Evidence map›Paper›PMID 20709660›Full record

ReviewClinical lymphoma, myeloma & leukemia2010

Smoldering (asymptomatic) multiple myeloma: revisiting the clinical dilemma and looking into the future.

Adam J Waxman, Michael Kuehl, Arun Balakumaran, Brendan Weiss, Ola Landgren

Abstract readReview
In one paragraph

Review in Clinical lymphoma, myeloma & leukemia, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. From myeloma precursor disease to multiple myeloma: new diagnostic concepts and opportunities for early intervention.Clinical cancer research : an official journal of the American Association for Cancer Research · 2011
    Review
  8. Review
  9. Review
  10. A case study progression to multiple myeloma.Clinical journal of oncology nursing · 2010
    Article
  11. Review
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

5 authors.

Adam J WaxmanMedical Oncology Branch, National Cancer Institute, Bethesda, MD, USA.
Michael Kuehl
Arun Balakumaran
Brendan Weiss
Ola Landgren

Funding

Molecular Pathogenesis of Multiple MyelomaZIASC006581 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI KUEHL, WALTER · 2009 to 2015
$4.5M
Population based studiesZIABC011205 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI LANDGREN, OLA · 2009 to 2014
$858k
Intramural NIH HHS ZIA BC011205
6 · The paper itself

Abstract

Recent studies show that multiple myeloma (MM) is consistently preceded by an asymptomatic precursor state. Smoldering MM (SMM) is a MM precursor defined by an M-protein concentration >or= 3 g/dL and/or >or= 10% bone marrow plasma cells, in the absence of end-organ damage. Compared with individuals diagnosed with monoclonal gammopathy of undetermined significance (MGUS), patients with SMM have a much higher annual risk of developing MM. However, based on clinical observations, the natural history of SMM varies greatly, from stable MGUS-like disease to highly progressive disease. Using conventional clinical markers, SMM patients can be stratified into 3 risk groups. Importantly, because of considerable molecular heterogeneity, we currently lack reliable markers to predict prognosis for individual SMM patients. Furthermore, until recently, potent drugs with reasonable toxicity profiles have not been available for the development of early MM treatment strategies. Consequently, current clinical guidelines emphasize the application of close clinical monitoring followed by treatment when the patient develops symptomatic MM. This review focuses on novel biomarkers, molecular profiles, and microenvironmental interactions of interest in myelomagenesis. We also discuss how the integration of novel biologic markers and clinical monitoring of SMM could facilitate the development of early treatment strategies for high-risk SMM patients in the future.

Indexed as

Disease ProgressionHumansMultiple MyelomaPractice Guidelines as Topic

Identifiers

PMID20709660
PMCPMC6849209

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.