Evidence map›Paper›PMID 30311142›Full record

ArticleInternational journal of hematology2019

Immunoparesis in symptomatic multiple myeloma at diagnosis affects PFS with bortezomib-containing induction therapy, but not ASCT consolidation.

Wen Gao, Jie Li, Yuan Jian, Guangzong Yang, Yin Wu, Yanchen Li, Yun Len, Aijun Liu, Ying Tian, Huijuan Wang and 3 more

Abstract read
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In one paragraph

Article in International journal of hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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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

13 authors at 1 institution in 1 country.

Wen GaoDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Jie LiDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Yuan JianDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Guangzong YangDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Yin WuDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Yanchen LiDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Yun LenDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Aijun LiuDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Ying TianDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Huijuan WangDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Huixing ZhouDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Zhiyao ZhangDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China.
Wenming ChenDepartment of Hematology, Myeloma Research Center of Beijing Beijing Chao-Yang Hospital, Capital Medical University, Gongtinanlu No 8, Chaoyang District, Beijing, 100020, China. 13910107759@163.com.ORCID http://orcid.org/0000-0001-6298-8489
Capital Medical University · CN

Funding

Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support (CN) XMLX201847
6 · The paper itself

Abstract

In novel agent era, the impact of immunoparesis at diagnosis on outcomes in symptomatic multiple myeloma (MM) remains unclear. We reviewed medical records of 147 MM patients at Beijing Chao Yang hospital. Most patients exhibited immunoparesis at diagnosis (84%). After a median follow-up of 27 months (range 1-78 months), in the group with immunoparesis at diagnosis, there was a very significantly shorter progression-free survival (PFS) than in the group without immunoparesis (estimated PFS of not reached vs 25 months, P = 0.001). Patients with suppressed Immunoglobulins (Igs) had the tendency to have a shorter OS than patients without suppression (estimated OS of not reached vs 38 months, P = 0.06). In multivariate analysis, the negative impact of immunoparesis on PFS was confirmed. In addition, achievement of both at least VGPR and at least CR was significantly higher in patients with preserved uninvolved Igs than in those with suppression of at least one uninvolved Ig. However, the negative impact of immunoparesis on response was not confirmed in a multivariate analysis. These results suggest immunoparesis in patients with symptomatic MM at diagnosis is an independent poor prognostic factor for upfront bortezomib-containing regimen.

Indexed as

Progression-Free SurvivalAdultAgedBortezomibChinaConsolidation ChemotherapyFemaleHematopoietic Stem Cell TransplantationHumansImmunoglobulinsInduction ChemotherapyMaleMiddle AgedMultiple MyelomaPrognosisRetrospective StudiesBortezomibImmunoglobulinsBortezomibImmunoparesisMultiple myelomaSymptomatic

Identifiers

PMID30311142
OpenAlexW2897944494

What OpenQuestion holds

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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.