Evidence map›Paper›PMID 32017466›Full record

ArticleThoracic cancer2020

Clinical diagnosis and treatment recommendations for immune checkpoint inhibitor-related hematological adverse events.

Junling Zhuang, Jianhua Du, Xiaoxiao Guo, Jiaxin Zhou, Lian Duan, Wei Qiu, Xiaoyan Si, Li Zhang, Yue Li, Xiaowei Liu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Evaluation of emergency department visits and immune-related adverse effects (irAEs) in patients treated with nivolumab.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Understanding neutropenia secondary to intrinsic or iatrogenic immune dysregulation.Hematology. American Society of Hematology. Education Program · 2021
    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

13 authors at 1 institution in 1 country.

Junling ZhuangDepartment of Hematology, Peking Union Medical College Hospital, Beijing, China.ORCID 0000-0002-1228-0551
Jianhua DuDepartment of Hematology, Peking Union Medical College Hospital, Beijing, China.ORCID 0000-0002-8623-7038
Xiaoxiao GuoDepartment of Cardiology, Peking Union Medical College Hospital, Beijing, China.ORCID 0000-0002-8583-5992
Jiaxin ZhouDepartment of Rheumatology, Peking Union Medical College Hospital, Beijing, China.ORCID 0000-0002-1664-3495
Lian DuanDepartment of Endocrinology, Peking Union Medical College Hospital, Beijing, China.
Wei QiuDepartment of Nephrology, Peking Union Medical College Hospital, Beijing, China.
Xiaoyan SiDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.ORCID 0000-0003-2913-3045
Li ZhangDepartment of Clinical Laboratory, Peking Union Medical College Hospital, Beijing, China.
Yue LiDepartment of Gastroenterology, Peking Union Medical College Hospital, Beijing, China.
Xiaowei LiuDepartment of Ophthalmology, Peking Union Medical College Hospital, Beijing, China.
Hanping WangDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.ORCID 0000-0003-3540-2280
Daobin ZhouDepartment of Hematology, Peking Union Medical College Hospital, Beijing, China.
Li ZhangDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

Natural Science Funds of the Beijing Municipality 7192175
6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) are able to reactivate the immune system, thereby enhancing the anti-tumor effects. However, over-activated T cells may induce immune-related adverse events (irAEs). Hematological irAEs are rarely reported which mainly represent monolineage cytopenia or pancytopenia, including autoimmune hemolytic anemia (AIHA), immune thrombocytopenia (ITP), neutropenia and aplastic anemia, sometimes even life-threatening diseases such as hemophagocytic lymphohistiocytosis. Here, the clinical manifestations of hematological irAEs are summarized and recommendations for diagnosis and treatment proposed. KEY POINTS: Significant findings of the study • Hematological immune-related adverse events (irAEs) caused by checkpoint inhibitors are rare and may sometimes be life-threatening. This study summarizes the manifestations of hematological irAEs and proposes preliminary recommendations for diagnosis and treatment. What this study adds • Much still remains unknown regarding hematological irAEs caused by checkpoint inhibitors. This study delineates the overview of hematological irAEs, and provides practical treatment suggestions, in particular addressing the issue of rechallenge.

Indexed as

Drug-Related Side Effects and Adverse ReactionsHematologic DiseasesHumansImmune Checkpoint InhibitorsNeoplasmsPractice Guidelines as TopicPrognosisImmune Checkpoint InhibitorsCytopeniaimmune checkpoint inhibitorsimmune-related adverse events

Identifiers

PMID32017466
PMCPMC7049514
OpenAlexW3004868822

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.