Evidence map›Paper›PMID 30093497›Full record

ArticleBMJ case reports2018

Delayed Presentation of Isolated Adrenocorticotropin Insufficiency after Nivolumab Therapy for Advanced Non-small-cell lung carcinoma (NSCLC).

Shiva Shrotriya, Manoj P Rai, Ahmad Alratroot, Erin Sarzynski

Abstract 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 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
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

4 authors.

Shiva ShrotriyaInternal Medicine, Michigan State University, Lansing, Michigan, USA.
Manoj P RaiInternal Medicine, Michigan State University, Lansing, Michigan, USA.ORCID http://orcid.org/0000-0003-4162-033X
Ahmad AlratrootInternal Medicine, Michigan State University, Lansing, Michigan, USA.
Erin SarzynskiInternal Medicine, Michigan State University, Lansing, Michigan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe a 73-year-old man who developed adrenal insufficiency 7 months after completing nivolumab therapy for advanced non-small cell lung cancer. He presented with non-specific symptoms of malaise and fatigue with an insidious 13.6 kilogram weight loss, prompting an evaluation for disease progression, which was negative. Subsequent evaluation revealed isolated adrenocorticotropin insufficiency as the aetiology, attributed to a delayed side effect of nivolumab therapy.

Indexed as

Addison DiseaseAdrenocorticotropic HormoneAgedAntibodies, MonoclonalAntineoplastic AgentsCarcinoma, Non-Small-Cell LungDiagnosis, DifferentialHumansLung NeoplasmsMaleNivolumabAdrenocorticotropic HormoneAntibodies, MonoclonalAntineoplastic AgentsNivolumabdrug interactionsdrugs and medicinesimmunological products and vaccines

Identifiers

PMID30093497
PMCPMC6088290

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.