Evidence map›Paper›PMID 38127004›Full record

SynthesisAging2023

The efficacy of immune checkpoint inhibitors is limited in elderly NSCLC: a retrospective efficacy study and meta-analysis.

Jiaxin Yin, Yuxiao Song, Yang Fu, Wang Jun, Jiazhuo Tang, Zhimin Zhang, Qibin Song, Bicheng Zhang

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Ageing, immune fitness and cancer.Nature reviews. Cancer · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
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 at 4 institutions in 1 country.

Jiaxin YinCancer Center, Renmin Hospital of Wuhan University, Wuhan, China.
Yuxiao SongCancer Center, Renmin Hospital of Wuhan University, Wuhan, China.
Yang FuDepartment of Oncology, Xiangyang Hospital, Hubei University of Chinese Medicine, Xiangyang, China.
Wang JunDepartment of Oncology, The First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Jiazhuo TangCancer Center, Renmin Hospital of Wuhan University, Wuhan, China.
Zhimin ZhangCancer Center, Renmin Hospital of Wuhan University, Wuhan, China.
Qibin SongCancer Center, Renmin Hospital of Wuhan University, Wuhan, China.
Bicheng ZhangCancer Center, Renmin Hospital of Wuhan University, Wuhan, China.
Renmin Hospital of Wuhan University · CNWuhan University · CNAffiliated Hospital of Shandong University of Traditional Chinese Medicine · CNXiangyang Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) have improved the long-term survival of NSCLC patients. However, the efficacy of ICIs in elderly NSCLC patients remains controversial. We conducted a retrospective study and meta-analysis exploring the efficacy of ICIs in those patients using public databases and RCTs. NSCLC patients were identified into elderly and non-elderly groups by age 75 years. The retrospective study showed significant differences in OS and PFS between non-elderly and elderly patients treated with ICIs (P= 0.029 and 0.027), with reduced efficacy in elderly NSCLC patients. ECOG PS also negatively affected OS in elderly NSCLC patients (P= 0.007). In meta-analysis, the HR for OS in the non-elderly and elderly groups were 0.74 and 0.90, respectively, and the difference between the two age groups was statistically significant (P= 0.025). ICIs resulted in a lower incidence of all-grade (OR= 0.47) and high-grade TRAEs (OR= 0.38) than chemotherapy. Our findings revealed that the survival benefit of ICIs in elderly patients (≥ 75 years) may be lower than in non-elderly patients. In addition, the incidence of TRAEs induced by ICIs was lower than chemotherapy.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAgedDatabases, FactualHumansImmune Checkpoint InhibitorsMiddle AgedRetrospective StudiesImmune Checkpoint Inhibitorsageelderlyimmune checkpoint inhibitorsmeta-analysisnon-small cell lung cancer

Identifiers

PMID38127004
PMCPMC10781456
OpenAlexW4389936322

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.