Evidence map›Paper›PMID 24861847›Full record

ArticleBritish journal of haematology2014

Body size and multiple myeloma mortality: a pooled analysis of 20 prospective studies.

Lauren R Teras, Cari M Kitahara, Brenda M Birmann, Patricia A Hartge, Sophia S Wang, Kim Robien, Alpa V Patel, Hans-Olov Adami, Elisabete Weiderpass, Graham G Giles and 25 more

Registry-linked trialAbstract read
In one paragraph

Article in British journal of haematology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06987708 (Evaluating the Impact of a 12-month Multi-Modal Lifestyle Management Intervention on Disease Relevant Biomarkers Associated With Monoclonal Gammopathy of Unknown Significance), which is not on this map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 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.

NCT06987708 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluating the Impact of a 12-month Multi-Modal Lifestyle Management Intervention on Disease Relevant Biomarkers Associated With Monoclonal Gammopathy of Unknown Significance (MGUS) and Smoldering Myeloma (SM): A Prospective Intervention Pilot Study

TypeinterventionalSponsorHackensack Meridian HealthRan2026 to 2028Enrolled67ConditionsMonoclonal Gammopathy of Uncertain Significance, Smoldering MyelomaArmsThe Multimodal Lifestyle Intervention
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  16. Dietary fat and lipid metabolism in the tumor microenvironment.Biochimica et biophysica acta. Reviews on cancer · 2023
    Review
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5 more citing papers are in PubMed but not listed here.

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

35 authors.

Lauren R TerasEpidemiology Research Program, American Cancer Society, Atlanta, GA, USA.
Cari M Kitahara
Brenda M Birmann
Patricia A Hartge
Sophia S Wang
Kim Robien
Alpa V Patel
Hans-Olov Adami
Elisabete Weiderpass
Graham G Giles
Pramil N Singh
Michael Alavanja
Laura E Beane Freeman
Leslie Bernstein
Julie E Buring
Graham A Colditz
Gary E Fraser
Susan M Gapstur
J Michael Gaziano
Edward Giovannucci
Jonathan N Hofmann
Martha S Linet
Gila Neta
Yikyung Park
Ulrike Peters
Philip S Rosenberg
Catherine Schairer
Howard D Sesso
Meir J Stampfer
Kala Visvanathan
Emily White
Alicja Wolk
Anne Zeleniuch-Jacquotte
Amy Berrington de González
Mark P Purdue

Funding

CALIFORNIA TEACHERS STUDYR01CA077398 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BERNSTEIN, LESLIE · 1998 to 2014
$29.7M
Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
Studies of other risk factors for radiosensitive tumorsZIACP010219 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI KITAHARA, CARI · 2011 to 2025
$6.0M
Plant-based diets and risk of cancerU01CA152939 · NCI · LOMA LINDA UNIVERSITY · PI FRASER, GARY E. · 2011 to 2015
$5.7M
A prospective analysis of peripheral blood cytokines and non-Hodgkin lymphomaR01CA149445 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BIRMANN, BRENDA M · 2011 to 2015
$3.0M
Intramural NIH HHS Z99 CA999999NCI NIH HHS R01 CA077398NCI NIH HHS R01 CA149445NCI NIH HHS U01 CA152939NCI NIH HHS UM1 CA186107
6 · The paper itself

Abstract

Multiple myeloma (MM) is a rare but highly fatal malignancy. High body weight is associated with this cancer, but several questions remain regarding the aetiological relevance of timing and location of body weight. To address these questions, we conducted a pooled analysis of MM mortality using 1·5 million participants (including 1388 MM deaths) from 20 prospective cohorts in the National Cancer Institute Cohort Consortium. Proportional hazards regression was used to calculate pooled multivariate hazard ratios (HRs) and 95% confidence intervals (CIs). Associations with elevated MM mortality were observed for higher early-adult body mass index (BMI; HR = 1·22, 95% CI: 1·09-1·35 per 5 kg/m(2) ) and for higher cohort-entry BMI (HR 1·09, 95% CI: 1·03-1·16 per 5 kg/m(2) ) and waist circumference (HR = 1·06, 95% CI: 1·02-1·10 per 5 cm). Women who were the heaviest, both in early adulthood (BMI 25+) and at cohort entry (BMI 30+) were at greater risk compared to those with BMI 18·5 ≤ 25 at both time points (HR = 1·95, 95% CI: 1·33-2·86). Waist-to-hip ratio and height were not associated with MM mortality. These observations suggest that overall, and possibly also central, obesity influence myeloma mortality, and women have the highest risk of death from this cancer if they remain heavy throughout adulthood.

Indexed as

Body SizeAdultAgedAged, 80 and overAnthropometryBody Mass IndexCohort StudiesFemaleHumansIncidenceMaleMiddle AgedMultiple MyelomaProportional Hazards ModelsProspective StudiesRisk Factorsand anthropometrybody mass indexmultiple myelomapooled analysisprospective cohort study

Identifiers

PMID24861847
PMCPMC4134758

What OpenQuestion holds

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Registered trials

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.