Evidence map›Paper›PMID 33134785›Full record

ArticleResearch and practice in thrombosis and haemostasis2020

Venous thromboembolism in multiple myeloma is associated with increased mortality.

Martin W Schoen, Kenneth R Carson, Suhong Luo, Brian F Gage, Ang Li, Amber Afzal, Kristen M Sanfilippo

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05541978 (Thrombosis in Newly Diagnosed Multiple Myeloma Patients), which is not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
2.6field-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.

NCT05541978 completednot on this mapstarted 2022, after this paper: background citation

Thrombosis in Newly Diagnosed Multiple Myeloma Patients: a Clinical Audit of Intermediate Dose Low Molecular Weight Heparin

TypeobservationalSponsorCatalina CodreanuRan2022 to 2023Enrolled140ConditionsMultiple Myeloma, Venous Thromboembolism, Arterial ThromboembolismArmsMultiple myeloma
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Article
  6. Article
  7. Thrombin generation profiling in multiple myeloma: a comprehensive evaluation of prothrombotic state.Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis · 2026
    Article
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  12. Observational
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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

7 authors at 4 institutions in 1 country.

Martin W SchoenDivision of Hematology and Oncology Saint Louis University School of Medicine Saint Louis MO USA.ORCID https://orcid.org/0000-0001-6388-5553
Kenneth R CarsonSaint Louis Veterans Affairs Medical Center Saint Louis MO USA.ORCID https://orcid.org/0000-0001-7471-9542
Suhong LuoSaint Louis Veterans Affairs Medical Center Saint Louis MO USA.
Brian F GageDivision of General Medical Sciences Washington University School of Medicine Saint Louis MO USA.
Ang LiSection of Hematology-Oncology Baylor College of Medicine Seattle WA USA.ORCID https://orcid.org/0000-0002-8455-2309
Amber AfzalDivision of Hematology Washington University School of Medicine Saint Louis MO USA.
Kristen M SanfilippoSaint Louis Veterans Affairs Medical Center Saint Louis MO USA.ORCID https://orcid.org/0000-0002-0433-7845
Washington University in St. Louis · USSt. Louis VA Medical Center · USBaylor University · USSaint Louis University Hospital · US

Funding

CLINICAL HEMATOLOGY RESEARCH CAREER DEVELOPMENT PROGRAM AT WASHINGTON UNIVERSITYK12HL087107 · NHLBI · WASHINGTON UNIVERSITY · PI SADLER, J EVAN · 2006 to 2016
$3.8M
Prediction and Prevention of Venous Thromboembolism in Multiple MyelomaK01HL136893 · NHLBI · WASHINGTON UNIVERSITY · PI SANFILIPPO, KRISTEN MARIE · 2017 to 2019
$484k
NHLBI NIH HHS K01 HL136893NHLBI NIH HHS K12 HL087107
6 · The paper itself

Abstract

backgroundIn multiple myeloma, venous thromboembolism (VTE) is common, and treatments for myeloma, such as lenalidomide, increase the risk of thrombosis while improving survival. The association between VTE and survival is not well known.

objectivesTo determine the association between VTE and survival in multiple myeloma (MM) while adjusting for known confounders that affect risk of thrombosis and survival, including patient characteristics and treatment in a retrospective cohort of US veterans. PATIENTS/

methodsA cohort of patients with newly diagnosed MM treated within Veterans Health Administration between September 1, 1999, and June 30, 2014, was created to assess the association between VTE and mortality using Cox proportional hazards regression modeling while accounting for known prognostic factors and treatments.

resultsThe cohort comprised 4446 patients with myeloma, including 2837 patients diagnosed after lenalidomide approval in July 2006. VTE occurred in 327 (7.4%) patients within 1 year and occurred at a median of 77 days (interquartile range, 37-153) after starting therapy for MM. In all patients, VTE was associated with increased mortality at 6 months (adjusted hazard ratio [aHR], 1.67; 95% confidence interval [CI], 1.18-2.37). Patients in the post-lenalidomide cohort with VTE had an increased mortality at both 6 months (aHR, 2.31; 95% CI, 1.52-3.51) and 12 months (aHR, 1.66; 95% CI, 1.19-2.33) after treatment initiation. DISCUSSION: This study shows that VTE during the first 6-12 months of therapy is associated with increased mortality in patients with MM. Studies evaluating thromboprophylaxis in patients at high risk of thrombosis are needed.

Indexed as

lenalidomidemortalitymultiple myelomathrombosisvenous thromboembolismveterans

Identifiers

PMID33134785
PMCPMC7590313
OpenAlexW3089332811

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.