Evidence map›Paper›PMID 31990333›Full record

ArticleBlood advances2020

Long-term outcomes after autologous stem cell transplantation for multiple myeloma.

Katherine K Nishimura, Bart Barlogie, Frits van Rhee, Maurizio Zangari, Brian A Walker, Adam Rosenthal, Carolina Schinke, Sharmilan Thanendrarajan, Faith E Davies, Antje Hoering and 1 more

Abstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Katherine K NishimuraCancer Research and Biostatistics, Seattle, WA.
Bart BarlogieTisch Cancer Institute of the Icahn School of Medicine at Mount Sinai, New York, NY.
Frits van RheeMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR; and.
Maurizio ZangariMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR; and.
Brian A WalkerMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR; and.
Adam RosenthalCancer Research and Biostatistics, Seattle, WA.
Carolina SchinkeMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR; and.
Sharmilan ThanendrarajanMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR; and.
Faith E DaviesPerlmutter Cancer Center, NYU Langone Medical Center, New York University, New York, NY.
Antje HoeringCancer Research and Biostatistics, Seattle, WA.
Gareth J MorganPerlmutter Cancer Center, NYU Langone Medical Center, New York University, New York, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As multiple myeloma (MM) treatments evolve, frequent updates are required to monitor the long-term effect of changes in approach. Traditionally, MM is considered an incurable disease, with most patients eventually relapsing. However, improvements in treatments has raised the possibility that MM might be functionally curable. To examine improvements in long-term survival, we followed 4329 patients with newly diagnosed MM treated with autologous stem cell transplantation (ASCT) at the University of Arkansas for Medical Sciences from 1989 through 2018. Overall survival (OS) and progression-free survival (PFS) were evaluated using Kaplan-Meier analysis, Cox proportional hazards models, relative survival analysis, and cure modeling among different time periods, risk groups, and demographic traits. Steady improvements in OS were found, with patients treated in 2014 or later having superior OS (hazard ratio, 0.35; 95% confidence interval [CI], 0.27-0.45) and reduced excess risk for MM death (relative excess risk, 0.30; 95% CI, 0.22-0.41) compared with patients treated in 1997 or earlier. Patients treated during intervening time periods often had intermediate survival, but trends in OS, PFS, and landmarked analyses were inconsistent. Cure models support the potential for cure, ranging from 6.3% to 31.3%, depending on the year of treatment, with 10.0% to 18.6% of patients achieving their normal life expectancy across multiple periods. There was some evidence of reductions in early mortality within 3 years of diagnosis, longer complete response (CR) duration, and reductions in relapse after achieving CR. However, results differed depending on age, risk group, and cytogenetic characteristics.

Indexed as

AdultArkansasCancer SurvivorsHematopoietic Stem Cell TransplantationHumansMiddle AgedMultiple MyelomaRisk FactorsSurvival AnalysisSurvival RateTransplantation, AutologousTreatment Outcome

Identifiers

PMID31990333
PMCPMC6988393

What OpenQuestion holds

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Registered trials

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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.