Evidence map›Paper›PMID 39914430›Full record

GuidelineThe Lancet. Oncology2025

Management of immune checkpoint inhibitor-associated toxicities in older adults with cancer: recommendations from the International Society of Geriatric Oncology (SIOG).

Colm Mac Eochagain, Nina Rosa Neuendorff, Karolina Gente, Jan Leipe, Marthe Verhaert, Christine Sam, Nienke de Glas, Sindhuja Kadambi, Beverly Canin, Fabio Gomes and 5 more

Abstract readReviewPractice Guideline
In one paragraph

Guideline in The Lancet. Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. The management of rheumatic immune related adverse events.Best practice & research. Clinical rheumatology · 2026
    Review
  8. Article
  9. Review
  10. Article
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  12. Article
  13. Article
  14. 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

15 authors.

Colm Mac EochagainTrinity St James' Cancer Institute, Dublin, Ireland; Mercer Institute for Successful Aging, St James' Hospital, Dublin, Ireland. Electronic address: cmaceochagain@stjames.ie.
Nina Rosa NeuendorffDepartment of Hematology and Stem Cell Transplantation, University Hospital Essen, University Duisburg-Essen, Essen, Germany; Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Bochum, Germany.
Karolina GenteDepartment of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Heidelberg, Germany.
Jan LeipeDivision of Rheumatology, Department of Medicine V, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany; Division of Rheumatology, Department of Internal Medicine I, University Medical Centre Schleswig-Holstein, Kiel, Germany.
Marthe VerhaertLaboratory for Medical and Molecular Oncology, Translational Oncology Research Center, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Christine SamMoffitt Cancer Center, Tampa, FL, USA.
Nienke de GlasDepartment of Medical Oncology, Helse Førde, Førde, Norway; Department of Medical Oncology, Leiden University Medical Center, Leiden, Netherlands.
Sindhuja KadambiDivision of Hematology/Oncology, Department of Medicine, James P Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Beverly CaninCancer and Aging Research Group, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Fabio GomesDepartment of Medical Oncology, The Christie Hospital, Manchester, UK.
Lore DecosterDepartment of Medical Oncology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Beatriz Korc-GrodzickiMemorial Sloan Kettering Cancer Centre, New York, NY, USA.
Siri RostoftDepartment of Geriatric Medicine and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Nicolò Matteo Luca BattistiDepartment of Medical Oncology, The Royal Marsden NHS Foundation Trust, London, UK.
Hans WildiersDepartment of General Medical Oncology, University Hospitals Leuven, Leuven, Belgium.

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
NCI NIH HHS UG1 CA189961
6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) have substantially advanced the treatment landscape for a wide variety of malignancies. Older adults represent a large and rapidly growing demographic, among whom ICIs are widely prescribed. Management of ICI-associated toxicity among older adults, particularly in the presence of frailty and comorbidity, poses unique challenges. In this Policy Review, developed by the International Society of Geriatric Oncology (SIOG), we offer an evidence-based framework for health-care providers, caregivers, and policy makers for treating older adults with ICIs, focusing on unique considerations for this population that are not adequately addressed by existing guidelines, and expanding them to encompass geriatric oncology principles.

Indexed as

GeriatricsImmune Checkpoint InhibitorsMedical OncologyNeoplasmsAgedAged, 80 and overAge FactorsHumansImmune Checkpoint Inhibitors

Identifiers

PMID39914430
PMCPMC13322125

What OpenQuestion holds

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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.