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The evolving landscape of COVID-19 and post-COVID condition in patients with chronic lymphocytic leukemia: A study by ERIC, the European research initiative on CLL
Univ Padua, Dept Med, Hematol & Clin Immunol Unit, Padua, Italy..ORCID iD: 0000-0003-0271-7200
Ctr Res & Technol Hellas, Inst Appl Biosci, Thessaloniki, Greece..ORCID iD: 0000-0003-4105-1253
Univ Vita Salute San Raffaele, Milan, Italy..
Ctr Res & Technol Hellas, Inst Appl Biosci, Thessaloniki, Greece..ORCID iD: 0000-0002-5770-8654
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2023 (English)In: American Journal of Hematology, ISSN 0361-8609, E-ISSN 1096-8652, Vol. 98, no 12, p. 1856-1868Article in journal (Refereed) Published
Abstract [en]

In this retrospective international multicenter study, we describe the clinical characteristics and outcomes of patients with chronic lymphocytic leukemia (CLL) and related disorders (small lymphocytic lymphoma and high-count monoclonal B lymphocytosis) infected by SARS-CoV-2, including the development of post-COVID condition. Data from 1540 patients with CLL infected by SARS-CoV-2 from January 2020 to May 2022 were included in the analysis and assigned to four phases based on cases disposition and SARS-CoV-2 variants emergence. Post-COVID condition was defined according to the WHO criteria. Patients infected during the most recent phases of the pandemic, though carrying a higher comorbidity burden, were less often hospitalized, rarely needed intensive care unit admission, or died compared to patients infected during the initial phases. The 4-month overall survival (OS) improved through the phases, from 68% to 83%, p = .0015. Age, comorbidity, CLL-directed treatment, but not vaccination status, emerged as risk factors for mortality. Among survivors, 6.65% patients had a reinfection, usually milder than the initial one, and 16.5% developed post-COVID condition. The latter was characterized by fatigue, dyspnea, lasting cough, and impaired concentration. Infection severity was the only risk factor for developing post-COVID. The median time to resolution of the post-COVID condition was 4.7 months. OS in patients with CLL improved during the different phases of the pandemic, likely due to the improvement of prophylactic and therapeutic measures against SARS-CoV-2 as well as the emergence of milder variants. However, mortality remained relevant and a significant number of patients developed post-COVID conditions, warranting further investigations.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023. Vol. 98, no 12, p. 1856-1868
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Hematology Infectious Medicine
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URN: urn:nbn:se:uu:diva-554559DOI: 10.1002/ajh.27093ISI: 001077647300001PubMedID: 37772428Scopus ID: 2-s2.0-85172666179OAI: oai:DiVA.org:uu-554559DiVA, id: diva2:1952009
Available from: 2025-04-14 Created: 2025-04-14 Last updated: 2025-04-14Bibliographically approved

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