Evidence map›Paper›PMID 31014512›Full record

ReviewCritical reviews in oncology/hematology2019

Special considerations for the treatment of multiple myeloma according to advanced age, comorbidities, frailty and organ dysfunction.

Muhammad Asad Fraz, Faiza Hassan Warraich, Sami Ullah Warraich, Muhammad Junaid Tariq, Zabih Warraich, Ali Younas Khan, Muhammad Usman, Awais Ijaz, Pavan Tenneti, Adeela Mushtaq and 8 more

Open access · greenAbstract readReview
In one paragraph

Review in Critical reviews in oncology/hematology, 2019. 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
1.8field-weighted citation impact, top 15% 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, 30 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

18 authors at 9 institutions in 1 country.

Muhammad Asad FrazDepartment of Medicine, Division of Hematology Oncology, Blood and Marrow Transplantation, University of Arizona, Tucson, AZ, 85721, United States.
Faiza Hassan WarraichDepartment of Internal Medicine, McLaren-Flint Medical Center, Flint, MI, 48532, United States.
Sami Ullah WarraichDepartment of Medicine, Division of Hematology Oncology, Blood and Marrow Transplantation, University of Arizona, Tucson, AZ, 85721, United States.
Muhammad Junaid TariqDepartment of Medicine, Division of Hematology Oncology, Blood and Marrow Transplantation, University of Arizona, Tucson, AZ, 85721, United States.
Zabih WarraichDepartment of Internal Medicine, United Health Services Wilson Memorial Regional Medical Center, Johnson City, NY, 13790, United States.
Ali Younas KhanDepartment of Medicine, Division of Hematology Oncology, Blood and Marrow Transplantation, University of Arizona, Tucson, AZ, 85721, United States.
Muhammad UsmanDepartment of Medicine, Division of Hematology Oncology, Blood and Marrow Transplantation, University of Arizona, Tucson, AZ, 85721, United States.
Awais IjazDepartment of Medicine, Division of Hematology Oncology, Blood and Marrow Transplantation, University of Arizona, Tucson, AZ, 85721, United States.
Pavan TennetiDepartment of Medicine, Banner University Medical Center, Tucson, AZ, 85724, United States.
Adeela MushtaqDepartment of Medicine, University of Pittsburgh Medical Center, McKeesport, PA, 15132, United States.
Faisal AkbarDepartment of Medicine, Wake Forest Baptist Medical Center, Winston Salem, NC, 27157, United States.
Zaina ShahidDepartment of Medicine, Wilkes Medical Center- Wake Forest Baptist Health, Wilkesboro, NC, 28659, United States.
Zeeshan AliDepartment of Medicine, Southern Arizona Veterans Affairs Health Care System, Tucson, AZ, 85723, United States.
Hafiz Muhammad FazeelDepartment of Medicine, Division of Hematology Oncology, Blood and Marrow Transplantation, University of Arizona, Tucson, AZ, 85721, United States.
Cesar RodriguezDepartment of Hematology Oncology, Wake Forest Baptist Medical Comprehensive Cancer Center, Winston Salem, NC, 27157, United States.
Aboo NasarDepartment of Geriatrics, Tri-City Medical Center, 4002 Vista Way, Oceanside, CA 92056, United States.
Ali McBrideDepartment of Pharmacy, The University of Arizona Cancer Center, Tucson, AZ, 85737, United States.
Faiz AnwerDepartment of Medicine, Division of Hematology Oncology, Blood and Marrow Transplantation, University of Arizona, Tucson, AZ, 85721, United States; Taussig Cancer Center, Department of Hematology, Medical Oncology, Cleveland Clinic, Cleveland, OH, 44195, United States. Electronic address: anwerf@email.arizona.edu.
University of Arizona · USAtrium Health Wake Forest Baptist · USBanner - University Medical Center Tucson · USCleveland Clinic · USMcLaren Regional Medical Center · USSouthern Arizona VA Health Care System · USTri-City Medical Center · USUnited Health Services · USUniversity of Pittsburgh Medical Center · US

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Teri L Bankhead · 1985 to 2026
$110.2M
NCI NIH HHS P30 CA023074
6 · The paper itself

Abstract

Multiple Myeloma (MM) is primarily a disease of old age with a median age of sixty-nine years at diagnosis. The development of novel therapies for induction and use of autologous stem cell transplantation has resulted in improved clinical outcomes and better quality of life for MM patients. Elderly patients, comprising the majority of MM population, have a higher incidence of age-related comorbidities, frailty and organ dysfunction which complicates the coordination of treatment and limits the selection of therapies. Even in the era of multiple chemotherapeutic options, the clinical heterogeneity of the myeloma patients' demands personalized treatments which often require dose-adjustments or dose delays. The use of reduced-dose regimens and various comorbidity indices has improved clinical outcome and regimen tolerability in MM patients with renal, neurological and bone abnormalities. We focus on advancements in the treatment of multiple myeloma with the goal to guide clinicians towards patient-specific management.

Indexed as

AgedAged, 80 and overAge FactorsAntineoplastic AgentsComorbidityFrailtyHumansMiddle AgedMultiple MyelomaMultiple Organ FailurePrecision MedicineQuality of LifeStem Cell TransplantationAntineoplastic AgentsComorbiditiesDose modificationsDose reductionElderlyFrailtyMultiple myelomaPersonalized therapy

Identifiers

PMID31014512
PMCPMC6508081
OpenAlexW2916184360

What OpenQuestion holds

Textmetadata
LicenceTDM
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.