Evidence map›Paper›PMID 34449588›Full record

Observational studyCurrent oncology (Toronto, Ont.)2021

Safety of Immune Checkpoint Inhibitors in Elderly Patients: An Observational Study.

Agnese Paderi, Sara Fancelli, Enrico Caliman, Serena Pillozzi, Elisabetta Gambale, Marinella Micol Mela, Laura Doni, Francesca Mazzoni, Lorenzo Antonuzzo

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 7% of its field
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

37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  7. Observational
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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

9 authors at 1 institution in 1 country.

Agnese PaderiMedical Oncology Unit, Careggi University Hospital, 50134 Florence, Italy.
Sara FancelliMedical Oncology Unit, Careggi University Hospital, 50134 Florence, Italy.ORCID 0000-0002-4521-3208
Enrico CalimanMedical Oncology Unit, Careggi University Hospital, 50134 Florence, Italy.ORCID 0000-0002-9509-2790
Serena PillozziMedical Oncology Unit, Careggi University Hospital, 50134 Florence, Italy.ORCID 0000-0001-8861-8718
Elisabetta GambaleMedical Oncology Unit, Careggi University Hospital, 50134 Florence, Italy.
Marinella Micol MelaMedical Oncology Unit, Careggi University Hospital, 50134 Florence, Italy.ORCID 0000-0002-8027-2852
Laura DoniMedical Oncology Unit, Careggi University Hospital, 50134 Florence, Italy.
Francesca MazzoniMedical Oncology Unit, Careggi University Hospital, 50134 Florence, Italy.
Lorenzo AntonuzzoMedical Oncology Unit, Careggi University Hospital, 50134 Florence, Italy.
Azienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunotherapy has completely changed the treatment of solid tumors. Although immune checkpoint inhibitors (ICIs) seem to be an appealing alternative to chemotherapy, especially in elderly patients, due to a more tolerable toxicity profile, they can lead to a peculiar variety of immune-related adverse events (irAEs). However, data on tolerability and outcome of ICIs in the elderly are lacking due to poor accrual in clinical trials of these patients.

methodsWe performed a retro-prospective analysis on patients treated with single agent anti-PD-L1/PD-1 at the Clinical Oncology Unit, Careggi University Hospital, from March 2016 to March 2020. Data on the treatment responses, type and severity of irAEs, as well as the corticosteroids (CCS) dosage used for irAEs and the discontinuation rate, were described per each patient, according to two different age-based cohorts of patients (< or ≥70 years).

resultsWe reported a lower incidence of all-grade toxicity in elderly compared to younger patients (64.9% vs. 44.9%,

conclusionOur findings suggest that treatment with ICIs in elderly populations is safe and feasible. Patients over 70 years are more prone to develop skin irAEs, while younger patients are more subject to experience endocrine toxicities.

Indexed as

Immune Checkpoint InhibitorsNeoplasmsAgedHumansImmunotherapyIncidenceImmune Checkpoint Inhibitorsagingelderlyendocrinologic toxicityICIimmunosenescenceirAEsPD-1skin toxicity

Identifiers

PMID34449588
PMCPMC8395507
OpenAlexW3194855235

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.