Evidence map›Paper›PMID 31317421›Full record

ReviewDrugs & aging2019

Efficacy and Adverse Events of Immunotherapy with Checkpoint Inhibitors in Older Patients with Cancer.

Yara van Holstein, Ellen Kapiteijn, Esther Bastiaannet, Frederiek van den Bos, Johanneke Portielje, Nienke A de Glas

Open access · hybridAbstract readReview
In one paragraph

Review in Drugs & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Immune Phenotype and Response to Neoadjuvant Therapy in Triple-Negative Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Neurological complications in oncology and their monitoring and management in clinical practice: a narrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Review
  11. Observational
  12. Immunotherapy: should we worry about immunosenescence?Ageing and cancer research & treatment · 2024
    Article
  13. Immunotherapy in Older Patients with Cancer: A Narrative Review.International journal of general medicine · 2024
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  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

6 authors at 2 institutions in 1 country.

Yara van HolsteinDepartment of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-6882-639X
Ellen KapiteijnDepartment of Medical Oncology, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Esther BastiaannetDepartment of Medical Oncology, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Frederiek van den BosDepartment of Geriatrics, Utrecht University Medical Center, Leiden, The Netherlands.
Johanneke PortieljeDepartment of Medical Oncology, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Nienke A de GlasDepartment of Medical Oncology, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands. N.A.de_Glas@lumc.nl.
Leiden University Medical Center · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The number of older patients with cancer is increasing as a result of the ageing of Western societies. Immune checkpoint inhibitors have improved cancer treatment and are associated with lower rates of treatment-related toxicity compared with chemotherapy in the general population. Nonetheless, immune checkpoint inhibitors have potentially serious immune-related adverse events, which might have a greater impact on older and more vulnerable patients and potentially influence treatment efficacy and quality of life. Previous clinical trials have shown no major increase in immune-related adverse events; however, older patients are underrepresented and relatively healthy in these trials. Observational studies suggest that older and more vulnerable patients may be at a higher risk of immune-related adverse events and early treatment discontinuation. Geriatric assessment could help identify older patients who will benefit from immune checkpoint inhibitors.

Indexed as

AgedAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalB7-H1 AntigenCTLA-4 AntigenHumansImmunotherapyNeoplasmsProgrammed Cell Death 1 ReceptorQuality of LifeRandomized Controlled Trials as TopicAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalB7-H1 AntigenCD274 protein, humanCTLA-4 AntigenCTLA4 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID31317421
PMCPMC6764930
OpenAlexW2959224028

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.