Evidence map›Paper›PMID 35044093›Full record

ArticleThoracic cancer2022

Risk factors for pneumonitis in patients with non-small cell lung cancer treated with immune checkpoint inhibitors plus chemotherapy: A retrospective analysis.

Teppei Yamaguchi, Junichi Shimizu, Yuko Oya, Naohiro Watanabe, Takaaki Hasegawa, Yoshitsugu Horio, Yoshitaka Inaba, Yutaka Fujiwara

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Immune Checkpoint Inhibitor-associated Pneumonitis: A Narrative Review.The western journal of emergency medicine · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Observational
  16. Review
  17. Article
  18. Article
  19. Pulmonary adverse events following immune checkpoint inhibitors.Current opinion in pulmonary medicine · 2022
    Review
  20. 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

8 authors at 1 institution in 1 country.

Teppei YamaguchiDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Aichi, Japan.ORCID 0000-0002-8909-5709
Junichi ShimizuDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Aichi, Japan.
Yuko OyaDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Aichi, Japan.
Naohiro WatanabeDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Aichi, Japan.
Takaaki HasegawaDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, Aichi, Japan.ORCID 0000-0001-6701-8836
Yoshitsugu HorioDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Aichi, Japan.
Yoshitaka InabaDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, Aichi, Japan.
Yutaka FujiwaraDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Aichi, Japan.
Aichi Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitor (ICI) therapy plus chemotherapy has become a standard of care for patients with advanced non-small cell lung cancer (NSCLC). Pre-existing interstitial lung disease (ILD) is a risk factor for drug-induced pneumonitis caused by chemotherapy or ICI monotherapy. However, clinical data in patients with pre-existing ILD who received ICI therapy plus chemotherapy are limited. This study aimed to identify the risk factors for drug-induced pneumonitis in patients with NSCLC treated with ICIs plus chemotherapy.

methodsWe retrospectively reviewed the medical records of 160 consecutive patients who were diagnosed with NSCLC and treated with ICIs plus chemotherapy at Aichi Cancer Center Hospital between December 2018 and November 2020. Patients with a prior history of ICI treatment or thoracic radiotherapy were excluded from the analysis.

resultsAmong 125 patients, pre-existing ILD was observed in 20 patients (16.0%). Drug-induced pneumonitis developed in 17 patients (13.6%), with a median time to onset of 19.3 weeks (range, 1.6-108.9 weeks). In multivariate logistic analysis, pre-existing ILD (odds ratio = 19.07, p = 0.0001) and PEM exposure (odds ratio = 5.67, p = 0.022) were identified as risk factors for the development of drug-induced pneumonitis.

conclusionsPre-existing ILD and pemetrexed exposure are risk factors for drug-induced pneumonitis in patients with NSCLC.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsPneumoniaHumansImmune Checkpoint InhibitorsRetrospective StudiesRisk FactorsImmune Checkpoint Inhibitorsimmune checkpoint inhibitorsinterstitial lung diseasenon-small cell lung cancerpemetrexedpneumonitis

Identifiers

PMID35044093
PMCPMC8888158
OpenAlexW4205876341

What OpenQuestion holds

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LicenceCC BY
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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.