Evidence map›Paper›PMID 42597257›Full record

ArticleAmerican journal of cancer research2026

Incidence and risk factors of infections in lung cancer patients receiving immunotherapy combined with chemotherapy: a real-world retrospective study.

Jing Zou, Guanghai Ji, Lei Yan, Jinyong Li, Yanxia Zhang, Dingfang Pi

Abstract read
In one paragraph

Article in American journal of cancer research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jing ZouPulmonary and Critical Care Medicine, The First Affiliated Hospital of Yangtze University/The First People's Hospital of Jingzhou Jingzhou 434000, Hubei, China.
Guanghai JiDepartment of Radiology, The First Affiliated Hospital of Yangtze University/The First People's Hospital of Jingzhou Jingzhou 434000, Hubei, China.
Lei YanPulmonary and Critical Care Medicine, The First Affiliated Hospital of Yangtze University/The First People's Hospital of Jingzhou Jingzhou 434000, Hubei, China.
Jinyong LiPulmonary and Critical Care Medicine, The First Affiliated Hospital of Yangtze University/The First People's Hospital of Jingzhou Jingzhou 434000, Hubei, China.
Yanxia ZhangPulmonary and Critical Care Medicine, The First Affiliated Hospital of Yangtze University/The First People's Hospital of Jingzhou Jingzhou 434000, Hubei, China.
Dingfang PiDepartment of Infectious Diseases, The First Affiliated Hospital of Yangtze University/The First People's Hospital of Jingzhou Jingzhou 434000, Hubei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This single-center, real-world retrospective cohort study assessed the incidence, risk factors, and clinical risk stratification of infections in lung cancer (LC) patients receiving immune checkpoint inhibitors (ICIs) combined with chemotherapy. This study comprised a cohort of 616 consecutive LC patients who received ICI-based chemotherapy during hospitalization between January 2020 and December 2025. LASSO regression followed by multivariable logistic regression was used to identify independent risk factors. Optimal cutoffs for score construction were determined using receiver operating characteristic (ROC) curve analysis combined with the Youden index, and internal validation was performed with 1,000 bootstrap resamples. The overall infection rate was 9.09% (56/616), with pulmonary infection being the most common site (64.29%), and gram-negative bacteria being most predominant (50.00%) Among culture-positive specimens, CRKP, MRSA, and CRPA accounted for 40.00%, 33.33%, and 25.00% of their respective species. Multivariable analyses identified ECOG performance status ≥2 (OR=3.993, 95% CI: 1.520-10.926, P=0.005), C-reactive protein (CRP) (OR=1.114, 95% CI: 1.079-1.159, P<0.05) as independent risk factors. In summary, infections appear to be a major complication in LC patients receiving ICIs combined with chemotherapy, often involving drug-resistant pathogens. A scoring system based on seven routinely available clinical parameters demonstrated good discrimination and internal stability in bootstrap validation, potentially aiding in the identification of high-risk patients for preventive measures.

Indexed as

immune checkpoint inhibitorsinfectionLung cancerprediction modelrisk factors

Identifiers

PMID42597257
PMCPMC13468266

What OpenQuestion holds

Textmetadata
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.