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Neuromuscular Complications of Programmed Cell Death-1 (PD-1) Inhibitors

Overview of attention for article published in Current Neurology and Neuroscience Reports, August 2018
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Title
Neuromuscular Complications of Programmed Cell Death-1 (PD-1) Inhibitors
Published in
Current Neurology and Neuroscience Reports, August 2018
DOI 10.1007/s11910-018-0878-7
Pubmed ID
Authors

Justin C. Kao, Adipong Brickshawana, Teerin Liewluck

Abstract

In recent years, immune checkpoint inhibitors have been increasingly used in patients with metastatic cancers with favorable oncological outcomes; however, there have also been increasing number of cancer survivors who have developed immune-related adverse events. Little is known about PD-1 inhibitor-associated neuromuscular complications. Neuromuscular disorders are the most common neurological complication reported in PD-1 inhibitor-treated patients. Myasthenia gravis, immune-mediated myopathies, and Guillain-Barre syndrome are among commonly reported immune-related neuromuscular complications. HyperCKemia occurs frequently in patients with PD-1 inhibitor-associated myasthenia gravis, indicating coexisting myopathies or myocarditis. Oculobulbar weakness is a unique and common presentation of PD-1 inhibitor-associated immune-mediated myopathies with or without concomitant myasthenia gravis. High-dose steroid monotherapy may be associated with clinical deterioration in some patients with PD-1 inhibitor-associated myasthenia gravis, immune-mediated myopathies, or Guillain-Barre syndrome. PD-1 inhibitor-associated neuromuscular complications have some characteristic features compared to their idiopathic counterparts. Although steroid monotherapy is commonly used in non-neuromuscular autoimmune disorders triggered by anti-PD-1 therapy, this may lead to unfavorable outcomes in some patients with PD-1 inhibitor-associated neuromuscular complications.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 81 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 81 100%

Demographic breakdown

Readers by professional status Count As %
Other 16 20%
Student > Postgraduate 11 14%
Student > Bachelor 9 11%
Student > Ph. D. Student 8 10%
Student > Master 8 10%
Other 17 21%
Unknown 12 15%
Readers by discipline Count As %
Medicine and Dentistry 40 49%
Neuroscience 8 10%
Nursing and Health Professions 6 7%
Agricultural and Biological Sciences 4 5%
Biochemistry, Genetics and Molecular Biology 3 4%
Other 4 5%
Unknown 16 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 September 2018.
All research outputs
#15,542,250
of 23,099,576 outputs
Outputs from Current Neurology and Neuroscience Reports
#693
of 921 outputs
Outputs of similar age
#209,742
of 330,419 outputs
Outputs of similar age from Current Neurology and Neuroscience Reports
#17
of 22 outputs
Altmetric has tracked 23,099,576 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 921 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.3. This one is in the 19th percentile – i.e., 19% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 330,419 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 22 others from the same source and published within six weeks on either side of this one. This one is in the 22nd percentile – i.e., 22% of its contemporaries scored the same or lower than it.