Evidence map›Paper›PMID 39542654›Full record

SynthesisJournal for immunotherapy of cancer2024

Systematic review of immune checkpoint inhibitor-related gastrointestinal, hepatobiliary, and pancreatic adverse events.

Malek Shatila, Hao Chi Zhang, Anusha Shirwaikar Thomas, Antonio Pizuorno Machado, Sidra Naz, Nitish Mittal, Christine Catinis, Krishnavathana Varatharajalu, Carolina Colli Cruz, Eric Lu and 10 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal for immunotherapy of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

  1. Pooled it
  2. Article
  3. Type 3 Autoimmune Pancreatitis: What Do We Know So Far?Digestive diseases and sciences · 2026
    Review
  4. Article
  5. Review
  6. Review
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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

20 authors.

Malek Shatila *Department of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0001-8503-7811
Hao Chi Zhang *Department of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0003-0330-0167
Anusha Shirwaikar Thomas *Department of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0003-1878-4678
Antonio Pizuorno MachadoDepartment of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID 0000-0002-4118-6310
Sidra NazDepartment of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Nitish MittalDepartment of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID 0000-0002-7168-2550
Christine CatinisDepartment of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID 0009-0002-0002-6625
Krishnavathana VaratharajaluDepartment of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Carolina Colli CruzDepartment of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Eric LuDepartment of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Deanna WuDepartment of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Julie R BrahmerDepartment of Thoracic Medical Oncology, Johns Hopkins University, Baltimore, Maryland, USA.
Franck CarbonnelDepartment of Gastroenterology, Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Stephen B HanauerDepartment of Gastroenterology, Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois, USA.
Bret LashnerCenter for Inflammatory Bowel Disease, Cleveland Clinic, Cleveland, Ohio, USA.
Bryan SchneiderDepartment of Thoracic Medical Oncology, University of Michigan, Ann Arbor, Michigan, UK.ORCID 0000-0003-4189-3805
John A ThompsonDepartment of Medicine, Fred Hutchinson Cancer Research Center, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-7877-1580
Michel ObeidDepartment of Medicine, Service of Immunology and Allergy, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.ORCID 0000-0003-2095-2677
David P FarrisResearch Medical Library, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-9224-9270
Yinghong WangDepartment of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA YWang59@mdanderson.org.ORCID 0000-0002-5148-6130

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal immune-related adverse events (GI irAEs) are common manifestations of immune checkpoint inhibitor (ICI) toxicity. We present a comprehensive systematic review of the incidence, management, and clinical course of irAEs across the entire GI system, including the luminal GI tract, liver, and pancreas. MEDLINE, Embase, Web of Science Core Collection, and Cochrane Library were used to conduct this review. All studies pertaining to GI irAEs were included. Both abstracts and full manuscripts were eligible if they included human subjects and were written in the English language. Articles not available in English, animal studies, or research not specific to GI toxicity of immunotherapy were excluded. We excluded certain article types depending on whether stronger evidence was available in the literature for a specific toxicity, for example, if prospective studies were available on a topic, retrospective studies and case reports were excluded. We extracted a final 166 articles for our review and followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for data reporting. Risk of bias tools were not used to evaluate the extracted studies given the narrative nature of this manuscript, but each study was critically appraised by the manuscript writer. We detail the incidence, presentation, evaluation, management, and outcomes of the various GI toxicities that may arise with ICI therapy. Specifically, we discuss the characteristics of upper GI toxicity (esophagitis and gastroenteritis), lower GI toxicity (colitis), hepatobiliary inflammation, pancreatitis, and rarer forms of GI toxicity. We hope this review serves as a useful and accessible clinical tool that helps physicians familiarize themselves with the nuances of gastrointestinal/hepatic/pancreatic ICI toxicity diagnosis and management.

Indexed as

Gastrointestinal DiseasesImmune Checkpoint InhibitorsHumansImmunotherapyNeoplasmsPancreatic DiseasesImmune Checkpoint InhibitorsColitisImmune Checkpoint InhibitorImmune Checkpoint InhibitorsImmunotherapy

Identifiers

PMID39542654
PMCPMC11575294

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.