دورية أكاديمية

Multidisciplinary recommendations for essential baseline functional and laboratory tests to facilitate early diagnosis and management of immune-related adverse events among cancer patients

التفاصيل البيبلوغرافية
العنوان: Multidisciplinary recommendations for essential baseline functional and laboratory tests to facilitate early diagnosis and management of immune-related adverse events among cancer patients
المؤلفون: Özdemir, Berna C., Espinosa da Silva, Cristina, Arangalage, Dimitri, Monney, Pierre, Guler, Sabina A., Huynh-Do, Uyen, Stirnimann, Guido, Possamai, Lucia, Trepp, Roman, Hoepner, Robert, Salmen, Anke, Gerard, Camille L., Hruz, Petr, Christ, Lisa, Rothschild, Sacha I.
المساهمون: University of Bern
المصدر: Cancer Immunology, Immunotherapy ; volume 72, issue 7, page 1991-2001 ; ISSN 0340-7004 1432-0851
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2023
مصطلحات موضوعية: Cancer Research, Oncology, Immunology, Immunology and Allergy
الوصف: Immune checkpoint inhibitors (ICIs) have fundamentally changed the treatment landscape of various cancers. While ICI treatments result in improved survival, quality of life and are cost-effective, the majority of patients experience at least one immune-related adverse event (irAE). Many of these side effects cause little discomfort or are asymptomatic; however, irAEs can affect any organ and are potentially life-threatening. Consequently, early diagnosis and appropriate treatment of irAEs are critical for optimizing long-term outcomes and quality of life in affected patients. Some irAEs are diagnosed according to typical symptoms, others by abnormal findings from diagnostic tests. While there are various guidelines addressing the management of irAEs, recommendations for the early recognition of irAEs as well as the optimal extent and frequency of laboratory tests are mostly lacking. In clinical practice, blood sampling is usually performed before each ICI administration (i.e., every 2–3 weeks), often for several months, representing a burden for patients as well as health care systems. In this report, we propose essential laboratory and functional tests to improve the early detection and management of irAEs and in cancer patients treated with ICIs. These multidisciplinary expert recommendations regarding essential laboratory and functional tests can be used to identify possible irAEs at an early time point, initiate appropriate interventions to improve patient outcomes, and reduce the burden of blood sampling during ICI treatment.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1007/s00262-023-03436-0
DOI: 10.1007/s00262-023-03436-0.pdf
DOI: 10.1007/s00262-023-03436-0/fulltext.html
الإتاحة: https://doi.org/10.1007/s00262-023-03436-0Test
حقوق: https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test
رقم الانضمام: edsbas.E94469E
قاعدة البيانات: BASE