Evidence map›Paper›PMID 40432298›Full record

ArticleFuture oncology (London, England)2025

Impact of comorbidity on immune-related adverse events and survival in older cancer patients treated with immunotherapy.

Alyssa A Guo, Mary-Peyton Knapp, Joni K Evans, Andrew T Faucheux, Sarah N Price, Heidi D Klepin, Beverly Levine, Alexander Quattlebaum, Chance Bloomer, Lara Khoury and 4 more

Abstract read
In one paragraph

Article in Future oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. Article
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

14 authors.

Alyssa A GuoDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0002-2310-7594
Mary-Peyton KnappDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Joni K EvansDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0001-5794-4326
Andrew T FaucheuxDepartment of Hematology & Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0003-1176-6282
Sarah N PriceDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0002-1622-1700
Heidi D KlepinDepartment of Hematology & Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0002-6262-1123
Beverly LevineDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Alexander QuattlebaumDepartment of Hematology & Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Chance BloomerDepartment of Hematology & Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0001-5334-0277
Lara KhouryDepartment of Hematology & Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
John C HuntingDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0002-4066-4763
Catherine A ElkoDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Eric OlsonDepartment of Hematology & Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0001-6258-1275
Thomas W LycanDepartment of Hematology & Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0001-9475-1558

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Consumer-based meditation app, Calm, for treatment of sleep disturbance in hematological cancer patientsR01CA262041 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Jennifer Lynne Huberty, Ruben A. Mesa · 2022 to 2026
$2.8M
CTSA K12 Program at Wake ForestK12TR004931 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Nicholette D. Allred · 2024 to 2026
$2.3M
Cancer Prevention And Control Training Grant (CAPACITY)T32CA122061 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KRISTIE L FOLEY, Kathryn Elizabeth Weaver · 2019 to 2026
$2.1M
Refining Cognitive Behavioral Therapy for Insomnia in Lung Cancer Survivors: Enhancing Feasibility, Acceptability, and Symptom ManagementK99CA297014 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Sarah Newmeyer Price · 2025 to 2026
$225k
NCATS NIH HHS K12 TR004931NCI NIH HHS K99 CA297014NCI NIH HHS P30 CA012197NCI NIH HHS R01 CA262041NCI NIH HHS T32 CA122061
6 · The paper itself

Abstract

backgroundNearly half of patients with cancer are diagnosed at 70 years or older, which presents challenges in cancer care due to their high comorbidity burden and the underrepresentation of this age group in clinical trials. This retrospective study evaluated the association between comorbidity burden and immune checkpoint inhibitors (ICIs) treatment outcomes among older adults.

methodsData were collected from patients aged 70 years or older at the time of diagnosis who were treated with ICIs from 2011 to 2022. Key clinical outcomes include changes in performance status, overall survival (OS), progression-free survival (PFS), and immune-related adverse events (irAEs) and were compared between low baseline Charlson Comorbidity Index (CCI) and high CCI (<4 vs. ≥4) groups.

resultsAmong 1,223 patients, patients with CCI scores ≥4 (

conclusionOur study suggests that ICIs are safe in patients with high comorbidity burden but that the presence of pre-treatment comorbidities decreases overall survival.

Indexed as

Drug-Related Side Effects and Adverse ReactionsImmune Checkpoint InhibitorsImmunotherapyNeoplasmsAgedAged, 80 and overAge FactorsComorbidityFemaleHumansMaleProgression-Free SurvivalRetrospective StudiesImmune Checkpoint Inhibitorscancercomorbiditygeriatric oncologyimmune checkpoint inhibitorsOlder adults

Identifiers

PMID40432298
PMCPMC12150610

What Socratic 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 Socratic graph.