Evidence map›Paper›PMID 34021591›Full record

SynthesisEuropean journal of clinical investigation2021

Influenza vaccination in cancer patients receiving immune checkpoint inhibitors: A systematic review.

Francesco Spagnolo, Andrea Boutros, Elena Croce, Federica Cecchi, Luca Arecco, Enrica Tanda, Paolo Pronzato, Matteo Lambertini

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in European journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.6field-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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Current Vaccination Principles and Practices in Adult Cancer Patients.Journal of clinical practice and research · 2026
    Review
  9. Review
  10. Review
  11. Observational
  12. Article
  13. Article
  14. Review
  15. Article
  16. Vaccination considerations for patients receiving cancer therapy.Canadian family physician Medecin de famille canadien · 2022
    Article
  17. Review
  18. Review
  19. Review
  20. Review
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

8 authors at 1 institution in 1 country.

Francesco SpagnoloOncologia Medica 2, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID https://orcid.org/0000-0003-3287-1225
Andrea BoutrosOncologia Medica 2, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Elena CroceOncologia Medica 2, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Federica CecchiOncologia Medica 2, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Luca AreccoDepartment of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, Genova, Italy.
Enrica TandaOncologia Medica 2, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Paolo PronzatoOncologia Medica 2, IRCCS Ospedale Policlinico San Martino, Genova, 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 · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a concern that influenza vaccination may increase the incidence of immune-related adverse events in patients receiving immune checkpoint inhibitors (ICIs). The aim of this systematic review was to summarize the available data on the safety and efficacy of influenza vaccination in cancer patients receiving ICIs.

methodsStudies reporting safety and efficacy outcomes of influenza vaccination in cancer patients receiving ICIs were included. Only descriptive statistics were conducted to obtain a pooled rate of immune-related adverse events in vaccinated patients.

resultsTen studies assessing the safety and eight assessing the efficacy of influenza vaccination in cancer patients receiving ICIs were identified, for a total of 1124 and 986 vaccinated patients, respectively. Most patients had melanoma or lung cancer and received a single agent anti-PD-1, but also other tumour types and immunotherapy combinations were represented. No severe vaccination-related toxicities were reported. The pooled incidence of any grade immune checkpoint inhibitor-related adverse events was 28.9%. In the 6 studies specifying the incidence of grade 3-4 toxicities, the pooled incidence was 7.5%. No grade 5 toxicities were reported. No pooled descriptive analysis was conducted in studies reporting efficacy outcomes due to the heterogeneity of endpoints and data reporting. Nevertheless, among the eight studies included, seven reported positive efficacy outcomes of influenza vaccination.

conclusionThe results of this systematic review support the safety and efficacy of influenza vaccination in cancer patients receiving ICIs. These results are particularly relevant in the context of the SARS-CoV-2 pandemic.

Indexed as

Case-Control StudiesCOVID-19Drug InteractionsHumansImmune Checkpoint InhibitorsImmunogenicity, VaccineInfluenza, HumanInfluenza VaccinesNeoplasmsSARS-CoV-2Immune Checkpoint InhibitorsInfluenza Vaccinesanti-PD-1COVID-19immune checkpoint inhibitorsimmunotherapyinfluenza vaccinationlung cancermelanomaSARS-CoV-2 pandemic

Identifiers

PMID34021591
PMCPMC8365730
OpenAlexW3161255069

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.