Evidence map›Paper›PMID 34124393›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2021

Occurrence of hepatitis in an elderly woman during the treatment of pembrolizumab for right advanced renal pelvis, ureteral cancer, and bladder cancer.

Shinya Asatani, Tatsuo Kanda, Masayuki Honda, Tomotaka Ishii, Yoichiro Yamana, Tomohiro Kaneko, Taku Mizutani, Hiroshi Takahashi, Mariko Kumagawa, Reina Sasaki and 6 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

16 authors at 1 institution in 1 country.

Shinya AsataniDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Tatsuo KandaDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-1654-5385
Masayuki HondaDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Tomotaka IshiiDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Yoichiro YamanaDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Tomohiro KanekoDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Taku MizutaniDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Hiroshi TakahashiDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Mariko KumagawaDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Reina SasakiDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Ryota MasuzakiDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Shini KanezawaDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Naoki MatsumotoDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Kazushige NireiDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Hiroaki YamagamiDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Mitsuhiko MoriyamaDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Nihon University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently, the use of immune checkpoint inhibitors (ICIs) with or without chemotherapeutic agents has been increasing in the treatment for advanced cancer. Here, we report the occurrence of liver failure after the use of pembrolizumab in an 82-year-old woman with metastatic liver disease derived from right advanced renal pelvis, ureteral cancer, and bladder cancer. She was successfully treated with 0.6 mg/kg daily prednisolone. In patients treated with ICIs, ICI-induced hepatitis is occasionally observed. Even if patients are older, it appears important to diagnose and treat ICI-induced hepatitis earlier by multidisciplinary therapies including steroid treatment. This is a first report of pembrolizumab-induced liver failure in elder patient with age over 80 years. Even if patients are older, it appears important to diagnose and treat ICI-induced hepatitis earlier by multidisciplinary therapies including steroid treatment.

Indexed as

hepatitisimmune‐related adverse eventpembrolizumabrenal pelvis and ureteral cancersteroid

Identifiers

PMID34124393
PMCPMC8171158
OpenAlexW3157435167

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.