Evidence map›Paper›PMID 33819538›Full record

ArticleJournal of the American Academy of Dermatology2022

Epidemiology and risk factors for the development of cutaneous toxicities in patients treated with immune-checkpoint inhibitors: A United States population-level analysis.

Shannon Wongvibulsin, Vartan Pahalyants, Mark Kalinich, William Murphy, Kun-Hsing Yu, Feicheng Wang, Steven T Chen, Kerry Reynolds, Shawn G Kwatra, Yevgeniy R Semenov

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 2% 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

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Pooled it
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  15. Neuromuscular complications associated with cancer immunotherapy.Journal of the National Cancer Center · 2025
    Review
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  17. Article
  18. Research in practice: Immune checkpoint inhibitor related autoimmune bullous dermatosis.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Review
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  20. Article

2 more citing papers are in PubMed but not listed here.

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

10 authors at 4 institutions in 1 country.

Shannon WongvibulsinDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Vartan PahalyantsDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Harvard Business School, Boston, Massachusetts.
Mark KalinichDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
William MurphyDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Harvard Business School, Boston, Massachusetts.
Kun-Hsing YuDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts; Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts.
Feicheng WangDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts; Department of Statistics, Harvard University, Cambridge, Massachusetts.
Steven T ChenDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Kerry ReynoldsDepartment of Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Shawn G KwatraDepartment of Dermatology, Johns Hopkins University School of Medicine, Baltimore, Maryland; School of Public Health, Johns Hopkins University Bloomberg, Baltimore, Maryland.
Yevgeniy R SemenovDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: ysemenov@mgh.harvard.edu.
Massachusetts General Hospital · USHarvard University · USBloomberg (United States) · USBrigham and Women's Hospital · US

Funding

Medical Scientist Training ProgramT32GM007753 · NIGMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WALENSKY, LOREN DAVID · 1985 to 2021
$50.0M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007309 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI COX, ANDREA L · 1985 to 2019
$43.2M
Robust, Generalizable, and Fair Machine Learning Models for BiomedicineR35GM142879 · NIGMS · HARVARD MEDICAL SCHOOL · PI YU, KUN-HSING · 2021 to 2025
$2.4M
Mitigating Hematologic Adverse Events in Patients with Myeloid Malignancies: A Novel Causal Artificial Intelligence ApproachR01HL174679 · NHLBI · HARVARD MEDICAL SCHOOL · PI Kun-Hsing Yu · 2024 to 2026
$2.3M
Sudden Cardiac Arrest (SCA): Prediction and PreventionF30HL142131 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WONGVIBULSIN, SHANNON · 2018 to 2020
$135k
Mechanically mediated genomic changes during the metastatic cascadeF30CA224588 · NCI · HARVARD MEDICAL SCHOOL · PI KALINICH, MARK · 2018 to 2019
$86k
NCI NIH HHS F30 CA224588NCI NIH HHS L30 CA264747NHLBI NIH HHS F30 HL142131NHLBI NIH HHS R01 HL174679NIGMS NIH HHS R35 GM142879NIGMS NIH HHS T32 GM007309NIGMS NIH HHS T32 GM007753
6 · The paper itself

Abstract

backgroundA variety of dermatoses have been reported in the growing number of patients treated with immune-checkpoint inhibitors (ICIs), but the current understanding of cutaneous immune-related adverse events (irAEs) is limited.

objectiveTo determine the cumulative incidence, distribution, and risk factors of cutaneous irAEs after ICI initiation.

methodsThis was a retrospective cohort study of patients in a national insurance claims database including cancer patients treated with ICIs and matched controls.

resultsThe study included 8637 ICI patients and 8637 matched controls. The overall incidence of cutaneous irAEs was 25.1%, with a median onset time of 113 days. The ICI group had a significantly higher incidence of pruritus, mucositis, erythroderma, maculopapular eruption, vitiligo, lichen planus, bullous pemphigoid, Grover disease, rash, other nonspecific eruptions, and drug eruption or other nonspecific drug reaction. Patients with melanoma and renal cell carcinoma and those receiving combination therapy were at a higher risk of cutaneous irAEs. LIMITATIONS: Retrospective design without access to patient chart data.

conclusionsThis study identifies cutaneous irAEs in a real-world clinical setting and highlights patient groups that are particularly at risk. The results can aid dermatologists at the bedside in the diagnosis of cutaneous irAEs and in formulating management recommendations to referring oncologists regarding the continuation of ICI therapy.

Indexed as

Drug EruptionsExanthemaMelanomaNeoplasmsHumansImmune Checkpoint InhibitorsRetrospective StudiesRisk FactorsUnited StatesImmune Checkpoint InhibitorsCutaneousdermatologicdrug reactionsimmune-checkpoint inhibitorsimmune-related adverse eventsimmunotherapy

Identifiers

PMID33819538
PMCPMC10285344
OpenAlexW3151682852

What OpenQuestion holds

Textmetadata
LicenceTDM
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.