Evidence map›Paper›PMID 30342509›Full record

ArticleBMC cancer2018

Impact of renal impairment on outcomes after autologous stem cell transplantation in multiple myeloma: a multi-center, retrospective cohort study.

Marlies Antlanger, Tobias Dust, Thomas Reiter, Alexandra Böhm, Wolfgang W Lamm, Max Gornicec, Ella Willenbacher, David Nachbaur, Roman Weger, Werner Rabitsch and 8 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. [How I treat multiple myeloma with renal impairment].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2021
    Article
  12. Article
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  16. 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

18 authors at 5 institutions in 1 country.

Marlies AntlangerDepartment of Internal Medicine III, Division of Nephrology and Dialysis, Medical University of Vienna, Vienna, Austria.
Tobias DustDepartment of Internal Medicine III, Division of Nephrology and Dialysis, Medical University of Vienna, Vienna, Austria.
Thomas ReiterDepartment of Internal Medicine III, Division of Nephrology and Dialysis, Medical University of Vienna, Vienna, Austria.
Alexandra BöhmHanusch Hospital, 3rd Medical Department, Division of Hematology and Oncology, Vienna, Austria.
Wolfgang W LammDepartment of Internal Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.
Max GornicecDepartment of Internal Medicine, Division of Hematology, Medical University of Graz, Graz, Austria.
Ella WillenbacherMedical University of Innsbruck, Internal Medicine V, Hematology and Oncology, Innsbruck, Austria.
David NachbaurMedical University of Innsbruck, Internal Medicine V, Hematology and Oncology, Innsbruck, Austria.
Roman WegerMedical University of Innsbruck, Internal Medicine V, Hematology and Oncology, Innsbruck, Austria.
Werner RabitschDepartment of Internal Medicine I, Bone Marrow Transplantation Unit, Medical University of Vienna, Vienna, Austria.
Susanne Rasoul-RockenschaubMedical University of Vienna, Center for Medical Statistics, Informatics and Intelligent Systems (CeMSIIS), Vienna, Austria.
Nina WorelDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria.
Daniel LechnerElisabethinen Hospital, Department of Internal Medicine I, Division of Hematology and Oncology, Linz, Austria.
Hildegard GreinixDepartment of Internal Medicine, Division of Hematology, Medical University of Graz, Graz, Austria.
Felix KeilHanusch Hospital, 3rd Medical Department, Division of Hematology and Oncology, Vienna, Austria.
Heinz GisslingerDepartment of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Hermine AgisDepartment of Internal Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.
Maria-Theresa KrauthDepartment of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. maria.krauth@meduniwien.ac.at.
Medical University of Vienna · ATInnsbruck Medical University · ATKrankenhaus der Elisabethinen · ATMedical University of Graz · ATHanusch Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRenal impairment (RI) is a negative prognostic factor in Multiple Myeloma (MM) and affected patients are often excluded from autologous stem cell transplantation (ASCT). However, it remains unclear whether historically inferior outcome data still hold true.

methodsFrom a total of 475 eligible MM patients who had undergone ASCT between 1998 and 2016, 374 were included in this multi-centric retrospective cohort study. Renal function was determined both at the time of MM diagnosis and ASCT by estimated glomerular filtration rate (eGFR according to the MDRD formula, RI defined as eGFR < 60 ml/min/1.73m

conclusionWhile severe RI at MM diagnosis confers a risk of shorter OS, MM progression after ASCT is not affected by any stage of renal failure. It can be concluded that ASCT can be safely carried out in MM patients with mild to moderate RI and should be pro-actively considered in those with severe RI.

resultsWhen comparing all groups, no difference in OS and PFS was found (p = 0.319 and p = 0.904). After further stratification according to the degree of RI at the time of diagnosis, an OS disadvantage was detected for patients with an eGFR < 45 ml/min/m

Indexed as

AgedCohort StudiesFemaleGlomerular Filtration RateHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedMultiple MyelomaRenal InsufficiencyRetrospective StudiesTransplantation, AutologousTreatment OutcomeAutologous stem cell transplantationMultiple myelomaOverall survivalProgression-free survivalRenal impairment

Identifiers

PMID30342509
PMCPMC6195957
OpenAlexW2896889413

What OpenQuestion holds

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LicenceCC BY
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.