Evidence map›Paper›PMID 33193289›Full record

SynthesisFrontiers in immunology2020

Diagnosis and Management of Hematological Adverse Events Induced by Immune Checkpoint Inhibitors: A Systematic Review.

Nabil E Omar, Kareem A El-Fass, Abdelrahman I Abushouk, Noha Elbaghdady, Abd Elmonem M Barakat, Ahmed E Noreldin, Dina Johar, Mohamed Yassin, Anas Hamad, Shereen Elazzazy and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Associations Between Immune-Related Venous Thromboembolism and Efficacy of Immune Checkpoint Inhibitors: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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  10. Neutropenic events associated with new anticancer treatments, from pathophysiology to practice: a scoping review-NEW Group (Neutropenic Events Working Group).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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 6 institutions in 4 countries.

Nabil E OmarPharmacy Department, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.
Kareem A El-FassDepartment of Pharmacy Practice, College of Clinical Pharmacy, King Faisal University, Hofuf, Saudi Arabia.
Abdelrahman I AbushoukDivision of Cardiology, Department of Medicine, Harvard Medical School, Boston, MA, United States.
Noha ElbaghdadyClinical Pharmacy Department, School of Pharmacy, New Giza University, Giza, Egypt.
Abd Elmonem M BarakatFaculty of Veterinary Medicine, Damanhour University, Damanhour, Egypt.
Ahmed E NoreldinDepartment of Histology and Cytology, Faculty of Veterinary Medicine, Damanhour University, Damanhour, Egypt.
Dina JoharBasic Sciences Department, Faculty of Medicine, Algalala University, Suez, Egypt.
Mohamed YassinMedical Oncology-Hematology Section, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.
Anas HamadPharmacy Department, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.
Shereen ElazzazyPharmacy Department, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.
Said DermimeNational Centre for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.
National Center for Cancer Care and Research · QADamanhour University · EGHamad Medical Corporation · QAHarvard University · USKing Faisal University · SASuez University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There has been less volume of literature focusing on the Immune-related Hematological Adverse Drug Events (Hem-irAEs) of Immune Checkpoint Inhibitors (ICPis) in cancer patients. Furthermore, there has been no consensus about the management of hematological toxicity from immunotherapy in the recently published practice guidelines by the European Society for Medical Oncology (ESMO). We conducted a systematic review of case reports/series to describe the diagnosis and management of potentially rare and unrecognized Hem-irAEs. We searched Medline, OVID, Web of Science for eligible articles. Data were extracted on patient characteristics, Hem-irAEs, and management strategies. We performed quality assessment using the Pierson-5 evaluation scheme and causality assessment using the Naranjo scale. Our search retrieved 49 articles that described 118 cases. The majority of patients had melanoma (57.6%) and lung cancer (26.3%). The most common Hem-irAEs reported with ICPis (such as nivolumab, ipilimumab, and pembrolizumab) were thrombocytopenia, hemolytic and aplastic anemias. Less reported adverse events included agranulocytosis and neutropenia. Steroids were commonly used to treat these adverse events with frequent success. Other used strategies included intravenous immunoglobulins (IVIG), rituximab, and transfusion of blood components. The findings of this review provide more insights into the diagnosis and management of the rarely reported Hem-irAEs of ICPis.

Indexed as

Antineoplastic Agents, ImmunologicalHematologic DiseasesHumansImmune Checkpoint InhibitorsNeoplasmsAntineoplastic Agents, ImmunologicalImmune Checkpoint Inhibitorsatezolizumabavelumabdurvalumabimmune checkpoint inhibitorsimmune-related adverse eventsipilimumabnivolumabpembrolizumab

Identifiers

PMID33193289
PMCPMC7640759
OpenAlexW3094562763

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.