Evidence map›Paper›PMID 36636443›Full record

ArticleJACC. CardioOncology2022

Pre-Existing Autoimmune Disease Increases the Risk of Cardiovascular and Noncardiovascular Events After Immunotherapy.

Charlotte Lee, Zsofia D Drobni, Amna Zafar, Carlos A Gongora, Daniel A Zlotoff, Raza M Alvi, Jana Taron, Paula K Rambarat, Sara Schoenfeld, Ramya C Mosarla and 11 more

Open access · goldAbstract read
In one paragraph

Article in JACC. CardioOncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  13. Immune checkpoint inhibitor-associated myocarditis: a historical and comprehensive review.American journal of physiology. Heart and circulatory physiology · 2025
    Review
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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

21 authors at 7 institutions in 3 countries.

Charlotte LeeDivision of Cardiology, Columbia University Irving Medical Center, NewYork-Presbyterian Hospital, New York, New York, USA.
Zsofia D DrobniCardiovascular Imaging Research Center, Department of Radiology and Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Amna ZafarDivision of Cardiovascular Diseases and Hypertension, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Carlos A GongoraCardiovascular Imaging Research Center, Department of Radiology and Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Daniel A ZlotoffDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Raza M AlviCardiovascular Imaging Research Center, Department of Radiology and Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jana TaronDepartment of Radiology, University Hospital Freiburg, Freiburg, Germany.
Paula K RambaratDepartment of Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sara SchoenfeldDivision of Rheumatology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ramya C MosarlaDivision of Cardiology, New York University, New York, New York, USA.
Vineet K RaghuCardiovascular Imaging Research Center, Department of Radiology and Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sarah E HartmannCardiovascular Imaging Research Center, Department of Radiology and Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Hannah K GilmanCardiovascular Imaging Research Center, Department of Radiology and Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sean P MurphyDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ryan J SullivanDivision of Oncology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Alexander FajeDivision of Endocrinology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Udo HoffmannCardiovascular Imaging Research Center, Department of Radiology and Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Lili ZhangDepartment of Cardiology, Department of Medicine, Montefiore Medical Center, Bronx, New York, USA.
Thomas MayrhoferCardiovascular Imaging Research Center, Department of Radiology and Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Kerry L ReynoldsDivision of Oncology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Tomas G NeilanCardiovascular Imaging Research Center, Department of Radiology and Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Massachusetts General Hospital · USMontefiore Medical Center · USNewYork–Presbyterian Hospital · USNew York University · USRutgers, The State University of New Jersey · USSemmelweis University · HUUniversity Medical Center Freiburg · DE

Funding

Cardiovascular Diseases among Patients with Cancer and Patients living with HIVK24HL150238 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Tomas G Neilan · 2020 to 2026
$883k
NHLBI NIH HHS K24 HL150238
6 · The paper itself

Abstract

Background: The use of immune checkpoint inhibitors (ICI) is associated with cardiovascular (CV) events, and patients with pre-existing autoimmune disease are at increased CV risk. Objectives: The aim of this study was to characterize the risk for CV events in patients with pre-existing autoimmune disease post-ICI. Methods: This was a retrospective study of 6,683 patients treated with ICIs within an academic network. Autoimmune disease prior to ICI was confirmed by chart review. Baseline characteristics and risk for CV and non-CV immune-related adverse events were compared with a matched control group (1:1 ratio) of ICI patients without autoimmune disease. Matching was based on age, sex, history of coronary artery disease, history of heart failure, and diabetes mellitus. CV events were a composite of myocardial infarction, percutaneous coronary intervention, coronary artery bypass graft, stroke, transient ischemic attack, deep venous thrombosis, pulmonary embolism, or myocarditis. Univariable and multivariable Cox proportional hazards models were used to determine the association between autoimmune disease and CV events. Results: Among 502 patients treated with ICIs, 251 patients with and 251 patients without autoimmune disease were studied. During a median follow-up period of 205 days, there were 45 CV events among patients with autoimmune disease and 22 CV events among control subjects (adjusted HR: 1.77; 95% CI: 1.04-3.03; Conclusions: Patients with autoimmune disease have an increased risk for CV and non-CV events post-ICI.

Indexed as

CABG, coronary artery bypass graftcoronary artery diseaseCTLA-4, cytotoxic T lymphocyte–associated antigen-4CV, cardiovascularDVT, deep venous thrombosisICI, immune checkpoint inhibitorimmunotherapyirAE, immune-related adverse eventMI, myocardial infarctionmyocarditisPCI, percutaneous coronary interventionPD-1, programmed death-1PD-L1, programmed death-ligand 1PE, pulmonary embolismSMD, standardized mean differencethrombosisTIA, transient ischemic attack

Identifiers

PMID36636443
PMCPMC9830202
OpenAlexW4312084065

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.