Evidence map›Paper›PMID 40929088›Full record

ArticleThe oncologist2025

Real-world management and outcomes of immune-related adverse events in German cancer care: A multicenter analysis using the SERIO registry.

Carolin Ertl, Dirk Tomsitz, Filippo Rizzo, Dirk Hempel, Lucie Heinzerling, Valeria Milani

Abstract readMulticenter Study
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Carolin ErtlDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich 80337, Germany.ORCID 0009-0000-9487-4363
Dirk TomsitzDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich 80337, Germany.ORCID 0000-0003-0036-072X
Filippo RizzoOnkologische Zentren-OnkoMedeor Dachau, Dachau 85221, Germany.
Dirk HempelOnkologische Zentren-OnkoMedeor Donauwoerth, Donauwoerth 86609, Germany.
Lucie HeinzerlingDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich 80337, Germany.ORCID 0000-0001-5718-3643
Valeria MilaniOnkologische Zentren-OnkoMedeor Fuerstenfeldbruck, Fuerstenfeldbruck 82256, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) are widely used in cancer therapy, yet diagnosing and managing immune-related adverse events (irAEs) remains challenging in clinical practice. Differences in healthcare structures between university hospitals (UH) and private practices (PP) influence irAE presentation and management, often excluding the latter from analyses. PATIENTS AND

methodsThis retrospective study included 604 cancer patients treated with ICIs between 2014 and 2023: 323 from UH and 281 from PP. In total, 302 irAEs were reported in the Side Effect Registry Immuno-Oncology (SERIO; http://www.serio-registry.org), with 230 cases from UH and 72 from PP. Demographics, irAE characteristics, management, and outcomes were compared between settings.

resultsThe UH and PP cohorts showed substantial differences. IrAEs were less frequent in the PP cohort (19% vs. 51%) and less severe (grade 3/4: 35% PP vs. 40% UH). Time to diagnosis was longer in PP (136 vs. 86 days), but treatment response rates were comparable (90% PP vs. 84% UH). UH patients experienced better symptom control (24% vs. 16%) and fewer long-term sequelae (6% vs. 10%). No irAE-related mortality occurred in either group.

conclusionStructural differences between UH and PP impact the frequency, severity, and management of irAEs. Including underrepresented care settings in real-world analysis is essential for generating robust, generalizable evidence. By enhancing collaboration between academic institutions and community-based practitioners, we aim to improve irAE outcomes and promote more equitable, evidence-based care in immuno-oncology.

Indexed as

Drug-Related Side Effects and Adverse ReactionsImmune Checkpoint InhibitorsNeoplasmsAdultAgedAged, 80 and overFemaleGermanyHumansMaleMiddle AgedRegistriesRetrospective StudiesImmune Checkpoint Inhibitorscheckpoint inhibitorsimmune‐related adverse eventsoutreach practitionerspragmatic studyreal‐world data

Identifiers

PMID40929088
PMCPMC12530884

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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.