Evidence map›Paper›PMID 34555228›Full record

ReviewTransplant international : official journal of the European Society for Organ Transplantation2021

Chemotherapy, targeted therapy and immunotherapy: Which drugs can be safely used in the solid organ transplant recipients?

Umberto Maggiore, Alessandra Palmisano, Sebastiano Buti, Giulia Claire Giudice, Dario Cattaneo, Nicola Giuliani, Enrico Fiaccadori, Ilaria Gandolfini, Paolo Cravedi

Open access · greenAbstract readReview
In one paragraph

Review in Transplant international : official journal of the European Society for Organ Transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Genomic medicine and personalized treatment: a narrative review.Annals of medicine and surgery (2012) · 2025
    Review
  8. Review
  9. Article
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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 3 institutions in 2 countries.

Umberto MaggioreDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Alessandra PalmisanoNephrology Unit, University Hospital of Parma, Parma, Italy.
Sebastiano ButiMedical Oncology Unit, University Hospital of Parma, Parma, Italy.
Giulia Claire GiudiceMedical Oncology Unit, University Hospital of Parma, Parma, Italy.
Dario CattaneoUnit of Clinical Pharmacology, ASST Fatebenefratelli Sacco University Hospital, Milan, Italy.
Nicola GiulianiDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Enrico FiaccadoriDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Ilaria GandolfiniDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Paolo CravediRenal Division, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
University of Parma · ITASST Fatebenefratelli Sacco · ITIcahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In solid organ transplant recipients, cancer is associated with worse prognosis than in the general population. Among the causes of increased cancer-associated mortality, are the limitations in selecting the optimal anticancer regimen in solid organ transplant recipients, because of the associated risks of graft toxicity and rejection, drug-to-drug interactions, reduced kidney or liver function, and patient frailty and comorbid conditions. The advent of immunotherapy has generated further challenges, mainly because checkpoint inhibitors increase the risk of rejection, which may have life-threatening consequences in recipients of life-saving organs. In general, there are no safe or unsafe anticancer drugs. Rather, the optimal choice of the anticancer regimen results from a careful risk/benefit assessment, from the awareness of potential pharmacokinetic and pharmacodynamic drug-to-drug interactions, and of the risk of drug overexposure in patients with kidney or liver dysfunction. In this review, we summarize general principles that may help the oncologists and transplant physicians in the multidisciplinary management of recipients of solid organ transplantation with cancer who are candidates for chemotherapy, targeted therapy, or immunotherapy.

Indexed as

Organ TransplantationPharmaceutical PreparationsGraft RejectionHumansImmunosuppressive AgentsImmunotherapyTransplant RecipientsImmunosuppressive AgentsPharmaceutical Preparationscheckpoint inhibitorchemotherapyimmunotherapytargeted therapytransplantation

Identifiers

PMID34555228
PMCPMC9298293
OpenAlexW3199717138

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.