Evidence map›Paper›PMID 34362003›Full record

ReviewJournal of clinical medicine2021

The Impact of Long-Term Antibiotic Therapy of Cutaneous Adverse Reactions to EGFR Inhibitors in Colorectal Cancer Patients.

Mara Mădălina Mihai, Ana Ion, Călin Giurcăneanu, Cornelia Nițipir, Ana-Maria Popa, Mariana-Carmen Chifiriuc, Mircea Ioan Popa, Jan Říčař, Liliana Gabriela Popa, Ionela Sârbu and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.8field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 23 citations in OpenAlex.

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  8. Therapeutic Management of Malignant Wounds: An Update.Current treatment options in oncology · 2024
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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

11 authors at 4 institutions in 2 countries.

Mara Mădălina MihaiDepartment of Oncologic Dermatology, 'Elias' Emergency University Hospital, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.ORCID 0000-0002-1436-0088
Ana IonDepartment of Dermatology, 'Elias' Emergency University Hospital, 011461 Bucharest, Romania.
Călin GiurcăneanuDepartment of Oncologic Dermatology, 'Elias' Emergency University Hospital, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Cornelia NițipirDepartment of Oncology, 'Elias' Emergency University Hospital, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Ana-Maria PopaDepartment of Oncology, 'Elias' Emergency University Hospital, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Mariana-Carmen ChifiriucDepartment of Microbiology, Faculty of Biology, ICUB-Research Institute of the University of Bucharest, 050657 Bucharest, Romania.ORCID 0000-0001-6098-1857
Mircea Ioan PopaDepartment of Microbiology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.ORCID 0000-0002-0794-9329
Jan ŘíčařDepartment of Dermatology and Venereology, Charles University, Medical School and Teaching Hospital Pilsen, 30599 Pilsen, Czech Republic.
Liliana Gabriela PopaDepartment of Oncologic Dermatology, 'Elias' Emergency University Hospital, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Ionela SârbuDepartment of Genetics, Faculty of Biology, ICUB-Research Institute of the University of Bucharest, 050657 Bucharest, Romania.ORCID 0000-0002-9171-0846
Veronica LazărDepartment of Microbiology, Faculty of Biology, ICUB-Research Institute of the University of Bucharest, 050657 Bucharest, Romania.
Carol Davila University of Medicine and Pharmacy · ROUniversity of Bucharest · ROCharles University · CZClinical Emergency Hospital Bucharest · RO

Funding

Unitatea Executiva pentru Finantarea Invatamantului Superior, a Cercetarii, Dezvoltarii si Inovarii PN-III-P1-1.1-PD-2019-1225
6 · The paper itself

Abstract

Colorectal cancer (CRC) is an important public health issue, in terms of incidence and mortality, with approximately 1.8 million new cases reported worldwide in 2018. Advancements in understanding pathophysiological key steps in CRC tumorigenesis have led to the development of new targeted therapies such as those based on epidermal growth factor receptor inhibitors (EGFR inhibitors). The cutaneous adverse reactions induced by EGFR inhibitors, particularly papulopustular rash, often require long-term antibiotic treatment with tetracycline agents (mostly minocycline and doxycycline). However, this raises several issues of concern: possible occurrence of gut dysbiosis in already vulnerable CRC patients, selection of highly antibiotic resistant and/or virulent clones, development of adverse reactions related to tetracyclines, interference of antibiotics with the response to oncologic therapy, with a negative impact on disease prognosis etc. In the context of scarce information regarding these issues and controversial opinions regarding the role of tetracyclines in patients under EGFR inhibitors, our aim was to perform a thorough literature review and discuss the main challenges raised by long-term use of tetracyclines in advanced CRC patients receiving this targeted therapy.

Indexed as

acneiform rashEGFR inhibitorsFusobacterium nucleatumgut microbiome dysbiosislong-term antibiotic therapymetastatic colorectal cancerpapulo-pustular rashtetracyclines

Identifiers

PMID34362003
PMCPMC8347035
OpenAlexW3185467844

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.