Evidence map›Paper›PMID 36461057›Full record

ArticleCardio-oncology (London, England)2022

Immune checkpoint inhibitors and the risk of major atherosclerotic cardiovascular events in patients with high-risk or advanced melanoma: a retrospective cohort study.

Charlie Wang, Sophia Zoungas, Mabel Yan, Rory Wolfe, Andrew Haydon, Mark Shackleton, Mark Voskoboynik, Maggie Moore, Miles C Andrews, Stephen J Nicholls and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cardio-oncology (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Long-Term Cardiovascular Toxicity of Immunotherapy: Too Important to Ignore.International journal of molecular sciences · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Adjuvant therapy for stage II melanoma: the need for further studies.European journal of cancer (Oxford, England : 1990) · 2023
    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

11 authors at 3 institutions in 1 country.

Charlie WangVictorian Melanoma Service, The Alfred Hospital, 55 Commercial Road, Melbourne, Victoria, 3004, Australia. charlie.yue.wang@gmail.com.ORCID http://orcid.org/0000-0001-8728-4330
Sophia ZoungasSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Mabel YanVictorian Melanoma Service, The Alfred Hospital, 55 Commercial Road, Melbourne, Victoria, 3004, Australia.
Rory WolfeSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Andrew HaydonDepartment of Medical Oncology, The Alfred Hospital, Melbourne, Victoria, Australia.
Mark ShackletonDepartment of Medical Oncology, The Alfred Hospital, Melbourne, Victoria, Australia.
Mark VoskoboynikDepartment of Medical Oncology, The Alfred Hospital, Melbourne, Victoria, Australia.
Maggie MooreDepartment of Medical Oncology, The Alfred Hospital, Melbourne, Victoria, Australia.
Miles C AndrewsDepartment of Medical Oncology, The Alfred Hospital, Melbourne, Victoria, Australia.
Stephen J NichollsMonashHeart, Monash Health, Clayton, Victoria, Australia.
Victoria MarVictorian Melanoma Service, The Alfred Hospital, 55 Commercial Road, Melbourne, Victoria, 3004, Australia.
The Alfred Hospital · AUMonash University · AUMonash Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICI) are associated with immune-mediated adverse effects, potentially involving any organ. ICI has also been associated with an increased risk of cardiovascular disease in cancer populations.

objectiveTo characterize the incidence and risk of major atherosclerotic cardiovascular events associated with ICI use in a high-risk and advanced melanoma population.

methodsWe conducted a retrospective cohort study of patients with high-risk or advanced melanoma (AJCC stage II, III or IV) presenting to an academic tertiary hospital between 2015-2020. The main outcome was major atherosclerotic cardiovascular events (MACE) including acute myocardial infarction, ischemic stroke, acute limb ischemia and coronary revascularization.

resultsThe study cohort consisted of 646 patients, including 289 who had been treated with ICI. The incidence of MACE was higher in the ICI treated group (3.6 vs. 0.9 events per 100-person years). After adjusting for age, sex, smoking history and prior BRAF and/or MEK inhibitor use, ICI treatment was associated with an increased risk of MACE (HR

conclusionPatients with high-risk or advanced melanoma are at an increased risk of atherosclerotic cardiovascular events following ICI treatment, particularly those with a history of cardiovascular disease.

Identifiers

PMID36461057
PMCPMC9716700
OpenAlexW4311104514

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.