Evidence map›Paper›PMID 39096117›Full record

ArticleCancer medicine2024

Evaluation of the association between predictive factors and the development of immune-related adverse events and prognostic factors for chemoimmunotherapy in patients with non-small cell lung cancer: A multicenter retrospective study.

Ryota Ozawa, Kei Sonehara, Tsutomu Hachiya, Shuhei Nozawa, Toshihiko Agatsuma, Hiroshi Yamamoto, Akane Kato, Akemi Matsuo, Taro Hirabayashi, Taisuke Araki and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

13 authors.

Ryota OzawaDepartment of Respiratory Medicine, Nagano Red Cross Hospital, Nagano, Japan.
Kei SoneharaDepartment of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.ORCID 0000-0001-9810-4016
Tsutomu HachiyaDepartment of Respiratory Medicine, Suwa Red Cross Hospital, Suwa, Japan.
Shuhei NozawaDepartment of Respiratory Medicine, Nagano Municipal Hospital, Nagano, Japan.
Toshihiko AgatsumaDepartment of Respiratory Medicine, National Hospital Organization Shinshu Ueda Medical Center, Ueda, Japan.
Hiroshi YamamotoDepartment of Respiratory Medicine, Iida Municipal Hospital, Iida, Japan.
Akane KatoDepartment of Respiratory Medicine, Ina Central Hospital, Ina, Japan.
Akemi MatsuoDepartment of Respiratory Medicine, Minaminagano Medical Center, Shinonoi General Hospital, Nagano, Japan.
Taro HirabayashiDepartment of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Taisuke ArakiDepartment of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.ORCID 0000-0002-8033-868X
Masamichi KomatsuDepartment of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Kazunari TateishiDepartment of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Masayuki HanaokaDepartment of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChemoimmunotherapy is widely used as the first-line management of advanced non-small cell lung cancer (NSCLC) in clinical settings. However, predictive factors associated with the development of immune-related adverse events (irAEs) and prognostic factors for NSCLC patients undergoing chemoimmunotherapy remains largely unexplored. Therefore, in this study, we aimed to evaluate predictive factors for irAE development and prognostic factors associated with chemoimmunotherapy in NSCLC patients.

methodsThis study enrolled 199 patients with advanced and recurrent NSCLC who underwent chemoimmunotherapy across eight institutions in Nagano prefecture from December 2018 to January 2023. We examined predictive factors associated with irAE development and prognostic factors associated with overall survival (OS).

resultsAmong the patients, 106 experienced irAEs, while 93 patients did not. A total of 44 (22.1%) patients developed multiple irAEs. High serum albumin levels (Alb >3.5 g/dL) emerged as an independent predictive factor associated with irAE development in logistic regression analysis (odds ratio; 2.35, 95% confidence interval 1.27-4.34, p = 0.007). Furthermore, the development of multiple irAEs (p = 0.016), lower lactate dehydrogenase level (<223 U/L, p = 0.002), and decreased neutrophil-to-lymphocyte ratio (<3, p = 0.049) were identified as independent favorable prognostic factors associated with OS in multivariate Cox hazard analyses.

conclusionThe study results suggest that high serum Alb is a predictive factor for irAE development and that the presence of multiple irAEs is a favorable prognostic indicator for NSCLC patients undergoing chemoimmunotherapy.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansImmunotherapyMaleMiddle AgedPrognosisRetrospective StudiesRisk Factorsalbuminimmune‐related adverse eventnon‐small cell lung cancerprognostic factor

Identifiers

PMID39096117
PMCPMC11297531

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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.