Evidence map›Paper›PMID 34164266›Full record

ArticleTranslational lung cancer research2021

Impact of chronic obstructive pulmonary disease on immune checkpoint inhibitor efficacy in advanced lung cancer and the potential prognostic factors.

Jiebai Zhou, Yencheng Chao, Danwei Yao, Ning Ding, Jiamin Li, Lei Gao, Yong Zhang, Xiaobo Xu, Jian Zhou, Balazs Halmos and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Translational lung cancer research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
3.3field-weighted citation impact, top 5% 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

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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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

15 authors at 9 institutions in 5 countries.

Jiebai ZhouDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Yencheng ChaoDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Danwei YaoDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, USA.
Ning DingDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Jiamin LiDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Lei GaoDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Yong ZhangDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Xiaobo XuDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Jian ZhouDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Balazs HalmosDepartment of Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Nikolaos TsoukalasDepartment of Oncology, 401 General Military Hospital, Athens, Greece.
Yuki KataokaDepartment of Respiratory Medicine, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
Ramon Andrade de MelloFaculdade de Medicina Universidade Nove de Julho (UNINOVE), Rua Pedro Oliveira Tavares, Bauru, SP, Brazil.
Yuanlin SongDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Jie HuDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Sun Yat-sen University · CNThe First Affiliated Hospital, Sun Yat-sen University · CNFudan University · CN401 General Military Hospital of Athens · GRHyogo Prefectural Amagasaki General Medical Center · JPJohns Hopkins University · USMontefiore Medical Center · USUniversidade Nove de Julho · BRZhongshan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coexistence of chronic obstructive pulmonary disease (COPD) in lung cancer patients often correlates with a poor clinical outcome regardless of tumor stage, mainly due to older age, poor lung function, and complex comorbid disease. Emerging data suggest that the pathogenesis of both diseases involves aberrant immune functioning. We conducted this retrospective study to describe the impact of COPD on the clinical outcomes of lung cancer patients treated with immunotherapy and investigate the potential prognostic factors.

methodsIn total, 156 patients with advanced-stage lung cancer who received at least one administration of an anti-programmed cell death 1 (PD-1)/anti-programmed cell death-ligand 1 (PD-L1) immune checkpoint inhibitor (ICI) at any treatment line at Zhongshan Hospital Fudan University between May 2018 and December 2019 were enrolled in our study. Overall survival (OS) and progression-free survival (PFS) were analyzed according to the presence of COPD. We also evaluated the prognostic value of circulating cytokine levels for clinical outcome.

resultsWe found that the presence of COPD (both spirometry-based COPD and physician-defined COPD) was significantly associated with longer PFS (316

conclusionsCOPD was associated with better survival in advanced-stage lung cancer patients treated with ICIs. Plasma IL-8 and IL-2R levels were potential prognostic factors for clinical outcome. The nomograms represent a possibly useful tool for predicting the clinical outcomes of immunotherapy.

Indexed as

advanced lung cancerChronic obstructive pulmonary disease (COPD)immune checkpoint inhibitor (ICI)interleukin-2R (IL-2R)interleukin-8 (IL-8)mixed ventilatory defect

Identifiers

PMID34164266
PMCPMC8182718
OpenAlexW3162453019

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.