Evidence map›Paper›PMID 41727433›Full record

ArticleFrontiers in immunology2026

Impact of immune-related adverse events on treatment outcomes in advanced esophageal squamous cell carcinoma treated with immune checkpoint inhibitors.

Tianhang Zhang, Xiao Chen, Jianhua Wu, Jiasong Li, Zhukun Qin, Ruijie Cao, Wei Guo, Zhanjun Guo, Haiyan Fan

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Tianhang Zhang *Department of Rheumatology and Immunology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Xiao Chen *Department of Rheumatology and Immunology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Jianhua WuAnimal Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Jiasong LiDepartment of Rheumatology and Immunology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Zhukun QinDepartment of Gastroenterology and Hepatology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Ruijie CaoDepartment of Rheumatology and Immunology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Wei GuoLaboratory of Pathology, Hebei Cancer Institute, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Zhanjun GuoDepartment of Rheumatology and Immunology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Haiyan FanDepartment of Gastroenterology and Hepatology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: While immune-related adverse events (irAEs) are associated with better prognosis in advanced esophageal squamous cell carcinoma (ESCC), the prognostic impact of single-organ irAE (uni-irAE), multiple-organ irAEs (multi-irAEs), and organ-specific irAEs remains poorly understood. This study aimed to address this gap by evaluating the effects of various irAEs on survival and characterizing the co-occurrence patterns of multi-irAEs in ESCC patients. Methods: We retrospectively analyzed 213 ESCC patients treated with immune checkpoint inhibitor (ICI), dividing them into non-irAE, uni-irAE, and multi-irAEs groups to compare their efficacy and prognosis. Baseline characteristics and efficacy outcomes were compared by Chi-square test. Prognostic analysis was performed using Kaplan-Meier survival analysis with the log-rank test and Cox proportional hazard models. The Mann-Whitney U test was used to compare the time to onset of irAEs. Additionally, logistic regression analysis was conducted to identify risk factors associated with the development of multi-irAEs. Results: Patients who developed irAEs exhibited a significantly higher disease control rate (DCR) compared to patients without irAEs (94.9% Conclusion: The occurrence of both uni-irAE and multi-irAEs was associated with favorable prognosis in ESCC patients treated with ICIs. Furthermore, patients who developed endocrine irAEs or mild irAEs also demonstrated improved efficacy, suggesting their potential as clinical response markers for a positive response to therapy. This finding emphasizes the necessity of vigilant monitoring and early intervention for irAEs in patients undergoing ICIs.

Indexed as

Drug-Related Side Effects and Adverse ReactionsEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaImmune Checkpoint InhibitorsAgedFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisRetrospective StudiesTreatment OutcomeImmune Checkpoint Inhibitorsesophageal squamous cell carcinomaimmune checkpoint inhibitorsimmune-related adverse eventsprognosistherapeutic efficacy

Identifiers

PMID41727433
PMCPMC12916662

What Socratic holds

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Registered trials

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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.