Evidence map›Paper›PMID 29735504›Full record

ArticleBMJ case reports2018

Pneumonitis: a serious adverse effect of PD-L1 inhibitors including pembrolizumab.

Frances Rickard, Catherine Hyams, Andrew T Low

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Frances Rickard *Department of Respiratory Medicine, Bristol Royal Infirmary, Bristol, UK.
Catherine Hyams *Department of Respiratory Medicine, Bristol Royal Infirmary, Bristol, UK.
Andrew T LowDepartment of Respiratory Medicine, Bristol Royal Infirmary, Bristol, UK.
Bristol Royal Infirmary · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 70-year-old man presented with breathlessness, cough and fever while receiving pembrolizumab for melanoma. A CT pulmonary angiogram demonstrated small bilateral upper lobe segmental pulmonary emboli with patchy ground-glass opacities and basal perilobular consolidation, in keeping with organising pneumonia. He was treated for community-acquired pneumonia and pulmonary emboli but rapidly deteriorated, with increasing hypoxia and dyspnoea. He was admitted to the intensive care unit for support with continuous positive airway pressure and high flow nasal oxygen. His clinical condition improved once he received high-dose intravenous methylprednisolone to treat pneumonitis. His treatment was continued with a weaning course of high-dose oral steroids, and he was discharged with a persistent oxygen requirement. The patient maintained a requirement for high doses of oral steroids and continued to deteriorate. He was referred to palliative care for symptom management and died a month following hospital discharge, as a result of pneumonitis due to pembrolizumab.

Indexed as

AgedAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalComputed Tomography AngiographyContinuous Positive Airway PressureCoughDiagnosis, DifferentialDyspneaFatal OutcomeGlucocorticoidsHumansHypoxiaIntensive Care UnitsMaleMelanomaMethylprednisoloneAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalGlucocorticoidsMethylprednisolonepembrolizumabProgrammed Cell Death 1 Receptorcontraindications and precautionsdrugs: respiratory systemimmunological products and vaccinesmalignant disease and immunosuppressionskin cancer

Identifiers

PMID29735504
PMCPMC5950689
OpenAlexW2800824785

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.