Evidence map›Paper›PMID 32564193›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Emergency ambulatory outpatient management of immune-mediated hypophysitis.

Tim Cooksley, Tom Knight, Avinash Gupta, Claire Higham, Paul Lorigan, Safwaan Adam

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
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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.

Tim CooksleyDepartment of Acute Medicine and Critical Care, The Christie, Wilmslow Road, Manchester, UK. cooks199@hotmail.com.ORCID http://orcid.org/0000-0001-6114-1956
Tom KnightDepartment of Acute Medicine and Critical Care, The Christie, Wilmslow Road, Manchester, UK.
Avinash GuptaDepartment of Medical Oncology, The Christie, Wilmslow Road, Manchester, UK.
Claire HighamDepartment of Endocrinology, The Christie, Wilmslow Road, Manchester, UK.
Paul LoriganDepartment of Medical Oncology, The Christie, Wilmslow Road, Manchester, UK.
Safwaan AdamDepartment of Endocrinology, The Christie, Wilmslow Road, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImmune-mediated hypophysitis is an important toxicity related to immune checkpoint inhibitors (ICI). Optimal management is associated with improved outcomes. It represents a wide spectrum of clinical presentations, and a proportion may be suitable for emergency ambulatory management.

methodsEmergency ambulatory management of patients presenting with clinical features and findings consistent with ICI-induced hypophysitis was considered at a tertiary cancer/endocrinology hospital. Suitable patients were initially investigated and treated in accordance with the UK emergency management guidelines for ICI induced hypophysitis. After an initial observation period of 4 h, patients were discharged with oral hydrocortisone (20, 10, 10 mg).

resultsAn initial cohort of 4 patients with emergency presentations of ICI-induced hypophysitis has been managed in an ambulatory fashion in the first 3 months. There were no 30-day readmissions.

conclusionCarefully selected emergency presentations with immune-mediated hypophysitis may be suitable for ambulatory management.

Indexed as

AgedFemaleHumansHypophysitisMaleMiddle AgedOutpatientsAmbulatoryEmergency oncologyHypophysitisImmune checkpoint inhibitors

Identifiers

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Registered trials

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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.