Evidence map›Paper›PMID 32522726›Full record

ArticleBMJ case reports2020

Rare case of life-threatening thrombocytopenia occurring after radiotherapy in a patient treated with immune checkpoint inhibitor.

Aurore Hendrix, Anne-Emmanuella Yeo, Sarah Lejeune, Emmanuel Seront

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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 1 institution in 1 country.

Aurore HendrixMedical Oncology, Hopital de Jolimont, Haine Saint Paul, Belgium.
Anne-Emmanuella YeoMedical Oncology, Hopital de Jolimont, Haine Saint Paul, Belgium.
Sarah LejeuneMedical Oncology, Hopital de Jolimont, Haine Saint Paul, Belgium.
Emmanuel SerontMedical Oncology, Hopital de Jolimont, Haine Saint Paul, Belgium Emmanuel.seront@jolimont.be.ORCID http://orcid.org/0000-0003-4807-7472
Hôpital de Jolimont · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) improve significantly outcome of patients with advanced renal cancer. Although immune-related adverse events involve frequently skin, digestive tract, lung, liver and endocrine organs, haematological toxicities are rare. We describe the case of a patient with metastatic renal cancer who was treated with nivolumab. Eight courses of nivolumab were administered without any toxicity; brain metastases were then diagnosed and treated with stereotactic radiotherapy. As the extra-cranial disease was stable, the ninth course of nivolumab was administered 5 days after the end of radiotherapy. One week later, he presented with rectal and nasal bleeding in a context of severe thrombocytopenia (1000/mm

Indexed as

Brain NeoplasmsCarcinoma, Renal CellEpistaxisGastrointestinal HemorrhageKidney NeoplasmsLung NeoplasmsNivolumabRectal DiseasesThrombocytopeniaGlucocorticoidsHumansImmune Checkpoint InhibitorsImmunoglobulins, IntravenousMaleMiddle AgedNeoplasm StagingGlucocorticoidsImmune Checkpoint InhibitorsImmunoglobulins, IntravenousNivolumabcancer interventionimmunologyoncologyurological cancer

Identifiers

PMID32522726
PMCPMC7287492
OpenAlexW3033587838

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.