 10 (0.5) | 2 (0.3) | Â |
Stoma creation | 10 (0.3) | 2 (0.1) | 1 (0.1) | Â |
Immunoglobulin G | 10 (0.3) | 8 (0.4) | 2 (0.3) | Â |
Hartmann’s procedure | 9 (0.3) | 2 (0.1) | 1 (0.1) |  |
Sigmoidectomies | 8 (0.2) | 7 (0.3) | 1 (0.1) | Â |
Hydroxychloroquine | 6 (0.2) | 5 (0.2) | 1 (0.1) | Â |
Palliative treatment | 5 (0.2) | 4 (0.2) | 1 (0.1) | Â |
Red blood cell transfusion | 3 (0.1) | 2 (0.1) | 1 (0.1) | Â |
Ileostomy | 3 (0.1) | 3 (0.1) | 0 | Â |
Colostomy | 3 (0.1) | 3 (0.1) | 0 | Â |
Hormones | 3 (0.1) | – | – |  |
Stoma closure | 2 (0.06) | 2 (0.1) | 0 | Â |
Stents | 2 (0.06) | – | – |  |
Anastomosis | 2 (0.06) | 2 (0.1) | 0 | Â |
Antifungals | 1 (0.02) | 1 (0.05) | 0 | Â |
Tranexamic acid | 1 (0.02) | 1 (0.05) | 0 | Â |
Interferon beta-1b | 1 (0.02) | 1 (0.05) | 0 | Â |
Colonic decompression | 1 (0.02) | 1 (0.05) | 0 | Â |
Symptoms from the tumor | ||||
Change in bowel habits | 26 (0.8) | 10 (0.5) | 7 (0.9) | 0.048* |
Diarrhoea | 25 (0.7) | 18 (0.9) | 5 (0.7) | Â |
Abdominal pain | 23 (0.7) | 5 (0.2) | 2 (0.3) | Â |
Nausea and vomiting | 21 (0.6) | 6 (0.3) | 4 (0.5) | Â |
Anaemia (unexplained iron deficiency) | 8 (0.2) | 7 (0.3) | 1 (0.1) | Â |
Haematochezia (blood per anus) | 6 (0.2) | 5 (0.2) | 1 (0.1) | Â |
Weight loss | 5 (0.05) | 4 (0.2) | 1 (0.1) | Â |
Blood per rectum | 4 (0.1) | 2 (0.1) | 2 (0.2) | Â |
Melena (black tarry stools) | 3 (0.1) | 2 (0.1) | 1 (0.1) | Â |
Constipation | 1 (0.03) | 1 (0.05) | 0 | Â |
Comorbidities | ||||
Hypertension | 68 (2) | 51 (2.5) | 14 (1.9) | 0.027* |
Diabetes mellitus | 49 (1.4) | 25 (1.2) | 19 (2.6) | Â |
COPD | 11 (0.3) | 5 (0.2) | 3 (0.4) | Â |
Coronary heart disease | 11 (0.3) | 6 (0.3) | 2 (0.3) | Â |
Cerebrovascular disease | 5 (0.1) | 2 (0.1) | 3 (0.4) | Â |
Chronic kidney disease | 4 (0.1) | 2 (0.1) | 2 (0.3) | Â |
Chronic renal failure | 3 (0.09) | – | 2 (0.3) |  |
Cardiovascular disease | 3 (0.09) | 2 (0.1) | 1 (0.1) | Â |
Morbid obesity | 3 (0.09) | 2 (0.1) | 1 (0.1) | Â |
Heart failure | 2 (0.06) | 1 (0.05) | 1 (0.1) | Â |
Acute ischemic stroke | 2 (0.06) | 0 | 2 (0.3) | Â |
Dyslipidemia | 2 (0.06) | 1 (0.05) | 1 (0.1) | Â |
Hepatitis B virus | 2 (0.06) | 1 (0.05) | 1 (0.1) | Â |
Hepatitis C virus | 2 (0.06) | 1 (0.05) | 1 (0.1) | Â |
Lynch Syndrome | 2 (0.06) | 2 (0.1) | 0 | Â |
Congestive heart failure | 2 (0.06) | 0 | 2 (0.3) | Â |
Asthma | 1 (0.03) | 1 (0.05) | 0 | Â |
Cardiac arrest | 1 (0.03) | 1 (0.05) | 0 | Â |
Chronic anaemia | 1 (0.03) | 1 (0.05) | 0 | Â |
Diabetic ketoacidosis | 1 (0.03) | 1 (0.05) | 0 | Â |
Tuberculosis | 1 (0.03) | 0 | 1 (0.1) | Â |
Complications and treatment outcomes | ||||
Patient was admitted to ICU | 153 (4.5) | 7 (0.3) | 96 (13.1) | 0.000* |
Patient was intubated and on mechanical ventilation during the ICU stay | 51 (1.5) | 3 (0.1) | 47 (6.4) | 0.000* |
Patient experienced acute respiratory distress syndrome | 36 (1.1) | 1 (0.05) | 29 (4) | 0.000* |