Evidence map›Paper›PMID 42673464›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

Interpreting vaccine-associated survival differences in immune checkpoint inhibitor therapy.

René Karadakic, Nancy L Keating, Michael L Barnett

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 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

3 authors.

René KaradakicDepartment of Management, Technology, and Economics, ETH Zürich, Zürich 8092, Switzerland.ORCID 0000-0002-3219-014X
Nancy L KeatingDepartment of Health Care Policy, Harvard Medical School, Boston, MA 02115.ORCID 0000-0002-8274-4681
Michael L BarnettDepartment of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI 02903.

Funding

Physician Subspecialization and the Health and Health Care of Older AmericansR01AG076580 · NIA · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI BARNETT, MICHAEL LAWRENCE · 2022 to 2025
$2.4M
HHS | NIH | National Institute on Aging (NIA) R01AG076580NIA NIH HHS R01 AG076580
6 · The paper itself

Abstract

Recent studies proposed that SARS-CoV-2 mRNA vaccination may sensitize tumors to immune checkpoint inhibitor (ICI) therapy through immune modulation. Using 100% national Medicare fee-for-service claims data, we evaluated whether survival differences among vaccinated patients receiving ICIs were specific to mRNA vaccines. Among 121,676 beneficiaries initiating systemic anticancer therapy, including 10,824 initiating ICIs, vaccination near treatment initiation was associated with lower mortality across mRNA COVID-19, adenoviral COVID-19, and influenza vaccines. We found that survival associations and formal vaccine-ICI interaction effects were similar across vaccine platforms. These findings suggest that currently available population-level survival data do not isolate an mRNA-specific tumor-sensitization mechanism.

Indexed as

COVID-19COVID-19 VaccinesImmune Checkpoint InhibitorsNeoplasmsFemaleHumansInfluenza VaccinesMaleMedicareSARS-CoV-2United StatesVaccinationCOVID-19 VaccinesImmune Checkpoint InhibitorsInfluenza Vaccinescancer immunotherapypatient survivalvaccination

Identifiers

PMID42673464
PMCPMC13552672

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.