Evidence map›Paper›PMID 39451777›Full record

ReviewCurrent oncology (Toronto, Ont.)2024

Managing Select Immune-Related Adverse Events in Patients Treated with Immune Checkpoint Inhibitors.

Parneet K Cheema, Marco A J Iafolla, Husam Abdel-Qadir, Andrew B Bellini, Nazira Chatur, Natasha Chandok, Vikram R Comondore, Morven Cunningham, Ilana Halperin, Anne B Hu and 8 more

Abstract readReview
In one paragraph

Review in Current oncology (Toronto, Ont.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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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

18 authors.

Parneet K CheemaWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Marco A J IafollaWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Husam Abdel-QadirWomen's College Hospital Research Institute, Toronto, ON M5S 1B2, Canada.
Andrew B BelliniWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Nazira ChaturDivision of Gastroenterology, Faculty of Medicine, Vancouver General Hospital (Sanders), University of British Columbia, Vancouver, BC V5Z 1M9, Canada.
Natasha ChandokWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Vikram R ComondoreWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Morven CunninghamToronto Centre for Liver Disease, University Health Network, Toronto, ON M5G 2C4, Canada.
Ilana HalperinDivision of Endocrinology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
Anne B HuWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Diana JaskolkaWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Saeed Darvish-KazemWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Masud H KhandakerWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Abhijat KitchluDivision of Nephrology, Department of Medicine, University Health Network, University of Toronto, Toronto, ON M5G 2C4, Canada.ORCID 0000-0002-4340-5046
Jasdip S SachdevaWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Shane ShaperaDepartment of Medicine, University of Toronto, Toronto, ON M5G 2N2, Canada.ORCID 0000-0001-6932-9443
Nicholas R J WoolnoughWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.
Massey NematollahiWilliam Osler Health System, Brampton, ON L6R 3J7, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increased use of immune checkpoint inhibitors (ICIs) across cancer programs has created the need for standardized monitoring and management of immune-related adverse events (irAEs). Delayed recognition without appropriate treatment can have serious and life-threatening consequences. The management of irAEs presents a unique set of challenges that must be addressed at a multidisciplinary level. Although various national and international guidelines and working groups provide high-level recommendations for the management of irAEs, practical guidance is lacking. Furthermore, timely collaboration between specialists requires institutional protocols that enable the early recognition, assessment, and treatment of irAEs. Such protocols should be developed by institution specialists and include algorithms for all healthcare providers involved in the care of patients treated with ICIs. At William Osler Health System in Brampton, Ontario, practical step-by-step multidisciplinary treatment approaches with recommendations for the management of irAEs were developed in collaboration with experts across Canada. Here, we provide an in-depth description of the approaches, outlining baseline investigations prior to the initiation of ICIs, as well as the monitoring and management of irAEs based on symptoms, severity, and involved organ systems. We encourage other centres to adapt and modify our approaches according to their specific needs and requirements.

Indexed as

Immune Checkpoint InhibitorsDrug-Related Side Effects and Adverse ReactionsHumansNeoplasmsImmune Checkpoint Inhibitorsimmune checkpoint inhibitorsimmune-related adverse eventsimmunosuppressants

Identifiers

PMID39451777
PMCPMC11506662

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.