Evidence map›Paper›PMID 34234913›Full record

ArticleJournal of community hospital internal medicine perspectives2021

Pembrolizumab related Guillain barre syndrome, a rare presentation in a patient with a history of lupus and bladder cancer.

Vikram Sangani, Mytri Pokal, Mamtha Balla, Ganesh Prasad Merugu, Sreedhar Adapa, Srikanth Naramala, Venu Madhav Konala

Open access · goldAbstract read
In one paragraph

Article in Journal of community hospital internal medicine perspectives, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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

7 authors at 5 institutions in 1 country.

Vikram SanganiHospitalist, Department of Internal Medicine, Quantum HC, Macon, Georgia.ORCID https://orcid.org/0000-0002-8460-9838
Mytri PokalHospitalist, Department of Internal Medicine, Quantum HC, Macon, Georgia.ORCID https://orcid.org/0000-0002-5158-8663
Mamtha BallaClinical Assistant Professor, Department of Internal Medicine, University of Toledo and Promedica Toledo Hospital, Toledo, USA.ORCID https://orcid.org/0000-0001-9414-8599
Ganesh Prasad MeruguDivision Chief and Geriatric Fellowship Program Director, Division of Geriatric Medicine, Department of Family Medicine, University of Toledo, Toledo, USA.ORCID https://orcid.org/0000-0002-8283-1267
Sreedhar AdapaDepartment of Internal Medicine, Division of Nephrology, Adventist Medical Center, Hanford, USA.ORCID https://orcid.org/0000-0001-5608-5654
Srikanth NaramalaDepartment of Internal Medicine, Division of Rheumatology, Adventist Medical Center, Hanford, USA.ORCID https://orcid.org/0000-0003-1238-856X
Venu Madhav KonalaDepartment of Internal Medicine, Division of Medical Oncology, Ashland Bellefonte Cancer Center, Ashland, USA.ORCID https://orcid.org/0000-0003-1953-8815
Adventist HealthCare · USNavicent Health · USAshland Bellefonte Cancer Center · USProMedica Toledo Hospital · USUniversity of Toledo · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitor-related neurotoxicity causing Guillain Barre Syndrome is relatively uncommon. We discussed an 80-year-old patient with known systemic lupus erythematosus who presented with lower extremity weakness, areflexia and then progressed to respiratory muscle and upper extremity weakness after receiving immunotherapy with checkpoint inhibitors for metastatic bladder cancer. With the increasing use of immunotherapy for the management of cancer, awareness of neurological autoimmune side effects is essential. Immune checkpoint inhibitor-mediated GBS can be severe and fatal if not diagnosed promptly. The hospitalists, neurologists, and oncologists should be aware of neurotoxicity related to immune checkpoint inhibitor therapy requiring a multidisciplinary approach to patient care. Prompt initiation of immunosuppressive therapy is required for the management of immune checkpoint inhibitor-related neurotoxicity.

Indexed as

Guillain barre syndromeimmune checkpoint inhibitorKeytrudaneurological complicationsPD 1 antibodypembrolizumab

Identifiers

PMID34234913
PMCPMC8118446
OpenAlexW3160702751

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.