Evidence map›Paper›PMID 38201577›Full record

ArticleCancers2023

Baseline Circulating Blood Cell Counts and Ratios and Changes Therein for Predicting Immune-Related Adverse Events during Immune Checkpoint Inhibitor Therapy: A Multicenter, Prospective, Observational, Pan-Cancer Cohort Study with a Gender Perspective.

Lucía Teijeira, Mireia Martínez, Amaia Moreno, Ibone de Elejoste, Berta Ibáñez-Beroiz, Virginia Arrazubi, Isabela Díaz de Corcuera, Iñaki Elejalde, Ana Campillo-Calatayud, Iñigo Les

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 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

10 authors at 4 institutions in 1 country.

Lucía TeijeiraServicio de Oncología Médica, Hospital Universitario de Navarra, 31008 Pamplona, Spain.
Mireia MartínezServicio de Oncología Médica, Hospital Universitario Araba, Servicio Vasco de Salud Osakidetza, 01009 Vitoria-Gasteiz, Spain.ORCID 0000-0002-2599-5791
Amaia MorenoServicio de Oncología Médica, Hospital Universitario Galdakao, 48960 Galdácano, Spain.
Ibone de ElejosteServicio de Oncología Médica, Hospital Universitario Donostia, 20014 San Sebastián, Spain.
Berta Ibáñez-BeroizServicio de Metodología, IdISNA, Navarrabiomed-Universidad Pública de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-7797-4845
Virginia ArrazubiServicio de Oncología Médica, Hospital Universitario de Navarra, 31008 Pamplona, Spain.
Isabela Díaz de CorcueraServicio de Oncología Médica, Hospital Universitario Galdakao, 48960 Galdácano, Spain.
Iñaki ElejaldeServicio de Medicina Interna, Hospital Universitario de Navarra, 31008 Pamplona, Spain.
Ana Campillo-CalatayudGrupo de Enfermedades Inflamatorias e Inmunomediadas, IdISNA, Navarrabiomed-Universidad Pública de Navarra, 31008 Pamplona, Spain.
Iñigo LesServicio de Medicina Interna, Hospital Universitario de Navarra, 31008 Pamplona, Spain.
Universidad Publica de Navarra · ESHospital de Galdakao · ESBiogipuzkoa Health Research Institute · ESHospital Universitario Araba · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several factors have been associated with the occurrence of immune-related adverse events (irAEs) induced by immune checkpoint inhibitor (ICI) therapy. Despite their availability, the predictive value of circulating blood cell parameters remains underexplored. Our aim was to investigate whether baseline values of and early changes in absolute neutrophil count (ANC), absolute lymphocyte count (ALC), other blood cell counts, and lymphocyte-related ratios can predict irAEs and whether sex may differentially influence this potential predictive ability. Of the 145 patients included, 52 patients (35.8%) experienced at least one irAE, with a 1-year cumulative incidence of 41.6%. Using Fine and Gray competing risk models, we identified female sex (hazard ratio (HR) = 2.17, 95% confidence interval (CI) = 1.20-3.85), high ALC before ICI initiation (HR = 1.63, 95% CI = 1.09-2.45), and low ANC after ICI initiation (HR = 0.81, 95% CI = 0.69-0.96) as predictors of irAEs. However, ALC and ANC may only have an impact on the risk of irAEs in women (stratified for female sex, ALC-related HR = 2.61, 95% CI = 1.40-4.86 and ANC-related HR = 0.57, 95% CI = 0.41-0.81). Priority should be given to developing models to predict ICI-related toxicity and their validation in various settings, and such models should assess the impact of patient sex on the risk of toxicity.

Indexed as

blood cell countsblood cell ratioscancergender perspectiveimmune checkpoint inhibitorsimmune-related adverse eventsprediction

Identifiers

PMID38201577
PMCPMC10778233
OpenAlexW4390344460

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.