Evidence map›Paper›PMID 24460646›Full record

ArticleEuropean journal of haematology2014

Immunoglobulin D myeloma: clinical features and outcome in the era of novel agents.

Flora Zagouri, Efstathios Kastritis, Argiris S Symeonidis, Nikolaos Giannakoulas, Eirini Katodritou, Sosana Delimpasi, Panagiotis Repousis, Evangelos Terpos, Meletios A Dimopoulos, Greek Myeloma Study Group

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Article in European journal of haematology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
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

20 citing papers in PubMed, 40 citations in OpenAlex.

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  11. Early stage IgD multiple myeloma in a 50-year-old man.Proceedings (Baylor University. Medical Center) · 2020
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  14. Review
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  16. [Clinical characteristics analyses of 27 cases of immunoglobin D multiple myeloma].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Flora ZagouriDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Efstathios Kastritis
Argiris S Symeonidis
Nikolaos Giannakoulas
Eirini Katodritou
Sosana Delimpasi
Panagiotis Repousis
Evangelos Terpos
Meletios A Dimopoulos
Greek Myeloma Study Group
National and Kapodistrian University of Athens · GREvangelismos Hospital · GRMetaxa Hospital · GRTheageneio General Hospital · GRUniversity of Patras · GRUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesImmunoglobulin D (IgD) multiple myeloma is an uncommon variant of the disease probably associated with poorer prognosis. However, data on IgD myeloma patients treated in the novel agent era are lacking.

methodsTo assess the frequency and the specific characteristics and evaluate the outcome of patients with IgD myeloma, we analyzed the database of the Greek Myeloma Study Group.

resultsBetween January 2000 and December 2012, among the 1239 patients with symptomatic myeloma, 31 (2.5%) were diagnosed with IgD myeloma. The median age of patients with IgD myeloma was 65 yr (range 26-80 yr) versus 68 yr (range 23-96 yr) of all others, and 84% had lambda light chain (vs. 38% of the patients with other subtypes). Patients with IgD myeloma presented more often with features of high-risk disease, that is, with advanced ISS, high LDH, significant renal dysfunction, and large amounts of Bence Jones proteinuria. Response to primary therapy was similar to other patients, although there was a trend for better quality of responses in patients with IgD myeloma. The median survival of these patients was 51.5 months versus 50.7 months for patients of other subtypes. In a multivariate model to adjust for differences in prognostic features, IgD myeloma was not associated with a different prognosis.

conclusionThe incidence of IgD myeloma is 2.5%. Although patients with IgD myeloma present more often with high-risk features, their outcome in the era of novel agents is similar to that of patients with other myeloma subtypes.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsDatabases, FactualFemaleGreeceHumansImmunoglobulin DIncidenceMaleMiddle AgedMultiple MyelomaPrognosisTreatment OutcomeAntineoplastic AgentsImmunoglobulin DBence Jones proteinuriaIgD myelomalambda light chainnovel agentsprognosis

Identifiers

PMID24460646
OpenAlexW2070705919

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Registered trials

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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.