Evidence map›Paper›PMID 38335930›Full record

ArticleRheumatology (Oxford, England)2025

Immune checkpoint inhibitor-mediated polymyalgia rheumatica versus primary polymyalgia rheumatica: comparison of disease characteristics and treatment requirement.

Olof C B Vermeulen, Elisabeth Brouwer, Riemer H J A Slart, Maria Sandovici, Abraham Rutgers, T Jeroen Hilterman, Birgitta Hiddinga, Sjoukje F Oosting, Mathilde Jalving, Albert H de Heij and 3 more

Abstract readComparative Study
In one paragraph

Article in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  3. [Polymyalgia rheumatica].Zeitschrift fur Rheumatologie · 2026
    Review
  4. Observational
  5. The management of rheumatic immune related adverse events.Best practice & research. Clinical rheumatology · 2026
    Review
  6. 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

13 authors.

Olof C B VermeulenRheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0009-0001-6407-2201
Elisabeth BrouwerRheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-5652-4423
Riemer H J A SlartNuclear Medicine and Molecular Imaging, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-5565-1164
Maria SandoviciRheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Abraham RutgersRheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-1641-6890
T Jeroen HiltermanPulmonology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Birgitta HiddingaPulmonology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Sjoukje F OostingMedical Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Mathilde JalvingMedical Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-9142-9050
Albert H de HeijMedical Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Daan G KnapenMedical Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Geke A P HospersMedical Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Kornelis S M van der GeestRheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0003-2798-6765

Funding

Dutch Arthritis Society DASInnovative Medicines Initiative 2 Joint Undertaking Immune-Image 831514
6 · The paper itself

Abstract

objectivesTo compare clinical characteristics, imaging findings and treatment requirements of patients with immune checkpoint inhibitor-mediated polymyalgia rheumatica (ICI-PMR) and primary PMR.

methodsThis single centre, retrospective cohort study compared ICI-PMR in patients with cancer (n = 15) to patients with primary PMR (n = 37). A comparison was made between clinical symptoms, laboratory markers, ultrasonography, 18F-FDG-PET/CT findings and treatment requirements related to PMR.

resultsPatients with ICI-PMR less frequently fulfilled the EULAR/ACR classification criteria for PMR (66.7%) than patients with primary PMR (97.3%). Morning stiffness, weight loss and elevation of the ESR were less frequently seen in patients with ICI-PMR. No differences were observed regarding the presence of inflammatory lesions on ultrasound of the shoulders and hips between the two groups. The Leuven and the Leuven/Groningen 18F-FDG-PET/CT scores were significantly lower in the ICI-PMR group. Finally, the ICI-PMR group could be managed with lower glucocorticoid doses than the primary PMR group, while this treatment could be discontinued more quickly.

conclusionOur findings indicate that ICI-PMR may have a milder course with less intense inflammation than primary PMR. ICI-PMR can be managed with a relatively low glucocorticoid dose. Our study underscores that ICI-PMR should be regarded as a PMR-like syndrome.

Indexed as

GlucocorticoidsImmune Checkpoint InhibitorsPolymyalgia RheumaticaAgedAged, 80 and overFemaleFluorodeoxyglucose F18HumansMaleMiddle AgedNeoplasmsPositron Emission Tomography Computed TomographyRetrospective StudiesUltrasonographyFluorodeoxyglucose F18GlucocorticoidsImmune Checkpoint Inhibitorsimmune checkpoint inhibitorimmune-related adverse eventsimmunotherapypolymyalgia rheumatica

Identifiers

PMID38335930
PMCPMC11781573

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.