The effect of oral antiviral therapy for COVID-19 in managing non-hospitalized patients with lung cancer

Backgrounds: The effectiveness of oral antiviral therapy including nirmatrelvir plus ritonavir and molnupiravir in managing COVID-19 among individuals with pre-existing lung cancer was unclear. Therefore, this study was conducted to evaluate the usefulness of antiviral agents in the management of CO...

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Main Authors: Wan-Hsuan Hsu (Author), Bo-Wen Shiau (Author), Ya-Wen Tsai (Author), Jheng-Yan Wu (Author), Po-Yu Huang (Author), Min-Hsiang Chuang (Author), Ting-Hui Liu (Author), Chih-Cheng Lai (Author), Tzu-Chieh Weng (Author)
Format: Book
Published: Elsevier, 2024-08-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Wan-Hsuan Hsu  |e author 
700 1 0 |a Bo-Wen Shiau  |e author 
700 1 0 |a Ya-Wen Tsai  |e author 
700 1 0 |a Jheng-Yan Wu  |e author 
700 1 0 |a Po-Yu Huang  |e author 
700 1 0 |a Min-Hsiang Chuang  |e author 
700 1 0 |a Ting-Hui Liu  |e author 
700 1 0 |a Chih-Cheng Lai  |e author 
700 1 0 |a Tzu-Chieh Weng  |e author 
245 0 0 |a The effect of oral antiviral therapy for COVID-19 in managing non-hospitalized patients with lung cancer 
260 |b Elsevier,   |c 2024-08-01T00:00:00Z. 
500 |a 1876-0341 
500 |a 10.1016/j.jiph.2024.05.053 
520 |a Backgrounds: The effectiveness of oral antiviral therapy including nirmatrelvir plus ritonavir and molnupiravir in managing COVID-19 among individuals with pre-existing lung cancer was unclear. Therefore, this study was conducted to evaluate the usefulness of antiviral agents in the management of COVID-19 among patients with lung cancer. Methods: Utilizing data from the TriNetX - a global health research network, a retrospective cohort study was conducted involving 2484 patients diagnosed with both lung cancer and COVID-19. Propensity score matching (PSM) was employed to create well-balanced cohorts. The study assessed the primary outcome of all-cause hospitalization or mortality within a 30-day follow-up. Results: After PSM, the oral antiviral group exhibited a significantly lower risk of the primary composite outcome compared to the control group (6.1 % vs. 9.9 %; HR: 0.60; 95 % CI: 0.45-0.80). This association was consistent across various subgroups according to age, sex, vaccine status, type of oral antiviral agent, and lung cancer characteristics. Additionally, the oral antiviral group showed a lower risk of all-cause hospitalization (HR: 0.73; 95 % CI: 0.54-0.99) and a significantly lower risk of mortality (HR: 0.16; 95 % CI: 0.06-0.41). Conclusion: The study suggests a favorable impact of oral antiviral therapy on the outcomes of COVID-19 in individuals with lung cancer and support the potential utility of oral antiviral agents in improving outcomes in this vulnerable population. 
546 |a EN 
690 |a COVID-19 
690 |a Molnupiravir 
690 |a Nirmatrelvir plus ritonavir 
690 |a SARS-CoV-2 
690 |a Infectious and parasitic diseases 
690 |a RC109-216 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Journal of Infection and Public Health, Vol 17, Iss 8, Pp 102465- (2024) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1876034124001989 
787 0 |n https://doaj.org/toc/1876-0341 
856 4 1 |u https://doaj.org/article/a5bb6ec155a64b53b0d60d1f36d4ac49  |z Connect to this object online.