PMID- 33841138 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240331 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 12 DP - 2021 TI - Attitudes and Practices of Immune Checkpoint Inhibitors in Chinese Patients With Cancer: A National Cross-Sectional Survey. PG - 583126 LID - 10.3389/fphar.2021.583126 [doi] LID - 583126 AB - Immune-checkpoint inhibitors (ICIs) are revolutionizing the field of immuno-oncology. Side effects and tumor microenvironment currently represent the most significant obstacles to using ICIs. In this study, we conducted an extensive cross-sectional survey to investigate the concept and practices regarding the use of ICIs in cancer patients in China. The results provide real-world data on the adverse events (AEs) of ICIs and the factors influencing the use of ICIs. This survey was developed by the Expert Committee on Immuno-Oncology of the Chinese Society of Clinical Oncology (CSCO-IO) and the Expert Committee on Patient Education of the Chinese Society of Clinical Oncology (CSCO-PE). The surveys were distributed using a web-based platform between November 29, 2019 and December 21, 2019. A total of 1,575 patients were included. High costs (43.9%), uncertainty about drug efficacy (41.2%), and no reimbursement from medical insurance (32.4%) were the factors that prevented the patients from using ICIs. The patients were most concerned about the onset time or effective duration of ICIs (40.3%), followed by the indications of ICIs and pre-use evaluation (33.4%). Moreover, 9.0, 57.1, 21.0, and 12.9% of the patients reported tumor disappearance, tumor volume reduction, no change in tumor volume, and increased tumor volume. Among the patients who received ICIs, 65.7% reported immune-related AEs (irAEs); 96.1% reported mild-to-moderate irAEs. Cancer patients in China had a preliminary understanding of ICIs. Yet, the number of patients treated with ICIs was small. CI - Copyright (c) 2021 Zhang, Wang, Zhang, Chu, Su, Wu, Chen, Wang, Yin, Zhu and Sun. FAU - Zhang, Luping AU - Zhang L AD - Cancer Institute, Xinqiao Hospital, Army Medical University, Chongqing, China. FAU - Wang, Jun AU - Wang J AD - Department of Oncology, The First Affiliated Hospital of Shandong First Medical University, Jinan, China. FAU - Zhang, Bicheng AU - Zhang B AD - Cancer Center, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Chu, Qian AU - Chu Q AD - Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Su, Chunxia AU - Su C AD - Associate Chief Physician of Medical Oncology, Shanghai Pulmonary Hospital and Thoracic Cancer Institute, Tongji University School of Medicine, Shanghai, China. FAU - Wu, Hao AU - Wu H AD - Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Chen, Xiaobing AU - Chen X AD - Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. FAU - Wang, Baocheng AU - Wang B AD - Department of Oncology, No. 960 Hospital of PLA, Jinan, China. FAU - Yin, Yongmei AU - Yin Y AD - Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Zhu, Bo AU - Zhu B AD - Cancer Institute, Xinqiao Hospital, Army Medical University, Chongqing, China. FAU - Sun, Jianguo AU - Sun J AD - Cancer Institute, Xinqiao Hospital, Army Medical University, Chongqing, China. LA - eng PT - Journal Article DEP - 20210322 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC8025873 OTO - NOTNLM OT - adverse effects OT - attitude OT - immunotherapy OT - practice OT - survey COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/04/13 06:00 MHDA- 2021/04/13 06:01 PMCR- 2021/03/22 CRDT- 2021/04/12 06:16 PHST- 2020/07/17 00:00 [received] PHST- 2021/01/26 00:00 [accepted] PHST- 2021/04/12 06:16 [entrez] PHST- 2021/04/13 06:00 [pubmed] PHST- 2021/04/13 06:01 [medline] PHST- 2021/03/22 00:00 [pmc-release] AID - 583126 [pii] AID - 10.3389/fphar.2021.583126 [doi] PST - epublish SO - Front Pharmacol. 2021 Mar 22;12:583126. doi: 10.3389/fphar.2021.583126. eCollection 2021.