Evidence map›Paper›PMID 42374316›Full record

ArticleBMC cancer2026

Association between comorbidities and major adverse cardiovascular events in patients undergoing immune checkpoint blockade.

Eveline Daetwyler, Annaïse Jauch, Núria Aeschlimann, Nikki Rommers, Benjamin Kasenda, Alfred Zippelius, Gabriela M Kuster

Abstract read
In one paragraph

Article in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Eveline DaetwylerDivision of Medical Oncology, Cantonal Hospital St. Gallen, Rorschacherstrasse 95, St. Gallen, CH-9007, Switzerland. eveline.daetwyler@h-och.ch.
Annaïse JauchDivision of Medical Oncology, University and University Hospital Basel, Basel, Switzerland.
Núria AeschlimannDivision of Medical Oncology, University and University Hospital Basel, Basel, Switzerland.
Nikki RommersDepartment of Clinical Research, University of Basel, University Hospital Basel, Basel, Switzerland.
Benjamin KasendaDivision of Medical Oncology, University and University Hospital Basel, Basel, Switzerland.
Alfred Zippelius *Division of Medical Oncology, University and University Hospital Basel, Basel, Switzerland.
Gabriela M Kuster *Department of Biomedicine, University of Basel, Basel, Switzerland. gabriela.kuster@usb.ch.ORCID https://orcid.org/0000-0002-8209-4631

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer patients have an increased risk for cardiovascular diseases (CVDs). Conflicting information exists regarding whether cancer treatment with immune checkpoint inhibitors (ICIs) itself increases the risk for CVDs. We therefore assessed the incidence of major adverse cardiovascular events (MACE) in cancer patients treated with versus without ICIs.

methodsOne hundred fifty-eight and 163 cancer patients, treated with and without ICIs respectively, were compared. The primary endpoint was the incidence of MACE, defined as acute coronary syndrome, ischemic stroke, transient ischemic attack, new or worsening coronary artery disease or peripheral arterial occlusive disease, or cardiovascular death. We used Cox proportional hazard models and competing risk models (death), adjusted for age, sex and comorbidities (Charlson Comorbidity index, CCI) to investigate the cause-specific association between ICI-treatment and MACE.

resultsOver a median follow-up of 30.6 months, 37 MACE occurred. The overall incidence of MACE was 14.0% in patients with and 9.3% in patients without ICI-treatment. In the multivariate analysis CCI was significantly associated with MACE (HR 1.19, 95% CI [1.03, 1.37]), whereas no association was found for ICI-treatment (HR 1.12, 95% CI [0.56, 2.22]). Competing risk analysis showed no treatment associations. CCI was associated with non-cardiovascular mortality.

conclusionsWe did not observe statistical evidence of an association between ICI treatment and MACE. There is evidence that a higher comorbidity burden is associated with MACE. Comorbidities are clearly associated with non-cardiovascular mortality in cancer patients. Further prospective studies are required to investigate whether treating comorbidities and optimizing cardiovascular risk factors result in improved outcomes among cancer patients.

Indexed as

Cardiovascular DiseasesImmune Checkpoint InhibitorsNeoplasmsAgedAged, 80 and overComorbidityFemaleHumansIncidenceMaleMiddle AgedProportional Hazards ModelsRisk FactorsImmune Checkpoint InhibitorsCancerCardiovascular disease(s) (CVD[s])Immune-checkpoint inhibitor(s) (ICI[s])Immune-related adverse events (irAEs)Long-term survivalMajor adverse cardiovascular event(s) (MACE)

Identifiers

PMID42374316
PMCPMC13576238

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.