Evidence map›Paper›PMID 32535890›Full record

ArticleEuropean journal of clinical investigation2020

Italian survey on managing immune checkpoint inhibitors in oncology during COVID-19 outbreak.

Marco Tagliamento, Francesco Spagnolo, Francesca Poggio, Davide Soldato, Benedetta Conte, Tommaso Ruelle, Emanuela Barisione, Andrea De Maria, Lucia Del Mastro, Massimo Di Maio and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in European journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
2.8field-weighted citation impact, top 7% 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, 5 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  5. The Effects of COVID-19 on Cancer Care Provision: A Systematic Review.Cancer control : journal of the Moffitt Cancer Center
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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

11 authors at 2 institutions in 1 country.

Marco TagliamentoDepartment of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, Genova, Italy.ORCID https://orcid.org/0000-0001-7461-023X
Francesco SpagnoloDepartment of Medical Oncology, Oncologia Medica 2, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Francesca PoggioDepartment of Medical Oncology, Oncologia Medica 2, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Davide SoldatoDepartment of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, Genova, Italy.
Benedetta ConteDepartment of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, Genova, Italy.
Tommaso RuelleDepartment of Medical Oncology, Oncologia Medica 2, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Emanuela BarisioneInterventional Pneumology Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Andrea De MariaDepartment of Health Sciences, University of Genova, Genova, Italy.
Lucia Del MastroDepartment of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, Genova, Italy.
Massimo Di MaioDepartment of Oncology, University of Turin and Mauriziano Hospital, Turin, Italy.
Matteo LambertiniDepartment of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, Genova, Italy.ORCID https://orcid.org/0000-0003-1797-5296
Ospedale Policlinico San Martino · ITUniversity of Turin · IT

Funding

5x1000 IRCCS Ospedale Policlinico San Martino
6 · The paper itself

Abstract

backgroundDuring COVID-19 outbreak, oncological care has been reorganized. Patients with cancer have been reported to experience a more severe COVID-19 syndrome; moreover, there are concerns of a potential interference between immune checkpoint inhibitors (ICIs) and SARS-CoV-2 pathogenesis. MATERIALS AND

methodsBetween 6 and 16 May 2020, a 22-item survey was sent to Italian physicians involved in administering ICIs. It aimed at exploring the perception about SARS-CoV-2-related risks in cancer patients receiving ICIs, and the attitudes towards their management.

resultsThe 104 respondents had a median age of 35.5 years, 58.7% were females and 71.2% worked in Northern Italy. 47.1% of respondents argued a synergism between ICIs and SARS-CoV-2 pathogenesis leading to worse outcomes, but 97.1% would not deny an ICI only for the risk of infection. During COVID-19 outbreak, to reduce hospital visits, 55.8% and 30.8% opted for the highest labelled dose of each ICI and/or, among different ICIs for the same indication, for the one with the longer interval between cycles, respectively. 53.8% of respondents suggested testing for SARS-CoV-2 every cancer patient candidate to ICIs. 71.2% declared to manage patients with onset of dyspnoea and cough as infected by SARS-CoV-2 until otherwise proven; however, 96.2% did not reduce the use of steroids to manage immune-related toxicities. The administration of ICIs in specific situations for different cancer types has not been drastically conditioned.

conclusionsThese results highlight the uncertainties around the perception of a potential interference between ICIs and COVID-19, supporting the need of focused studies on this topic.

Indexed as

AdultClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 TestingDisease OutbreaksFemaleHumansImmunocompromised HostImmunologic FactorsItalyMaleMedical OncologyMiddle AgedNeoplasmsOutcome Assessment, Health CareImmunologic FactorscancerCOVID-19immune checkpoint inhibitorsimmunotherapySARS-CoV-2

Identifiers

PMID32535890
PMCPMC7323025
OpenAlexW3034366265

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.