Evidence map›Paper›PMID 34872504›Full record

ArticleBMC cancer2021

Association of advanced age and cancer history with autoimmune disease in melanoma patients: a cross-sectional study.

Aaron N Holmes, Helen Swede, Wendy M Feer, Donna Comins Pike, Xiaoyan Wang, Upendra P Hegde

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 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 44% 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. Review
  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

6 authors at 2 institutions in 1 country.

Aaron N HolmesUniversity of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT, 06030, USA.
Helen SwedeUniversity of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT, 06030, USA.
Wendy M FeerUniversity of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT, 06030, USA.
Donna Comins PikeUniversity of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT, 06030, USA.
Xiaoyan WangUniversity of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT, 06030, USA.
Upendra P HegdeUniversity of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT, 06030, USA. uhegde@uchc.edu.
UConn Health · USSema4 (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune-related adverse events (irAEs) are a major toxicity of immune checkpoint inhibitors. Studies have reported that pre-existing autoimmunity increases the risk of irAEs, but it remains unknown which clinical factors are linked to auto-immune disorders in cancer patients. This study aimed to evaluate if the prevalence of autoimmune diseases varied by specific cancer history and advanced age.

methodsOur cross-sectional medical record review consisted of 291,333 patients (age, ≥18 years) treated between 2000 and 2018. Patients were classified into four study groups (melanoma only, non-cutaneous solid cancer only, melanoma and non-cutaneous cancer, and no cancer history). Dependent variable was the presence of ≥1 autoimmune disorders based on 98 conditions using 317 ICD codes.

resultsNon-cutaneous cancer, in the absence or presence of melanoma, was associated with a higher prevalence of autoimmunity (16.5, 95% CI 16.1-16.9; 20.0, 95% CI 18.3-21.7, respectively) compared to the rates in patients with melanoma only and those without cancer history (9.3, 95% CI 8.6-10.0; 6.2, 95% CI 6.1-6.3, respectively). Among patients with metastases at initial presentation, those in the melanoma and non-cutaneous cancer group had a prevalence of 24.0% (95% CI 20.1-27.9) compared to 19.1% (95% CI 17.2-21.0) in those without metastases. Multiple logistic regression demonstrated that patients > 75 years exhibited the highest odds of autoimmunity relative to other age groups, with age 18-34 as the referent (OR, 1.78, 95% CI 1.67-1.89).

conclusionsAmong patients with melanoma, the greatest prevalence of autoimmunity occurred with advanced age and a history of non-cutaneous cancer.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsAutoimmune DiseasesCross-Sectional StudiesFemaleHumansMaleMelanomaMiddle AgedNeoplasmsYoung AdultAgingAutoimmunityImmune checkpoint inhibitorsImmunotherapyMelanoma

Identifiers

PMID34872504
PMCPMC8647353
OpenAlexW4226210670

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.