Evidence map›Paper›PMID 31663630›Full record

ArticleJournal of clinical laboratory analysis2020

Effect factors related to a high probability of hemodialysis independence in newly diagnosed multiple myeloma patients requiring hemodialysis.

Jia Song, Fengjuan Jiang, Hui Liu, Kai Ding, Yue Ren, Lijuan Li, Guojin Wang, Zonghong Shao, Rong Fu

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 6 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

9 authors at 1 institution in 1 country.

Jia SongDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Fengjuan JiangDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.ORCID https://orcid.org/0000-0002-3994-0513
Hui LiuDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Kai DingDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Yue RenDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Lijuan LiDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Guojin WangDepartment 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

National Natural Science Foundation of China 81570106, 814000888, 81600093, 81900131the anticancer major special project of Tianjin 12ZCDZSY18000the Tianjin Municipal Natural Science Foundation 14JCYBJC25400, 15JCYBJC24300,18JCQNJC80400Tianjin Education Commission Research Project 2018KJ043, 2018KJ045Tianjin Health and Family Planning Commission 15KG150
6 · The paper itself

Abstract

backgroundRenal failure is a severe complication of symptomatic myeloma, related to higher mortality. Recovery from dialysis dependence can lead to enormous survival benefits. We investigated the effect factors for probability of dialysis independence.

methodsRetrospective data on 45 newly diagnosed MM (NDMM) patients with serious renal impairment and requiring hemodialysis were analyzed. The statistical methods including logistic regression analysis, Kaplan-Meier survival curves, the log-rank test and the Cox proportional hazards model for survival analysis were used in our study.

resultsTwenty-two of the 45 patients, who were on hemodialysis at diagnosis, became dialysis independence. In the logistic regression analysis, serum level of β2-microglobulin, kidney disease history, involved free light chain, and achieving at least VGPR were significantly associated with reversibility from dialysis dependence. In addition, achieving hemodialysis discontinuation was related to better survival. The multivariate analyses demonstrated that reversibility from dialysis dependence, proteinuria < 3.5 g/24 h, and achieving at least VGPR were significantly associated with OS among NDMM patients requiring hemodialysis.

conclusionLower serum level of β2-microglobulin and lower level of free light chain at diagnosis, achieving at least VGPR, and shorter kidney disease history are related to a high probability of dialysis independence in NDMM patients with serious renal failure requiring dialysis.

Indexed as

Renal DialysisAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsFemaleGlomerular Filtration RateHumansKaplan-Meier EstimateKidney Failure, ChronicMaleMiddle AgedMultiple MyelomaProportional Hazards ModelsRetrospective StudiesTreatment Outcomedialysis independenceeffect factorshemodialysismultiple myelomarenal failure

Identifiers

PMID31663630
PMCPMC7031559
OpenAlexW2982620712

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.