Article ; Online: Top Ten Tips Palliative Care Clinicians Should Know About Managing Immune-Mediated Endocrine Toxicities in Cancer.
Journal of palliative medicine
2022 Volume 25, Issue 11, Page(s) 1715–1720
Abstract: Immune checkpoint inhibitors (ICI), such as PD-1/PDL-1 and CTLA-4, have become widely used in the treatment of solid and hematological malignancies; their use and side effects are increasingly seen in the palliative care (PC) population. These drugs can ... ...
Abstract | Immune checkpoint inhibitors (ICI), such as PD-1/PDL-1 and CTLA-4, have become widely used in the treatment of solid and hematological malignancies; their use and side effects are increasingly seen in the palliative care (PC) population. These drugs can result in immune-mediated endocrinopathies; the thyroid is the most common endocrine gland affected, but the pituitary, adrenals, and pancreas may be affected as well. Symptoms may be insidious and nonspecific. A high index of suspicion and routine laboratory monitoring allows for prompt diagnosis and treatment, which can significantly improve symptoms and increase quality of life. In this study, we present an approach to monitoring and initial management of ICI-induced endocrinopathies in the PC patient population. |
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MeSH term(s) | Humans ; Immunotherapy/adverse effects ; Palliative Care ; Quality of Life ; Neoplasms/therapy ; Endocrine System Diseases/chemically induced ; Endocrine System Diseases/epidemiology |
Language | English |
Publishing date | 2022-06-13 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1427361-5 |
ISSN | 1557-7740 ; 1096-6218 |
ISSN (online) | 1557-7740 |
ISSN | 1096-6218 |
DOI | 10.1089/jpm.2022.0204 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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