SARS-CoV-2 Testing for Asymptomatic Patients with Cancer Prior and during Treatment: A Single Centre Experience

Patients with cancer are more vulnerable to severe COVID-19. As a result, routine SARS-CoV-2 testing of asymptomatic patients with cancer is recommended prior to treatment. However, there is limited evidence of its clinical usefulness. The objective of this study is to evaluate the value of routine...

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Main Authors: Nicholas Meti, Houman Tahmasebi, Angela Leahey, Angela Boudreau, Alia Thawer, Janice Stewart, Paige Reason, Kirsty Albright, Jerome A. Leis, Kevin Katz, Matthew C. Cheung, Simron Singh
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Current Oncology
Subjects:
n/a
Online Access:https://www.mdpi.com/1718-7729/28/1/32
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author Nicholas Meti
Houman Tahmasebi
Angela Leahey
Angela Boudreau
Alia Thawer
Janice Stewart
Paige Reason
Kirsty Albright
Jerome A. Leis
Kevin Katz
Matthew C. Cheung
Simron Singh
author_facet Nicholas Meti
Houman Tahmasebi
Angela Leahey
Angela Boudreau
Alia Thawer
Janice Stewart
Paige Reason
Kirsty Albright
Jerome A. Leis
Kevin Katz
Matthew C. Cheung
Simron Singh
author_sort Nicholas Meti
collection DOAJ
description Patients with cancer are more vulnerable to severe COVID-19. As a result, routine SARS-CoV-2 testing of asymptomatic patients with cancer is recommended prior to treatment. However, there is limited evidence of its clinical usefulness. The objective of this study is to evaluate the value of routine testing of asymptomatic patients with cancer. Asymptomatic patients with cancer attending Odette Cancer Centre (Toronto, ON, Canada) were tested for SARS-CoV-2 prior to and during treatment cycles. Results were compared to positivity rates of SARS-CoV-2 locally and provincially. All 890 asymptomatic patients tested negative. Positivity rates in the province were 1.5%, in hospital were 1.0%, and among OCC’s symptomatic cancer patients were 0% over the study period. Given our findings and the low SARS-CoV-2 community positivity rates, we recommend a dynamic testing model of asymptomatic patients that triggers testing during increasing community positivity rates of SARS-CoV-2.
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spelling doaj.art-c83aee2b60bd4823865c334d37be29922023-11-22T11:28:19ZengMDPI AGCurrent Oncology1198-00521718-77292021-01-0128127828210.3390/curroncol28010032SARS-CoV-2 Testing for Asymptomatic Patients with Cancer Prior and during Treatment: A Single Centre ExperienceNicholas Meti0Houman Tahmasebi1Angela Leahey2Angela Boudreau3Alia Thawer4Janice Stewart5Paige Reason6Kirsty Albright7Jerome A. Leis8Kevin Katz9Matthew C. Cheung10Simron Singh11Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, CanadaFaculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, CanadaDivision of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, CanadaDivision of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, CanadaDepartment of Pharmacy, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, CanadaDivision of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, CanadaDivision of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, CanadaDivision of Medical Oncology and Hematology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, CanadaFaculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, CanadaFaculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, CanadaFaculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, CanadaFaculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, CanadaPatients with cancer are more vulnerable to severe COVID-19. As a result, routine SARS-CoV-2 testing of asymptomatic patients with cancer is recommended prior to treatment. However, there is limited evidence of its clinical usefulness. The objective of this study is to evaluate the value of routine testing of asymptomatic patients with cancer. Asymptomatic patients with cancer attending Odette Cancer Centre (Toronto, ON, Canada) were tested for SARS-CoV-2 prior to and during treatment cycles. Results were compared to positivity rates of SARS-CoV-2 locally and provincially. All 890 asymptomatic patients tested negative. Positivity rates in the province were 1.5%, in hospital were 1.0%, and among OCC’s symptomatic cancer patients were 0% over the study period. Given our findings and the low SARS-CoV-2 community positivity rates, we recommend a dynamic testing model of asymptomatic patients that triggers testing during increasing community positivity rates of SARS-CoV-2.https://www.mdpi.com/1718-7729/28/1/32n/a
spellingShingle Nicholas Meti
Houman Tahmasebi
Angela Leahey
Angela Boudreau
Alia Thawer
Janice Stewart
Paige Reason
Kirsty Albright
Jerome A. Leis
Kevin Katz
Matthew C. Cheung
Simron Singh
SARS-CoV-2 Testing for Asymptomatic Patients with Cancer Prior and during Treatment: A Single Centre Experience
Current Oncology
n/a
title SARS-CoV-2 Testing for Asymptomatic Patients with Cancer Prior and during Treatment: A Single Centre Experience
title_full SARS-CoV-2 Testing for Asymptomatic Patients with Cancer Prior and during Treatment: A Single Centre Experience
title_fullStr SARS-CoV-2 Testing for Asymptomatic Patients with Cancer Prior and during Treatment: A Single Centre Experience
title_full_unstemmed SARS-CoV-2 Testing for Asymptomatic Patients with Cancer Prior and during Treatment: A Single Centre Experience
title_short SARS-CoV-2 Testing for Asymptomatic Patients with Cancer Prior and during Treatment: A Single Centre Experience
title_sort sars cov 2 testing for asymptomatic patients with cancer prior and during treatment a single centre experience
topic n/a
url https://www.mdpi.com/1718-7729/28/1/32
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