Evidence map›Paper›PMID 37335906›Full record

ArticleThe oncologist2023

Evaluating Survival After Hospitalization Due to Immune-Related Adverse Events From Checkpoint Inhibitors.

Jordyn Silverstein, Francis Wright, Michelle Wang, Arabella Young, Daniel Kim, Kimberly De Dios, Sam Brondfield, Zoe Quandt

Abstract read
In one paragraph

Article in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

8 authors.

Jordyn SilversteinDepartment of Internal Medicine, University of California, San Francisco, San Francisco, CA, USA.ORCID 0000-0002-8573-7145
Francis WrightDepartment of Internal Medicine, University of California, San Francisco, San Francisco, CA, USA.
Michelle WangBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, CA, USA.ORCID 0000-0002-3207-1490
Arabella YoungHuntsman Cancer Institute, University of Utah Health Sciences Center, Salt Lake City, UT, USA.
Daniel KimDepartment of Internal Medicine, University of California, San Francisco, San Francisco, CA, USA.
Kimberly De DiosDivision of Endocrinology, Metabolism and Diabetes, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Sam BrondfieldHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA, USA.
Zoe QuandtDivision of Endocrinology, Metabolism and Diabetes, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.ORCID 0000-0002-4568-4368

Funding

Diabetes-Docs: Physician-Scientist Career Development Program (DiabDocs)K12DK133995 · NIDDK · STANFORD UNIVERSITY · PI LINDA A DIMEGLIO, David Matthew Maahs · 2022 to 2026
$16.0M
NIDDK NIH HHS K12 DK133995
6 · The paper itself

Abstract

backgroundAs immune checkpoint inhibitors (CPI) are increasingly approved for cancer treatment, hospitalizations related to severe immune-related adverse events (irAE) will increase. Here, we identify patients hospitalized due to irAEs and describe survival outcomes across irAE, CPI, and cancer type.

methodsWe identified patients hospitalized at our institution from January 2012 to December 2020 due to irAEs. Survival was analyzed using Kaplan-Meier survival curves with log-rank tests.

resultsOf 3137 patients treated with CPIs, 114 (3.6%) were hospitalized for irAEs, resulting in 124 hospitalizations. Gastrointestinal (GI)/hepatic, endocrine, and pulmonary irAEs were the most common causes of irAE-related hospitalization. After CPI initiation, the average time to hospitalization was 141 days. Median survival from hospital admission was 980 days. Patients hospitalized due to GI/hepatic and endocrine irAEs had longer median survival than patients with pulmonary irAEs (795 and 949 days vs. 83 days [P < .001]). Patients with melanoma and renal cell carcinoma had longer median survival than patients with lung cancer (2792 days and not reached vs. 159 days [P < .001]). There was longer median survival in the combination group compared to the PD-(L)1 group (1471 vs. 529 days [P = .04]).

conclusionsAs CPI use increases, irAE-related hospitalizations will as well. These findings suggest that among patients hospitalized for irAEs, survival differs by irAE and cancer type, with worse survival for patients with irAE pneumonitis or lung cancer. This real-world data contributes to research pertaining to hospitalization due to severe irAEs, which may inform patient counseling and treatment decision-making.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsLung NeoplasmsMelanomaHospitalizationHumansRetrospective Studiescancerhospitalizationimmune checkpoint inhibitorsimmunotherapyirAE

Identifiers

PMID37335906
PMCPMC10546826

What OpenQuestion holds

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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.