Evidence map›Paper›PMID 31004381›Full record

ArticleJournal of clinical laboratory analysis2019

Clinical features and treatment outcome of elderly multiple myeloma patients with impaired renal function.

Jin Chen, Hui Liu, Lijuan Li, Zhaoyun Liu, Jia Song, Guojin Wang, Huaquan Wang, Erbao Ruan, Kai Ding, Zonghong Shao and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-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

13 citing papers in PubMed, 17 citations in OpenAlex.

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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

11 authors at 1 institution in 1 country.

Jin ChenDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.ORCID https://orcid.org/0000-0001-8352-3576
Hui LiuDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Lijuan LiDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Zhaoyun LiuDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Jia SongDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Guojin WangDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Huaquan WangDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Erbao RuanDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Kai DingDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Zonghong ShaoDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Rong FuDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Tianjin Medical University General Hospital · CN

Funding

Anti-cancer major special project of Tianjin 12ZCDZSY18000National Natural Science Foundation of China 81570106, 81770110Tianjin Health and Family Planning Commission 15KG150Tianjin Municipal Education Commission 2018KJ043Tianjin Municipal Natural Science Foundation 18JCYBJC27200
6 · The paper itself

Abstract

backgroundRenal impairment (RI) is a most common complication of multiple myeloma (MM), which is associated with an increased risk of early death and worse survival.

methodsWe retrospectively analyzed clinical features and outcomes of 77 MM patients over 70 years old and compared the differences between with and without RI groups.

resultsThe percentage of elder MM patients with RI was 61%. Hemoglobin level was a protective factor (OR = 0.954, P = 0.033), while creatinine and hypertension were hazards (OR = 1.288, P < 0.001 and OR = 30.12, P = 0.008). And the percentages of patients with mild-to-moderate RI and moderate-to-severe RI were 40.4% and 59.6%. Complete remission (CR) rate was higher in patients treated with bortezomib (33.3%) than those with non-bortezomib treatment (3.33%) (P = 0.007). Meanwhile, CRrenal was higher in patients with bortezomib (58.3%) than non-bortezomib treatment (22.2%) (P = 0.025). The median OS of the patients with RI treated with bortezomib was longer than those with non-bortezomib regimens (15.0 vs 6.0 months, P = 0.001). The same result was observed in the patients with moderate-to-severe RI (13.0 vs 6.0 months, P = 0.007). The median OS of the patients with RI receiving the bortezomib regimens (15 months) was longer than those with non-bortezomib regimens (6.0 months) (P = 0.001).

conclusionHemoglobin is a protective factor in elder patients with RI, while creatinine and hypertension were hazards. The median OS of elderly patients with RI was worse, and bortezomib can improve the CR rate in these patients.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBortezomibCreatinineFemaleGlomerular Filtration RateHemoglobinsHumansHypertensionMaleMultiple MyelomaRenal InsufficiencyRetrospective StudiesTreatment OutcomeAntineoplastic AgentsBortezomibCreatinineHemoglobinsagebortezomibmultiple myelomarenal impairmentsurvival

Identifiers

PMID31004381
PMCPMC6595344
OpenAlexW2937132224

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.