Evidence map›Paper›PMID 30612984›Full record

ArticleJournal of the American Academy of Dermatology2019

Markers of systemic involvement and death in hospitalized cancer patients with severe cutaneous adverse reactions.

Shoko Mori, Alanna Hickey, Stephen W Dusza, Mario E Lacouture, Alina Markova

Abstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Drugs as a Frequent Cause of Acute Rash in Patients after CD34Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Article
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

5 authors at 3 institutions in 1 country.

Shoko MoriDermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York; SUNY Downstate College of Medicine, Brooklyn, New York.
Alanna HickeyUniversity of Massachusetts Medical School, Worcester, Massachusetts.
Stephen W DuszaDermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Mario E LacoutureDermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York; Department of Dermatology, Weill Cornell Medical College, New York, New York.
Alina MarkovaDermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York; Department of Dermatology, Weill Cornell Medical College, New York, New York. Electronic address: markovaa@mskcc.org.
Memorial Sloan Kettering Cancer Center · USCornell University · USUniversity of Massachusetts Chan Medical School · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundSevere cutaneous adverse reactions (SCARs) are frequent in inpatient oncology. Early intervention might reduce morbidity, mortality, and hospitalization costs; however, current clinical and histologic features are unreliable SCAR predictors. There is a need to identify rational markers of SCARs that could lead to effective therapeutic interventions.

objectiveTo characterize the clinical and serologic features of hospitalized patients with cancer who developed SCARs.

methodsRetrospective review of 49 hospitalized cancer patients with a morbilliform rash, recorded testing for serum cytokines (interleukin [IL] 6, IL-10, and tumor necrosis factor [TNF] α) or elafin, and a prior dermatology consultation. Patients were categorized as having a simple morbilliform rash without systemic involvement or complex morbilliform rash with systemic involvement.

resultsFifteen out of 49 patients (30.6%) were deceased at 6 months from time of dermatologic consultation. Elafin, IL-6, and TNF-α were significantly higher in patients who died compared with patients who were still alive at 6 months. IL-6 and IL-10 were significantly higher in patients with a drug-related complex rash. LIMITATIONS: Retrospective design, limited sample size, and high-risk patient population.

conclusionIn cancer patients with SCARs, elafin, IL-6, and TNF-α levels might predict a poor outcome. Agents directed against these targets might represent rational treatments for the prevention of fatal SCARs.

Indexed as

Hospital MortalityAdultAntineoplastic AgentsBiomarkersBody Surface AreaCytokinesDrug Hypersensitivity SyndromeEdemaElafinEosinophiliaFaceFemaleFeverGraft vs Host DiseaseHospitalizationHumansAntineoplastic AgentsBiomarkersCytokinesElafinInterleukin-10Interleukin-6PI3 protein, humanTumor Necrosis Factor-alphacytokinedrug-induced hypersensitivity syndromedrug rashdrug reactiondrug reaction with eosinophilia and systemic symptomsgraft versus host diseasesevere cutaneous adverse reaction

Identifiers

PMID30612984
PMCPMC6372330
OpenAlexW2898418090

What OpenQuestion holds

Textmetadata
LicenceTDM
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.