Evidence map›Paper›PMID 35372904›Full record

ReviewKidney3602020

Immune Checkpoint Inhibitor Nephrotoxicity: Update 2020.

Shruti Gupta, Frank B Cortazar, Leonardo V Riella, David E Leaf

Abstract readReview
In one paragraph

Review in Kidney360, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

59 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

4 authors.

Shruti GuptaDivision of Renal Medicine, Brigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0002-5747-2151
Frank B CortazarNew York Nephrology Vasculitis and Glomerular Center, Albany, New York; and.
Leonardo V RiellaDivision of Renal Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
David E LeafDivision of Renal Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

Funding

Role of Siglec-E in Regulating AlloimmunityR01AI143887 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI RIELLA, LEONARDO V. · 2019 to 2023
$2.1M
Precision Medicine Approach to Vitamin D3 Administration in Critical IllnessR01HL144566 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LEAF, DAVID EVAN · 2019 to 2022
$1.8M
Dysregulated Mineral Metabolism and Acute Kidney InjuryK23DK106448 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI LEAF, DAVID EVAN · 2015 to 2019
$964k
Chronic kidney disease as a risk factor for incident hearing lossF32DC017342 · NIDCD · BRIGHAM AND WOMEN'S HOSPITAL · PI GUPTA, SHRUTI · 2018 to 2019
$167k
NHLBI NIH HHS R01 HL144566NIAID NIH HHS R01 AI143887NIDCD NIH HHS F32 DC017342NIDDK NIH HHS K23 DK106448
6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICPIs) have transformed the landscape of oncology, but are associated with a variety of autoimmune adverse events, including AKI. ICPI-associated AKI (ICPI-AKI) is emerging as an increasingly frequent cause of AKI in patients with cancer, and poses unique diagnostic and management challenges to clinicians who care for these patients. In this review, we describe the incidence and risk factors for ICPI-AKI, including proton pump inhibitor use, CKD, and combination immunotherapy. We discuss the limitations of the various definitions used for ICPI-AKI in prior studies, and propose a novel classification system (definite, probable, and possible ICPI-AKI) that recognizes the diagnostic uncertainty inherent in many cases. We discuss the key clinicopathologic features and treatment strategies for ICPI-AKI, including the role of kidney biopsy versus empirical treatment with steroids. We also explore the under-studied area of ICPI use in the setting of solid organ transplantation, where nephrologists and oncologists must balance the risk of rejection versus treating the underlying malignancy. Finally, we summarize existing data on the role of ICPI rechallenge after an episode of ICPI-AKI.

Indexed as

Acute Kidney InjuryNeoplasmsHumansImmune Checkpoint InhibitorsImmunotherapyIncidenceImmune Checkpoint Inhibitorsacute interstitial nephritisAcute kidney injuryAcute Kidney Injury and ICU Nephrologyacute tubulointerstitial nephritisClinical Nephrologyimmune-related adverse eventimmunotherapyNephro-Pharmacology

Identifiers

PMID35372904
PMCPMC8809100

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.