Evidence map›Paper›PMID 37686569›Full record

ArticleCancers2023

Cardiotoxicity Secondary to Immune Checkpoint Inhibitors in the Elderly: Safety in Real-World Data.

Irene Toribio-García, Alejandro Olivares-Hernández, José Pablo Miramontes-González, Luis Posado Domínguez, Ana Martín García, Rocío Eiros Bachiller, Luis Figuero-Pérez, María Garijo Martínez, Jonnathan Roldán Ruiz, Lorena Bellido Hernández and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Observational
  3. Review
  4. Article
  5. Review
  6. 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

13 authors at 3 institutions in 1 country.

Irene Toribio-GarcíaDepartment of Cardiology, University Hospital of Leon, 24008 León, Spain.
Alejandro Olivares-HernándezDepartment of Medical Oncology, University Hospital of Salamanca, 37007 Salamanca, Spain.ORCID 0000-0003-1992-6105
José Pablo Miramontes-GonzálezDepartment of Internal Medicine, University Hospital Rio Hortega, 47012 Valladolid, Spain.ORCID 0000-0002-2247-9679
Luis Posado DomínguezDepartment of Medical Oncology, University Hospital of Salamanca, 37007 Salamanca, Spain.ORCID 0009-0005-4606-2316
Ana Martín GarcíaInstitute for Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, Spain.
Rocío Eiros BachillerInstitute for Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, Spain.ORCID 0000-0002-9488-2555
Luis Figuero-PérezDepartment of Medical Oncology, University Hospital of Salamanca, 37007 Salamanca, Spain.ORCID 0000-0002-0906-5076
María Garijo MartínezDepartment of Medical Oncology, University Hospital of Salamanca, 37007 Salamanca, Spain.
Jonnathan Roldán RuizDepartment of Medical Oncology, University Hospital of Salamanca, 37007 Salamanca, Spain.ORCID 0000-0002-4476-5318
Lorena Bellido HernándezDepartment of Medical Oncology, University Hospital of Salamanca, 37007 Salamanca, Spain.
Emilio Fonseca-SánchezDepartment of Medical Oncology, University Hospital of Salamanca, 37007 Salamanca, Spain.
Pedro Luis SánchezInstitute for Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, Spain.
Edel Del Barco-MorilloDepartment of Medical Oncology, University Hospital of Salamanca, 37007 Salamanca, Spain.
Universidad de Salamanca · ESHospital de León · ESUniversidad de Valladolid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmunotherapy represents a key pillar of cancer treatments, with high response rates and long survival. Its use is increasing, mainly at the expense of the geriatric population due to the ageing of this population. However, despite its benefit, its safety in certain areas such as cardiotoxicity is largely unknown. The aim of this study is to assess the safety of immunotherapy in elderly patients using real-world data.

methodsThis is an ambispective study of patients ≥ 70 years old with solid tumours who were treated with immunotherapy at the University Hospital of Salamanca. Cardiotoxicity was assessed using the CTCAEv5.0 criteria.

resultsIn total, 195 patients were included (76.9% male and 23.1% female), with a mean age of 75 years [70-93]. The percentage of patients with cardiotoxicity was 1.54%; 1.35% of patients with previous heart disease were diagnosed with cardiotoxicity, and 1.65% of those without previous heart disease were diagnosed with cardiotoxicity. The median time from the initiation of treatment until the cardiac event was 45 days [14-96]. The most frequent toxicity was myocarditis in 66.7% of patients, followed by arrhythmias in 33.3% of patients.

conclusionsImmunotherapy is shown to be a safe treatment in elderly cancer patients in terms of cardiotoxicity. The event rate shows no difference between patients with or without cardiac comorbidity.

Indexed as

cardiotoxicityelderlyimmune checkpoint inhibitorsimmunotherapyreal-word data

Identifiers

PMID37686569
PMCPMC10486692
OpenAlexW4386220338

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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.