Evidence map›Paper›PMID 32732941›Full record

ArticleBone marrow transplantation2021

Prevalence and significance of sarcopenia in multiple myeloma patients undergoing autologous hematopoietic cell transplantation.

Alexis Williams, Dhiraj Baruah, Jayshil Patel, Aniko Szabo, Saurabh Chhabra, Binod Dhakal, Parameswaran Hari, Siegfried Janz, Melinda Stolley, Anita D'Souza

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Bone marrow transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07624370 (Impatto Della Diagnosi di fragilità Sulla tossicità da Terapia in Pazienti Anziani Affetti da Tumore oncoLogIco e onCoEmatologico.), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT07624370 enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Impatto Della Diagnosi di fragilità Sulla tossicità da Terapia in Pazienti Anziani Affetti da Tumore oncoLogIco e onCoEmatologico.

TypeobservationalSponsorAzienda Socio Sanitaria Territoriale Ovest Milanese, Ospedale di LegnanoRan2025 to 2028Enrolled160ConditionsSarcopenia in Elderly, Frailty/Sarcopenia, Oncological Patients, Hematologic DiseaseArmsFrailty evaluation
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Observational
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. The Influence of Muscle Morphology on Oncological Outcomes: A Review.Journal of frailty, sarcopenia and falls · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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

10 authors at 1 institution in 1 country.

Alexis WilliamsMedical College of Wisconsin Medical School, Milwaukee, USA.
Dhiraj BaruahDivision of Cardiothoracic Imaging, Department of Radiology, Medical College of Wisconsin, Milwaukee, USA.ORCID http://orcid.org/0000-0003-1763-8919
Jayshil PatelDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, USA.
Aniko SzaboDivision of Biostatistics, Institute of Health and Safety, Medical College of Wisconsin, Milwaukee, USA.
Saurabh ChhabraDivision of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, USA.ORCID http://orcid.org/0000-0001-9117-8696
Binod DhakalDivision of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, USA.
Parameswaran HariDivision of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, USA.
Siegfried JanzDivision of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, USA.ORCID http://orcid.org/0000-0002-2229-5511
Melinda StolleyDivision of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, USA.
Anita D'SouzaDivision of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, USA. andsouza@mcw.edu.ORCID http://orcid.org/0000-0002-1092-5643
Medical College of Wisconsin · US

Funding

Defining genetic pathways of plasma-cell neoplasiaR01CA151354 · NCI · UNIVERSITY OF IOWA · PI JANZ, SIEGFRIED · 2010 to 2022
$3.9M
Development and validation of a disease-relevant patient-reported outcome tool in light chain amyloidosisK23HL141445 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI D'SOUZA, ANITA · 2019 to 2022
$597k
NCI NIH HHS R01 CA151354NHLBI NIH HHS K23 HL141445
6 · The paper itself

Abstract

Sarcopenia, defined as loss of muscle mass, can occur with aging. We conducted a single-center retrospective analysis to evaluate the impact of muscle quality in multiple myeloma (MM), a hematologic cancer of older adults, undergoing autologous hematopoietic cell transplantation (autoHCT). Healthy muscle was quantified by measuring the percent of high-density muscle within the L3 psoas muscle using a novel computed tomography method in 142 eligible patients. Early post-transplant complications were assessed in the first 100 days after transplant. Sarcopenia, defined as ≤80% high-density muscle, was found in 72 (51%) patients. Sarcopenic obesity, defined as sarcopenia and a BMI ≥ 30, was found in 32 (23%) patients. One or more early complications occurred in 22 (16%) patients. Cardiovascular events accounted for 36% of all complications. Patients with sarcopenia had more cardiac complications (12.5%) than patients without (2.9%, p = 0.03). Multivariate analysis revealed increased BMI at transplant, but not sarcopenia, was associated with worse OS (hazard ratio: 1.11, 95% confidence interval: 1.02-1.22, p = 0.02). Our analysis suggests that sarcopenia is prevalent in MM and associated with increased early post-transplant cardiovascular complications in MM. Obesity, regardless of sarcopenia, is associated with worse survival in MM. Our study generates hypothesis-generating data to risk-stratify patients being considered for autoHCT.

Indexed as

Hematopoietic Stem Cell TransplantationMultiple MyelomaSarcopeniaAgedHumansPrevalenceRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID32732941
PMCPMC7855279
OpenAlexW3046591492

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.