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Peer-reviewedCC BY 4.0JNCI Cancer Spectrum

COVID-19 and thrombotic risk in patients with active cancer: a matched cohort study

Abstract

Coronavirus disease 2019 (COVID-19) has been associated with an increased thrombotic risk, potentially exacerbated in patients with active cancer. We conducted a retrospective cohort study including 119 cancer patients with COVID-19 and 214 matched prepandemic controls. Patients with COVID-19 had poorer performance status and were more frequently treated with palliative intent. After a median follow-up of 32.7 months, overall thrombotic event rates did not differ between groups. However, after adjustment for clinically relevant covariates and accounting for death as a competing event, COVID-19 status and palliative treatment intent remained independently associated with a higher cumulative incidence of thrombotic events. In conclusion, COVID-19 may increase thrombotic risk in patients with cancer and occurs more frequently in patients with poorer clinical status. These findings are exploratory and require confirmation in larger prospective studies.

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BibTeX
@article{doyen2026covid19,
  title = {{COVID-19 and thrombotic risk in patients with active cancer: a matched cohort study}},
  author = {Jérôme Doyen and Alexandre Lacour and Renaud Schiappa and Eva Seutin and Amanda Garrido and Tanguy Pace Loscos and Denis Doyen},
  journal = {JNCI Cancer Spectrum},
  year = {2026},
  month = oct,
  doi = {10.1093/jncics/pkag110},
  url = {https://doi.org/10.1093/jncics/pkag110},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - COVID-19 and thrombotic risk in patients with active cancer: a matched cohort study
AU  - Jérôme Doyen
AU  - Alexandre Lacour
AU  - Renaud Schiappa
AU  - Eva Seutin
AU  - Amanda Garrido
AU  - Tanguy Pace Loscos
AU  - Denis Doyen
PY  - 2026
DA  - 2026/10/12
JO  - JNCI Cancer Spectrum
DO  - 10.1093/jncics/pkag110
UR  - https://doi.org/10.1093/jncics/pkag110
AB  - Coronavirus disease 2019 (COVID-19) has been associated with an increased thrombotic risk, potentially exacerbated in patients with active cancer. We conducted a retrospective cohort study including 119 cancer patients with COVID-19 and 214 matched prepandemic controls. Patients with COVID-19 had poorer performance status and were more frequently treated with palliative intent. After a median follow-up of 32.7 months, overall thrombotic event rates did not differ between groups. However, after adjustment for clinically relevant covariates and accounting for death as a competing event, COVID-19 status and palliative treatment intent remained independently associated with a higher cumulative incidence of thrombotic events. In conclusion, COVID-19 may increase thrombotic risk in patients with cancer and occurs more frequently in patients with poorer clinical status. These findings are exploratory and require confirmation in larger prospective studies.
SN  - 2515-5091
ER  -