Evidence map›Paper›PMID 30707321›Full record

ReviewAnnals of intensive care2019

Severe toxicity from checkpoint protein inhibitors: What intensive care physicians need to know?

Virginie Lemiale, Anne-Pascale Meert, François Vincent, Michael Darmon, Philippe R Bauer, Andry Van de Louw, Elie Azoulay, Groupe de Recherche en Reanimation Respiratoire du patient d’Onco-Hématologie (Grrr-OH)

Open access · goldAbstract readReview
In one paragraph

Review in Annals of intensive care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 70 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Hypophysitis Induced by Sintilimab in the Treatment of Bladder Cancer: A Case Report.Endocrine, metabolic & immune disorders drug targets · 2024
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Electrolyte Abnormalities Associated With the Use of Atezolizumab - A Systematic Review.Journal of community hospital internal medicine perspectives · 2022
    Review
  19. Article
  20. 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

8 authors at 3 institutions in 3 countries.

Virginie LemialeMedical Intensive Care Unit, APHP, Hôpital Saint-Louis, Paris, France. virginie.lemiale@aphp.fr.
Anne-Pascale MeertSoins Intensifs et urgences oncologiques, Institut Jules Bordet (ULB), Brussels, Belgium.
François VincentMedical Surgical ICU, GHIC Le Raincy-Montfermeil, 93370, Montfermeil, France.
Michael DarmonMedical Intensive Care Unit, APHP, Hôpital Saint-Louis, Paris, France.
Philippe R BauerPulmonary and Critical Care, Mayo Clinic, Rochester, MN, USA.
Andry Van de LouwDivision of Pulmonary and Critical Care Medicine, Penn State University College of Medicine, Hershey, PA, USA.
Elie AzoulayMedical Intensive Care Unit, APHP, Hôpital Saint-Louis, Paris, France.
Groupe de Recherche en Reanimation Respiratoire du patient d’Onco-Hématologie (Grrr-OH)
Assistance Publique – Hôpitaux de Paris · FRInstitut Jules Bordet · BEMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Checkpoint protein inhibitor antibodies (CPI), including cytotoxic T-lymphocyte-associated antigen 4 inhibitors (ipilimumab, tremelimumab) and the programmed cell death protein 1 pathway/programmed cell death protein 1 ligand inhibitors (pembrolizumab, nivolumab, durvalumab, atezolizumab), have entered routine practice for the treatment of many cancers. They improve the outcome for many cancers, and more patients will be treated with CPI in the future. Although CPI can lead to adverse events (AE) less frequently than for chemotherapy, their use can require intensive care unit admission in case of severe immune-related adverse events (IrAE). Moreover, some of these events, particularly late events, are poorly documented, so a high level of suspicion should be maintained for patients receiving CPI. Intensivists should be aware in general of the known complications and appropriate management of these AE. Nevertheless, a multidisciplinary collaboration remains essential for their diagnosis and management. This review described the most severe complications related to CPI.

Indexed as

Adverse eventsCancerICUImmunotherapy

Identifiers

PMID30707321
PMCPMC6358632
OpenAlexW2928480340

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.