Evidence map›Paper›PMID 34508604›Full record

SynthesisJournal of the National Cancer Institute2022

Meta-Analysis of Quality of Life in Cancer Patients Treated With Immune Checkpoint Inhibitors.

Brian D Gonzalez, Sarah L Eisel, Kristina E Bowles, Aasha I Hoogland, Brian W James, Brent J Small, Susan Sharpe, Kelly A Hyland, Hailey W Bulls, Shannon M Christy and 12 more

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of the National Cancer Institute, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.7field-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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Review
  5. Patient-reported quality-of-life outcomes in immune checkpoint inhibitor therapy: addressing gaps, capturing patient experience, and advancing the field.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Review
  13. 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

22 authors at 6 institutions in 1 country.

Brian D GonzalezDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0001-5108-5735
Sarah L EiselDepartment of Health Outcomes and Behavior, Moffitt Cancer Center , Tampa, FL, USA.
Kristina E BowlesDepartment of Health Outcomes and Behavior , Moffitt Cancer Center, Tampa, FL, USA.
Aasha I HooglandDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0002-8691-8132
Brian W JamesMorsani College of Medicine, University of South Florida, Tampa, FL, USA.
Brent J SmallSchool of Aging Studies, University of South Florida, Tampa, FL, USA.ORCID 0000-0002-7444-4689
Susan SharpeMoffitt Biomedical Library, Moffitt Cancer Center, Tampa, FL, USA.
Kelly A HylandDepartment of  Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0001-9864-5306
Hailey W BullsDepartment of Health  Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0003-1005-0303
Shannon M ChristyDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL,  USA.ORCID 0000-0001-5306-7020
Jori MansfieldMorsani College of Medicine, University of South Florida, Tampa, FL, USA.
Ashley M NelsonDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-1742-3280
Raviteja AllaMorsani  College of Medicine, University of South Florida, Tampa, FL, USA.ORCID 0000-0002-9002-8810
Kelly MaharajDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA .ORCID 0000-0002-0537-0700
Brittany KennedyDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa,  FL, USA.
Elizabeth LafranchiseMorsani College  of Medicine, University of South Florida, Tampa, FL, USA.
Noelle L WilliamsDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Sarah JenneweinDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL , USA.ORCID 0000-0002-7368-2669
Laura B OswaldDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa , FL, USA.ORCID 0000-0001-6281-2512
Michael A PostowSoutheast Radiation Oncology Group, Levine Cancer Institute at Atrium Health, Charlotte, NC, USA.
Adam P DickerDepartment of Radiation Oncology, Thomas Jefferson University, Philadelphia, PA, USA.
Heather S L JimDepartment of Health Outcomes and Behavior, Moffitt Cancer Center,  Tampa, FL, USA.
Moffitt Cancer Center · USUniversity of South Florida · USLevine Cancer Institute · USMassachusetts General Hospital · USMemorial Sloan Kettering Cancer Center · USThomas Jefferson University · US

Funding

Identifying Disparities in Mild Cognitive Impairment and Alzheimer's Disease and Related Dementias in Diverse Prostate Cancer SurvivorsR01CA242742 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI GONZALEZ, BRIAN D · 2020 to 2024
$2.2M
Reducing Persistent Fatigue Following Hematopoietic Stem Cell TransplantationK23HL159328 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NELSON, ASHLEY · 2021 to 2025
$870k
Developing a Culturally Targeted mHealth Intervention for Cancer-Related Sleep Disturbance in African American Breast Cancer SurvivorsK01CA211789 · NCI · RBHS -CANCER INSTITUTE OF NEW JERSEY · PI GONZALEZ, BRIAN D · 2016 to 2019
$585k
NCI NIH HHS K01 CA211789NCI NIH HHS R01 CA242742
6 · The paper itself

Abstract

backgroundTrials of immune checkpoint inhibitors (ICIs) have published patient-reported quality of life (QOL), but the size and heterogeneity of this literature can make patient education difficult. This meta-analysis aimed to describe change in QOL and symptomatology in patients receiving ICIs for cancer.

methodsFollowing Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, databases were searched through November 2019 for articles or abstracts of prospective, original studies reporting longitudinal QOL in adult cancer patients treated with ICIs. The prespecified primary outcomes were change in global QOL among patients treated with ICIs and difference in change since baseline in global QOL between patients treated with ICI vs non-ICI active treatment. Secondary outcomes included physical functioning and symptomatology. All statistical tests were 2-sided.

resultsOf 20 323 publications, 26 met inclusion criteria. Global QOL did not change over time in patients treated with ICIs (k = 26, n = 6974; P = .19). Larger improvements in global QOL was observed in patients receiving ICI vs non-ICI regimens (k = 16, ICI: n = 3588; non-ICI: n = 2948; P < .001). Physical functioning did not change in patients treated with ICIs (k = 14, n = 3169; P = .47); there were no differences in mean change between ICI vs non-ICI regimens (k = 11, n = 4630; P = .94). Regarding symptoms, appetite loss, insomnia, and pain severity decreased, but dyspnea severity increased in patients treated with ICIs (k = 14, n = 3243-3499; P < .001). Insomnia severity was higher in patients treated with ICIs than non-ICI regimens (k = 11, n = 4791; P < .001).

conclusionsThis study is among the first to quantitatively summarize QOL in patients treated with ICIs. Findings suggest ICI recipients report no change in global QOL and higher QOL than patients treated with non-ICI regimens.

Indexed as

Antineoplastic Agents, ImmunologicalNeoplasmsSleep Initiation and Maintenance DisordersAdultHumansImmune Checkpoint InhibitorsProspective StudiesQuality of LifeAntineoplastic Agents, ImmunologicalImmune Checkpoint Inhibitors

Identifiers

PMID34508604
PMCPMC9194633
OpenAlexW3021840175

What OpenQuestion holds

Textmetadata
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.