Evidence map›Paper›PMID 41463186›Full record

ArticleCancers2025

Specialist Neurology Involvement and Impact in Immune Checkpoint Inhibitor-Related Neurotoxicity: Experience in a Unified Healthcare System.

Benjamin Schroeder, Prakrit Prasad, Ope Gbadegesin, Senjuti Gupta, Ricky Frazer, Smilla Heaney, Hester Franks, Cameron Blair, Matthew Stuttard, Clare Barlow and 11 more

Abstract read
In one paragraph

Article in Cancers, 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. 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

21 authors.

Benjamin SchroederHelen Durham Centre for Neuroinflammatory Diseases, Department of Neurology, University Hospital of Wales, Heath Park, Cardiff CF14 4XN, UK.ORCID 0000-0001-5128-569X
Prakrit PrasadHelen Durham Centre for Neuroinflammatory Diseases, Department of Neurology, University Hospital of Wales, Heath Park, Cardiff CF14 4XN, UK.ORCID 0009-0004-1450-6210
Ope GbadegesinHelen Durham Centre for Neuroinflammatory Diseases, Department of Neurology, University Hospital of Wales, Heath Park, Cardiff CF14 4XN, UK.
Senjuti GuptaVelindre Cancer Centre, Velindre Road, Cardiff CF14 2TL, UK.
Ricky FrazerVelindre Cancer Centre, Velindre Road, Cardiff CF14 2TL, UK.
Smilla HeaneyCentre for Cancer Sciences, Translational Medical Sciences, Biodiscovery Institute, University of Nottingham, Nottingham NG7 2RD, UK.
Hester FranksCentre for Cancer Sciences, Translational Medical Sciences, Biodiscovery Institute, University of Nottingham, Nottingham NG7 2RD, UK.ORCID 0000-0001-5378-6076
Cameron BlairSomerset Foundation Trust, Musgrove Park Hospital, Parkfield Drive, Taunton, Somerset TA1 5DA, UK.
Matthew StuttardSomerset Foundation Trust, Musgrove Park Hospital, Parkfield Drive, Taunton, Somerset TA1 5DA, UK.
Clare BarlowSomerset Foundation Trust, Musgrove Park Hospital, Parkfield Drive, Taunton, Somerset TA1 5DA, UK.ORCID 0009-0001-6267-0275
Harriet CookThe Bristol Haematology and Oncology Centre, Horfield Road, Bristol BS2 8ED, UK.
Helen WinterThe Bristol Haematology and Oncology Centre, Horfield Road, Bristol BS2 8ED, UK.
Paolo d'ArienzoDepartment of Cancer Services, The Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.ORCID 0000-0003-4792-2953
Jake SymingtonDepartment of Cancer Services, The Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.ORCID 0000-0003-4627-7278
Yassmeen RadifCentre for Neuromuscular Diseases, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK.
Sanketh RampesCentre for Neuromuscular Diseases, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK.
Paul NathanDepartment of Medical Oncology, Mount Vernon Cancer Centre, Rickmansworth Road, Northwood, Middlesex HA6 2RN, UK.
Kate YoungDepartment of Cancer Services, The Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Heather ShawDepartment of Medical Oncology, Mount Vernon Cancer Centre, Rickmansworth Road, Northwood, Middlesex HA6 2RN, UK.
Aisling CarrCentre for Neuromuscular Diseases, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK.
Mark WillisHelen Durham Centre for Neuroinflammatory Diseases, Department of Neurology, University Hospital of Wales, Heath Park, Cardiff CF14 4XN, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurological immune related adverse events (N-irAEs) following immune checkpoint inhibitor (ICI) therapy are associated with significant morbidity and mortality. The early involvement of neurological services is therefore recommended to assist diagnosis and guide management. However, the practical experience of specialist neurology involvement is poorly understood.

methodsA multi-centre, retrospective case note review was performed in a unified healthcare setting in the United Kingdom via predetermined proforma to investigate the involvement and impact of neurology services in this setting.

resultsOne hundred and nine patients with N-irAE were identified with a median time from ICI treatment to symptom onset of 52 days. Neurology service models, reasons for referral and referral rates varied by centre. Overall, eighty-seven (79.8%) patients (range 52.9-100% by centre) had neurology involvement. Neurology input was associated with younger age (median 67.2 vs. 72.8 years), anatomical location (Central > Peripheral) and severity of neurotoxicity (

conclusionsThis study highlights the potential to improve diagnosis and treatment algorithms and therefore patient outcomes through development of uniform N-irAE models of care to support this area of growing clinical need.

Indexed as

immune-related adverse eventsimmunotherapyneurologyneurotoxicity

Identifiers

PMID41463186
PMCPMC12730614

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.