Evidence map›Paper›PMID 31221778›Full record

SynthesisHaematologica2020

Outcome of paraosseous extra-medullary disease in newly diagnosed multiple myeloma patients treated with new drugs.

Vittorio Montefusco, Francesca Gay, Stefano Spada, Lorenzo De Paoli, Francesco Di Raimondo, Rossella Ribolla, Caterina Musolino, Francesca Patriarca, Pellegrino Musto, Piero Galieni and 12 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Haematologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. International Myeloma Society/International Myeloma Working Group Consensus Recommendations on the Definition of High-Risk Multiple Myeloma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Extramedullary Disease-Achilles Heel in Myeloma?American journal of hematology · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Multiple Myeloma Unpacked.Hematological oncology · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Refining High-Risk Multiple Myeloma: Advancements in Genomic, Clinical, and Prognostic Criteria.Mediterranean journal of hematology and infectious diseases · 2025
    Review
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Treatment of multiple myeloma with selinexor: a review.Therapeutic advances in hematology · 2024
    Review
  20. Multiple Myeloma in 2023 Ways: From Trials to Real Life.Current oncology (Toronto, Ont.) · 2023
    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

22 authors at 17 institutions in 4 countries.

Vittorio MontefuscoDivision of Hematology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy vittorio.montefusco@istitutotumori.mi.it.
Francesca GayMyeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.
Stefano SpadaMyeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.
Lorenzo De PaoliDivision of Hematology, Department of Translational Medicine, Amedeo Avogadro University of Eastern Piedmont and Maggiore Hospital, Novara, Italy.
Francesco Di RaimondoDivision of Hematology, Ospedale Ferrarotto, Azienda Policlinico-Ospedale Vittorio Emanuele, University of Catania, Catania, Italy.
Rossella RibollaDepartment of Hematology, ASST Spedali Civili di Brescia, Brescia, Italy.
Caterina MusolinoDivision of Haematology, University of Messina, Messina, Italy.
Francesca PatriarcaDAME, Udine University, Udine, Italy.
Pellegrino MustoHematology and Stem Cell Transplantation Unit, IRCCS-CROB, Referral Cancer Center of Basilicata, Rionero in Vulture, Italy.
Piero GalieniU.O.C. Ematologia e Trapianto di Cellule Staminali Emopoietiche, Ospedale Mazzoni, Ascoli Piceno, Italy.
Stelvio BallantiSezione di Ematologia e Immunologia Clinica, Ospedale Santa Maria della Misericordia di Perugia, Perugia, Italy.
Chiara NozzoliCellular therapies and Transfusion Medicine Unit, Careggi University Hospital, Firenze, Italy.
Nicola CascavillaDepartment of Hematology and Stem Cell Transplant Unit, Fondazione IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Italy.
Dina Ben-YehudaDivision of Hematology, Hadassah Ein-Kerem Medical Center, Jerusalem, Israel.
Arnon NaglerHematology Division, Chaim Sheba Medical Center, Tel-HaShomer, Israel.
Roman HajekDepartment of Haematooncology, University Hospital Ostrava, Ostrava, Czech Republic and Faculty of Medicine, Ostrava University, Ostrava, Czech Republic.
Massimo OffidaniDivision of Hematology, Ospedali Riuniti, Ancona, Italy.
Anna Marina LiberatiA O S Maria di Terni, S C Oncoematologia, Terni, Italy.
Pieter SonneveldDepartment of Hematology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Michele CavoInstitute of Hematology "L. and A. Seràgnoli", Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, "S. Orsola-Malpighi" Hospital, Bologna, Italy.
Paolo CorradiniHemato-Oncology Department, University of Milan, Division of Hematology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Mario BoccadoroMyeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCasa Sollievo della Sofferenza · ITErasmus MC · NLFerrarotto Hospital · ITHadassah Medical Center · ILIstituti di Ricovero e Cura a Carattere Scientifico · ITOspedale Santa Maria · ITSheba Medical Center · ILUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity Hospital Ostrava · CZUniversity of Bologna · ITUniversity of Messina · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extramedullary disease is relatively frequent in multiple myeloma, but our knowledge on the subject is limited and mainly relies on small case series or single center experiences. Little is known regarding the role of new drugs in this setting. We performed a meta-analysis of eight trials focused on the description of extramedullary disease characteristics, clinical outcome, and response to new drugs. A total of 2,332 newly diagnosed myeloma patients have been included; 267 (11.4%) had extramedullary disease, defined as paraosseous in 243 (10.4%), extramedullary plasmocytoma in 12 (0.5%), and not classified in 12 (0.5%) patients. Median progression-free survival was 25.3 months and 25.2 in extramedullary disease and non-extramedullary disease patients, respectively. In multivariate analysis the presence of extramedullary disease did not impact on progression-free survival (hazard ratio 1.15,

Indexed as

Multiple MyelomaPharmaceutical PreparationsHumansLenalidomideProgression-Free SurvivalProportional Hazards ModelsLenalidomidePharmaceutical Preparations

Identifiers

PMID31221778
PMCPMC6939525
OpenAlexW2952686607

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.