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SARS-CoV-2 seropositivity and seroconversion in patients undergoing active cancer-directed therapy
Lova Sun; Sanjna Surya; Noah G.; Anh N. Le; Gregory Kelly; Olutosin Owoyemi; Heena Desai; Cathy Zheng; Shannon DeLuca; Madeline L. Good; Jasmin Hussain; Seth D. Jeffries; Yolanda R. Kry; Emily M. Kugler; Maikel Mansour; John Ndicu; AnnaClaire Osei-Akoto; Timothy Prior; Stacy L. Pundock; Lisa A. Varughese; JoEllen Weaver; Abigail Doucette; Scott Dudek; Shefali Setia Verma; Sigrid Gouma; Madison E. Weirick; Christopher M. McAllister; Erin Bange; Peter Gabriel; Marylyn Ritchie; Daniel J. Rader; Robert H. Vonderheide; Lynn M Schuchter; Anurag Verma; Ivan Maillard; Ronac Mamtani; Scott E. Hensley; Robert Gross; E. Paul Wileyto; Alexander C. Huang; Kara N. Maxwell; Angela DeMichele.
Afiliación
  • Lova Sun; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Sanjna Surya; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Noah G.; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Anh N. Le; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Gregory Kelly; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Olutosin Owoyemi; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Heena Desai; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Cathy Zheng; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Shannon DeLuca; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Madeline L. Good; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Jasmin Hussain; Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Seth D. Jeffries; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Yolanda R. Kry; Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Emily M. Kugler; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Maikel Mansour; Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • John Ndicu; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • AnnaClaire Osei-Akoto; Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Timothy Prior; Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Stacy L. Pundock; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Lisa A. Varughese; Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • JoEllen Weaver; Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Abigail Doucette; Department of Radiation Oncology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Scott Dudek; Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Shefali Setia Verma; Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Sigrid Gouma; Department of Microbiology, University of Pennsylvania, Philadelphia, PA, 19104
  • Madison E. Weirick; Department of Microbiology, University of Pennsylvania, Philadelphia, PA, 19104
  • Christopher M. McAllister; Department of Microbiology, University of Pennsylvania, Philadelphia, PA, 19104
  • Erin Bange; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Peter Gabriel; Department of Radiation Oncology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Marylyn Ritchie; Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Daniel J. Rader; Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Robert H. Vonderheide; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Lynn M Schuchter; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Anurag Verma; Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Ivan Maillard; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Ronac Mamtani; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Scott E. Hensley; Department of Microbiology, University of Pennsylvania, Philadelphia, PA, 19104
  • Robert Gross; Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • E. Paul Wileyto; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Alexander C. Huang; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Kara N. Maxwell; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
  • Angela DeMichele; Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104
Preprint en En | PREPRINT-MEDRXIV | ID: ppmedrxiv-21249810
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ABSTRACT
Multiple studies have demonstrated the negative impact of cancer care delays during the COVID-19 pandemic, and transmission mitigation techniques are imperative for continued cancer care delivery. To gauge the effectiveness of these measures at the University of Pennsylvania, we conducted a longitudinal study of SARS-CoV-2 antibody seropositivity and seroconversion in patients presenting to infusion centers for cancer-directed therapy between 5/21/2020 and 10/8/2020. Participants completed questionnaires and had up to five serial blood collections. Of 124 enrolled patients, only two (1.6%) had detectable SARS-CoV-2 antibodies on initial blood draw, and no initially seronegative patients developed newly detectable antibodies on subsequent blood draw(s), corresponding to a seroconversion rate of 0% (95%CI 0.0-4.1%) over 14.8 person-years of follow up, with a median of 13 healthcare visits per patient. These results suggest that cancer patients receiving in-person care at a facility with aggressive mitigation efforts have an extremely low likelihood of COVID-19 infection.
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Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-MEDRXIV Tipo de estudio: Cohort_studies / Observational_studies / Prognostic_studies Idioma: En Año: 2021 Tipo del documento: Preprint
Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-MEDRXIV Tipo de estudio: Cohort_studies / Observational_studies / Prognostic_studies Idioma: En Año: 2021 Tipo del documento: Preprint