Evidence map›Paper›PMID 31115712›Full record

ReviewCurrent rheumatology reports2019

Systemic Vasculitis Associated With Immune Check Point Inhibition: Analysis and Review.

Teresa M Crout, Day S Lennep, Shweta Kishore, Vikas Majithia

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current rheumatology reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Imaging of tumour response to immunotherapy.European radiology experimental · 2020
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. [Secondary vasculitides].Innere Medizin (Heidelberg, Germany) · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. A Spotlight on Drug-Induced Vasculitis.Current rheumatology reports · 2022
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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 at 2 institutions in 1 country.

Teresa M CroutDivision of Rheumatology, University of Mississippi Medical Center, 2500 N State St., Jackson, MS, 39216, USA. tcrout@umc.edu.
Day S LennepDivision of Rheumatology, University of Mississippi Medical Center, 2500 N State St., Jackson, MS, 39216, USA.
Shweta KishoreDivision of Rheumatology, University of Mississippi Medical Center, 2500 N State St., Jackson, MS, 39216, USA.
Vikas MajithiaDivision of Rheumatology, University of Mississippi Medical Center, 2500 N State St., Jackson, MS, 39216, USA.
Jackson Memorial Hospital · USUniversity of Mississippi Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewImmunotherapy with immune checkpoint inhibitors (ICIs) has become a well-established modality to treat a number of different malignancies, especially in cases with advanced stages and/or recurrent diseases. These agents have been associated with development of a variety of autoimmune disorders as immune-related adverse events (IRAEs or irAEs). This review focuses on development of vasculitis with use of ICI. RECENT

findingsAvailable information on vasculitis associated with immune checkpoint inhibition is limited primarily to case reports at this time. Most immune-related adverse events will not present as vasculitis, and it is an uncommon manifestation and/or is under-reported. There are no current well-established guidelines for treating vasculitis associated with ICIs; initial management would usually start with consideration of discontinuing the ICI and administering corticosteroids. Collaboration between treating oncologists and rheumatologists is necessary for a combined approach to management. While arthralgias, myalgias, and inflammatory arthritis frequently occur as irAEs, vasculitis is an uncommon presentation. Vasculitis has been reported with all of the available ICI agents, and there seems to be no clear difference in the risk based on small numbers. Large vessel vasculitis and vasculitis of the nervous system were the most commonly reported types of vasculitis but cases of vasculitis involving medium and small vessels have also been reported. It is challenging to know if the underlying disease or ICIs are the main culprit in development of vasculitis and requires a collaborative relationship between the treating oncologist and rheumatologist. Except in very mild cases, development of vasculitis during ICI therapy requires temporary or permanent discontinuation of ICI.

Indexed as

Antineoplastic Agents, ImmunologicalHumansNeoplasmsSystemic VasculitisAntineoplastic Agents, ImmunologicalCancer analysisChemotherapyImmune check point deficiencyImmune check point inhibitorsMalignancyReviewVasculitides/vasculitis

Identifiers

PMID31115712
OpenAlexW2944937354

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.