Evidence map›Paper›PMID 32403289›Full record

ReviewInternational journal of molecular sciences2020

Rheumatic Manifestations in Patients Treated with Immune Checkpoint Inhibitors.

Konstantinos Melissaropoulos, Kalliopi Klavdianou, Alexandra Filippopoulou, Fotini Kalofonou, Haralabos Kalofonos, Dimitrios Daoussis

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
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

17 citing papers in PubMed, 39 citations in OpenAlex.

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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 4 institutions in 2 countries.

Konstantinos MelissaropoulosDepartment of Rheumatology, Agios Andreas General Hospital, 26335 Patras, Greece.ORCID 0000-0002-4891-0623
Kalliopi KlavdianouDepartment of Rheumatology, "Asklepieion" General Hospital, 16673 Athens, Greece.
Alexandra FilippopoulouDepartment of Rheumatology, Patras University Hospital, University of Patras Medical School, 26500 Patras, Greece.
Fotini KalofonouSHO-Clinical Fellow in Medical Oncology, Imperial Healthcare NHS Trust, London W21NY, UK.
Haralabos KalofonosDepartment of Oncology, Patras University Hospital, University of Patras Medical School, 26500 Patras, Greece.
Dimitrios DaoussisDepartment of Rheumatology, Patras University Hospital, University of Patras Medical School, 26500 Patras, Greece.ORCID 0000-0001-8027-3655
University of Patras · GRAgios Andreas Hospital · GRGeneral Hospital Asklepieio Voulas · GRImperial College Healthcare NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) are monoclonal antibodies that activate the immune system, aiming at enhancing antitumor immunity. Their clinical efficacy is well-documented, but the side effects associated with their use are still under investigation. These drugs cause several immune-related adverse events (ir-AEs), some of which stand within the field of rheumatology. Herein, we present a literature review performed in an effort to evaluate all publicly available clinical data regarding rheumatic manifestations associated with ICIs. The most common musculoskeletal ir-AEs are inflammatory arthritis, polymyalgia rheumatica and myositis. Non-musculoskeletal rheumatic manifestations are less frequent, with the most prominent being sicca, vasculitides and sarcoidosis. Cases of systemic lupus erythematosus or scleroderma are extremely rare. The majority of musculoskeletal ir-AEs are of mild/moderate severity and can be managed with steroids with no need for ICI discontinuation. In severe cases, more intense immunosuppressive therapy and permanent ICI discontinuation may be employed. Oncologists should periodically screen patients receiving ICIs for new-onset inflammatory musculoskeletal complaints and seek a rheumatology consultation in cases of persisting symptoms.

Indexed as

Antineoplastic AgentsArthritisHumansImmune Checkpoint InhibitorsImmunotherapyMyositisNeoplasmsPolymyalgia RheumaticaAntineoplastic AgentsImmune Checkpoint Inhibitorsarthritiscancer immunotherapyimmune checkpoint inhibitorsmusculoskeletalmyositispolymyalgia rheumaticarheumaticsclerodermasiccasystemic lupus erythematosus

Identifiers

PMID32403289
PMCPMC7247001
OpenAlexW3023683881

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.