Evidence map›Paper›PMID 37737046›Full record

ArticleCancer medicine2023

Impact of proton pump inhibitors on the onset of gastrointestinal immune-related adverse events during immunotherapy.

Angioletta Lasagna, Federica Mascaro, Simone Figini, Sara Basile, Giulia Gambini, Catherine Klersy, Marco Vincenzo Lenti, Antonio Di Sabatino, Alice Di Benedetto, Monica Calvi and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. 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 2 institutions in 1 country.

Angioletta LasagnaMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.ORCID 0000-0002-9611-1164
Federica MascaroMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Simone FiginiMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Sara BasileMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Giulia GambiniBiostatistics and Clinical Trial Center, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Catherine KlersyBiostatistics and Clinical Trial Center, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Marco Vincenzo LentiDepartment of Internal Medicine and Medical Therapeutics, University of Pavia, Pavia, Italy.
Antonio Di SabatinoDepartment of Internal Medicine and Medical Therapeutics, University of Pavia, Pavia, Italy.
Alice Di BenedettoPharmacy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Monica CalviPharmacy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Raffaele BrunoDivision of Infectious Diseases I, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Paolo SacchiDivision of Infectious Diseases I, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Paolo PedrazzoliMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Policlinico San Matteo Fondazione · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe gut microbiota (GM) can influence the pathogenesis of immune-mediated adverse events (irAEs). Proton pump inhibitors (PPIs) can affect the integrity of GM, but their role in promoting irAEs is still poorly understood.

methodsIn this retrospective single-center cohort study, the primary endpoint was the evaluation of the incidence of gastrointestinal (GI) irAEs in cancer patients on PPIs (exposed) versus cancer patients who were not on PPIs (unexposed).

resultsThree hundred and sixty three patients' records (248 M/115F, median age 69) were reviewed. Twenty-three exposed patients (92%) developed GI irAEs while only two unexposed patients (8%) developed GI irAEs (hazard ratio [HR] 13.22, 95% confidence interval [CI] 3.11-56.10, p < 0.000). This HR was confirmed after weighting for the propensity score (HR15.13 95% CI 3.22-71.03, p < 0.000).

conclusionChronic PPI use is associated with an increased risk of GI irAES.

Indexed as

Antineoplastic Agents, ImmunologicalNeoplasmsAgedCohort StudiesHumansImmunotherapyProton Pump InhibitorsRetrospective StudiesAntineoplastic Agents, ImmunologicalProton Pump Inhibitorscolitishepatitisimmune checkpoint inhibitorsmicrobiomeproton pomp inhibitorstoxicity

Identifiers

PMID37737046
PMCPMC10637049
OpenAlexW4386944106

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.