Evidence map›Paper›PMID 32588674›Full record

ArticleExpert opinion on biological therapy2020

COVID-19 pneumonia and immune-related pneumonitis: critical issues on differential diagnosis, potential interactions, and management.

Marco Russano, Fabrizio Citarella, Andrea Napolitano, Emanuela Dell'Aquila, Alessio Cortellini, Francesco Pantano, Bruno Vincenzi, Giuseppe Tonini, Daniele Santini

Open access · bronzeAbstract readEditorial
In one paragraph

Article in Expert opinion on biological therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 13% 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, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Guideline
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  4. Clinical management of checkpoint inhibitor pneumonitis: Focus, challenges, and future directions.Chinese medical journal pulmonary and critical care medicine · 2025
    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

9 authors at 2 institutions in 1 country.

Marco RussanoDepartment of Medical Oncology, University Campus Bio-Medico , Rome, Italy.
Fabrizio CitarellaDepartment of Medical Oncology, University Campus Bio-Medico , Rome, Italy.
Andrea NapolitanoDepartment of Medical Oncology, University Campus Bio-Medico , Rome, Italy.
Emanuela Dell'AquilaDepartment of Medical Oncology, University Campus Bio-Medico , Rome, Italy.
Alessio CortelliniDepartment of Medical Oncology, St. Salvatore Hospital , L'Aquila, Italy.ORCID 0000-0002-1209-5735
Francesco PantanoDepartment of Medical Oncology, University Campus Bio-Medico , Rome, Italy.
Bruno VincenziDepartment of Medical Oncology, University Campus Bio-Medico , Rome, Italy.
Giuseppe ToniniDepartment of Medical Oncology, University Campus Bio-Medico , Rome, Italy.
Daniele SantiniDepartment of Medical Oncology, University Campus Bio-Medico , Rome, Italy.
Università Campus Bio-Medico · ITUniversity of L'Aquila · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic occurred amid the cancer immunotherapy revolution. Immune checkpoint inhibitors (ICIs) have become the standard of care for several solid cancers and are associated with peculiar toxicities, including pneumonitis which has similar features to COVID-19 pneumonia. AREAS COVERED: We summarize the main hallmarks of lung injury induced by ICIs and severe acute respiratory syndrome coronavirus 2 and discuss the critical aspects for differential diagnosis and management. Symptoms and radiological findings are often similar; conversely, treatments are quite different. Furthermore, we focus on potential interactions generating hypotheses that need confirmatory studies. EXPERT OPINION: All cancer patients treated with immunotherapy should receive screening for SARS-CoV-2. This would improve the diagnosis and management of pneumonia and guide therapeutic choices. Furthermore, clinicians could estimate the risk/benefit of continuing ICI treatment in COVID-19 positive patients. Temporary withdrawal of the immunotherapy treatment pending resolution of viral infection may be a reasonable option in long-responders patients.

Indexed as

BetacoronavirusImmunotherapyCoronavirus InfectionsCOVID-19Diagnosis, DifferentialDisease ManagementHumansNeoplasmsPandemicsPneumonia, ViralSARS-CoV-2coronavirusCOVID-19immune checkpoint inhibitorsimmune-related Pneumonitisimmunotherapypneumonia

Identifiers

PMID32588674
PMCPMC7441753
OpenAlexW3038114343

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.