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Nicola Fazio
Nicola Fazio
Division of gastrointestinal medical oncology and neuroendocrine tumors, European Institute of Oncology (IEO) IRCCS, Milan, Italy
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Lorenzo Gervaso
Lorenzo Gervaso
Division of gastrointestinal medical oncology and neuroendocrine tumors, European Institute of Oncology (IEO) IRCCS, Milan, Italy
Molecular Medicine Program, University of Pavia, Pavia, Italy
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Molecular Medicine Program, University of Pavia, Pavia, Italy
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Thorvardur R Halfdanarson
Thorvardur R Halfdanarson
Division of Medical Oncology Mayo Clinic, Rochester, Minnesota, USA
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Mohamad Sonbol
Mohamad Sonbol
Department of Hematology and Oncology, Mayo Clinic, Phoenix, Arizona, USA
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Rachel A Eiring
Rachel A Eiring
Division of Medical Oncology Mayo Clinic, Rochester, Minnesota, USA
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Sara Pusceddu
Sara Pusceddu
Division of Medical Oncology, National Cancer Institute, Milan, Italy
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Natalie Prinzi
Natalie Prinzi
Division of Medical Oncology, National Cancer Institute, Milan, Italy
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Benedetta Lombardi Stocchetti
Benedetta Lombardi Stocchetti
Division of Medical Oncology, National Cancer Institute, Milan, Italy
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Simona Grozinsky-Glasberg
Simona Grozinsky-Glasberg
Neuroendocrine Tumor Unit, ENETS Center of Excellence, Department of Endocrinology and Metabolism, Hadassah Medical Center and Faculty of Medicine, The Hebrew University, Jerusalem, Israel
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David J Gross
David J Gross
Neuroendocrine Tumor Unit, ENETS Center of Excellence, Department of Endocrinology and Metabolism, Hadassah Medical Center and Faculty of Medicine, The Hebrew University, Jerusalem, Israel
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Thomas Walter
Thomas Walter
Medical Oncology Department, Hopital Edourad Herriot, Hospices civils de Lyon, Lyon, France
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Patrick Robelin
Patrick Robelin
Medical Oncology Department, Hopital Edourad Herriot, Hospices civils de Lyon, Lyon, France
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Catherine Lombard-Bohas
Catherine Lombard-Bohas
Medical Oncology Department, Hopital Edourad Herriot, Hospices civils de Lyon, Lyon, France
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Samuele Frassoni
Samuele Frassoni
Department of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy
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Vincenzo Bagnardi
Vincenzo Bagnardi
Department of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy
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Lorenzo Antonuzzo
Lorenzo Antonuzzo
Clinical Oncology Unit, Careggi University Hospital, Florence, Italy
Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
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Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
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Clotilde Sparano
Clotilde Sparano
Endocrinology Unit, Department of Experimental and Clinical Biomedical Sciences ’Mario Serio’, University of Florence, Florence, Italy
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Sara Massironi
Sara Massironi
Division of Gastroenterology, and Center for Autoimmune Liver Diseases, European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, University of Milano-Bicocca School of Medicine, Monza, Italy
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Fabio Gelsomino
Fabio Gelsomino
Division of Oncology. Department of Hematology and Oncology, University Hospital of Modena, Modena, Italy
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Alberto Bongiovanni
Alberto Bongiovanni
Oncologia medica, IRCCS Istituto Romagnolo per lo Studio dei Tumori ’Dino Amadori’, IRST S.r.l., Meldola, Italy
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Nicoletta Ranallo
Nicoletta Ranallo
Oncologia medica, IRCCS Istituto Romagnolo per lo Studio dei Tumori ’Dino Amadori’, IRST S.r.l., Meldola, Italy
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Salvatore Tafuto
Salvatore Tafuto
Oncologia Sarcomi e Tumori rari, I.R.C.C.S. Ist. Naz. Tumori di Napoli ’G. Pascale’, Napoli, Italy
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Maura Rossi
Maura Rossi
Oncology Unit and Centro Documentazione Osteonecrosi, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
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Mauro Cives
Mauro Cives
Department of Interdisciplinary Medicine, University of Bari ’Aldo Moro’, Bari, Italy
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Ibrahim Rasul Kakil
Ibrahim Rasul Kakil
National Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar
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Hytam Hamid
Hytam Hamid
Department of Surgery, Al-Moalem Medical City, Khartoum, Sudan
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Alessandra Chirco
Alessandra Chirco
UO Oncologia Medica ASST Papa Giovanni XXIII, Bergamo, Italy
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Michela Squadroni
Michela Squadroni
Oncologia medica, Humanitas Gavazzeni Bergamo, Bergamo, Italy
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Anna La Salvia
Anna La Salvia
Medical Oncology Department, Hospital Universitario Doce de Octubre, Imas12, UCM, Madrid, Spain
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Jorge Hernando
Jorge Hernando
Vall Hebron University Hospital and Vall Hebron Institute of Oncology (VHIO), Barcelona, Spain
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Johannes Hofland
Johannes Hofland
Department of Internal Medicine, Sector Endocrinology, Rotterdam, the Netherlands
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Anna Koumarianou
Anna Koumarianou
Hematology-Oncology Unit, Fourth Department of Internal Medicine, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
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Sabrina Boselli
Sabrina Boselli
Data Management-Clinical Trial Office. Scientific Direction. European Institute of Oncology (IEO) IRCCS, Milan, Italy
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Darina Tamayo
Darina Tamayo
Data Management-Clinical Trial Office. Scientific Direction. European Institute of Oncology (IEO) IRCCS, Milan, Italy
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Cristina Mazzon
Cristina Mazzon
Data Management-Clinical Trial Office. Scientific Direction. European Institute of Oncology (IEO) IRCCS, Milan, Italy
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Manila Rubino
Manila Rubino
Division of gastrointestinal medical oncology and neuroendocrine tumors, European Institute of Oncology (IEO) IRCCS, Milan, Italy
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Francesca Spada
Francesca Spada
Division of gastrointestinal medical oncology and neuroendocrine tumors, European Institute of Oncology (IEO) IRCCS, Milan, Italy
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We conducted a retrospective/prospective worldwide study on patients with neuroendocrine neoplasms (NENs) and a molecularly proven SARS-CoV-2 positivity. Preliminary results regarding 85 patients of the INTENSIVE study have been published in 2021. Now we are reporting the 2-year analysis.Here, we are reporting data from consecutive patients enrolled between 1 June 2020, and 31 May 2022. Among the 118 contacted centers, 25 were active to enroll and 19 actively recruiting at the time of data cut-off for a total of 280 patients enrolled. SARS-CoV-2 positivity occurred in 47.5% of patients in 2020, 35.1% in 2021, and 17.4% in 2022. The median age for COVID-19 diagnosis was 60 years. Well-differentiated tumors, non-functioning, metastatic stage, and gastroenteropancreatic (GEP) primary sites represented most of the NENs. COVID-19-related pneumonia occurred in 22.8% of the total, with 61.3% of them requiring hospitalization; 11 patients (3.9%) needed sub-intensive or intensive care unit therapies and 14 patients died (5%), in 11 cases (3.9%) directly related to COVID-19. Diabetes mellitus and age at COVID-19 diagnosis > 70 years were significantly associated with COVID-19 mortality, whereas thoracic primary site with COVID-19 morbidity. A significant decrease in both hospitalization and pneumonia occurred in 2022 vs 2020. In our largest series of NEN patients with COVID-19, the NEN population is similar to the general population of patients with NEN regardless of COVID-19. However, older age, non-GEP primary sites and diabetes mellitus should be carefully considered for increased COVID-19 morbidity and mortality. Relevant information could be derived by integrating our results with NENs patients included in other cancer patients with COVID-19 registries.
