tetano
Editor, Senior Moderator
Nat Commun
. 2024 Jun 19;15(1):5088.
doi: 10.1038/s41467-024-49285-y. Effectiveness of COVID-19 vaccines against severe COVID-19 among patients with cancer in Catalonia, Spain
Felippe Lazar Neto[SUP] 1 2 [/SUP], Núria Mercadé-Besora[SUP] 3 [/SUP], Berta Raventós[SUP] 3 4 [/SUP], Laura Pérez-Crespo[SUP] 3 [/SUP], Gilberto Castro Junior[SUP] 2 [/SUP], Otavio T Ranzani[SUP] 5 6 [/SUP], Talita Duarte-Salles[SUP] 7 8 [/SUP]
Affiliations
Patients with cancer were excluded from pivotal randomized clinical trials of COVID-19 vaccine products, and available observational evidence on vaccine effectiveness (VE) focused mostly on mild, and not severe COVID-19, which is the ultimate goal of vaccination for high-risk groups. Here, using primary care electronic health records from Catalonia, Spain (SIDIAP), we built two large cohorts of vaccinated and matched control cancer patients with a primary vaccination scheme (n = 184,744) and a booster (n = 108,534). Most patients received a mRNA-based product in primary (76.2%) and booster vaccination (99.9%). Patients had 51.8% (95% CI 40.3%-61.1%) and 58.4% (95% CI 29.3%-75.5%) protection against COVID-19 hospitalization and COVID-19 death respectively after full vaccination (two-doses) and 77.9% (95% CI 69.2%-84.2%) and 80.2% (95% CI 63.0%-89.4%) after booster. Compared to primary vaccination, the booster dose provided higher peak protection during follow-up. Calibration of VE estimates with negative outcomes, and sensitivity analyses with slight different population and COVID-19 outcomes definitions provided similar results. Our results confirm the role of primary and booster COVID-19 vaccination in preventing COVID-19 severe events in patients with cancer and highlight the need for the additional dose in this population.
. 2024 Jun 19;15(1):5088.
doi: 10.1038/s41467-024-49285-y. Effectiveness of COVID-19 vaccines against severe COVID-19 among patients with cancer in Catalonia, Spain
Felippe Lazar Neto[SUP] 1 2 [/SUP], Núria Mercadé-Besora[SUP] 3 [/SUP], Berta Raventós[SUP] 3 4 [/SUP], Laura Pérez-Crespo[SUP] 3 [/SUP], Gilberto Castro Junior[SUP] 2 [/SUP], Otavio T Ranzani[SUP] 5 6 [/SUP], Talita Duarte-Salles[SUP] 7 8 [/SUP]
Affiliations
- PMID: 38898035
- PMCID: PMC11187152
- DOI: 10.1038/s41467-024-49285-y
Patients with cancer were excluded from pivotal randomized clinical trials of COVID-19 vaccine products, and available observational evidence on vaccine effectiveness (VE) focused mostly on mild, and not severe COVID-19, which is the ultimate goal of vaccination for high-risk groups. Here, using primary care electronic health records from Catalonia, Spain (SIDIAP), we built two large cohorts of vaccinated and matched control cancer patients with a primary vaccination scheme (n = 184,744) and a booster (n = 108,534). Most patients received a mRNA-based product in primary (76.2%) and booster vaccination (99.9%). Patients had 51.8% (95% CI 40.3%-61.1%) and 58.4% (95% CI 29.3%-75.5%) protection against COVID-19 hospitalization and COVID-19 death respectively after full vaccination (two-doses) and 77.9% (95% CI 69.2%-84.2%) and 80.2% (95% CI 63.0%-89.4%) after booster. Compared to primary vaccination, the booster dose provided higher peak protection during follow-up. Calibration of VE estimates with negative outcomes, and sensitivity analyses with slight different population and COVID-19 outcomes definitions provided similar results. Our results confirm the role of primary and booster COVID-19 vaccination in preventing COVID-19 severe events in patients with cancer and highlight the need for the additional dose in this population.