Evidence map›Paper›PMID 33295006›Full record

ArticleEuropean journal of haematology2021

Autoimmune disease is associated with a lower risk of progression in monoclonal gammopathy of undetermined significance.

Theodóra Rún Baldursdóttir, Þorvarður Jón Löve, Gauti Kjartan Gíslason, Magnus Björkholm, Ulf-Henrik Mellqvist, Sigrun Helga Lund, Cecilie Hveding Blimark, Ingemar Turesson, Malin Hultcrantz, Ola Landgren and 1 more

Open access · greenAbstract read
In one paragraph

Article in European journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 9 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

11 authors at 8 institutions in 3 countries.

Theodóra Rún BaldursdóttirLandspítali, National University Hospital, Reykjavík, Iceland.
Þorvarður Jón LöveLandspítali, National University Hospital, Reykjavík, Iceland.
Gauti Kjartan GíslasonFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Magnus BjörkholmDepartment of Medicine, Division of Hematology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.
Ulf-Henrik MellqvistHematology, South Elvsborg Hospital, Boras, Sweden.
Sigrun Helga LundFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Cecilie Hveding BlimarkDepartment of hematology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Ingemar TuressonSkåne University Hospital, Malmö/Lund, Sweden.ORCID https://orcid.org/0000-0002-4115-8010
Malin HultcrantzDepartment of Medicine, Division of Hematology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.
Ola LandgrenMyeloma Program, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL, USA.
Sigurður Yngvi KristinssonLandspítali, National University Hospital, Reykjavík, Iceland.ORCID https://orcid.org/0000-0002-4964-7476
University of Iceland · ISKarolinska University Hospital · SEMemorial Sloan Kettering Cancer Center · USNational University Hospital of Iceland · ISSahlgrenska University Hospital · SESkåne University Hospital · SESödra Älvsborg Hospital · SEUniversity of Miami · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
CancerfondenH2020 Marie Skłodowska-Curie ActionsHáskóli ÍslandsIcelandic Centre for ResearchKarolinska InstitutetLandspítali HáskólasjúkrahúsMemorial Sloan-Kettering Cancer CenterNCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

OBJECTIVES AND

methodsWe conducted a population-based study including 19 303 individuals diagnosed with MGUS in Sweden from 1985 to 2013, with the aim to determine whether a prior history of autoimmune disease, a well-described risk factor for MGUS is a risk factor for progression of MGUS to multiple myeloma (MM) or lymphoproliferative diseases (LPs). Using the nationwide Swedish Patient registry, we identified MGUS cases with versus without an autoimmune disease present at the time of MGUS diagnosis and estimated their risk of progression.

resultsA total of 5612 (29.1%) MGUS cases had preceding autoimmune diseases. Using Cox proportional hazards models, we found the risk of progression from MGUS to MM (HR = 0.83, 95% CI 0.73-0.94) and LPs (HR = 0.84, 95% CI 0.75-0.94) to be significantly lower in MGUS cases with prior autoimmune disease (compared to MGUS cases without).

conclusionsIn this large population-based study, a history of autoimmune disease was associated with a reduced risk of progression from MGUS to MM/other LPs. Potential underlying reason is that MGUS caused by chronic antigen stimulation is biologically less likely to undergo the genetic events that trigger progression. Our results may have implications in clinical counseling for patients with MGUS and underlying autoimmune disease.

Indexed as

Autoimmune DiseasesDisease ProgressionDisease SusceptibilityHumansMonoclonal Gammopathy of Undetermined SignificanceProportional Hazards ModelsPublic Health SurveillanceRegistriesRisk AssessmentRisk FactorsSwedenautoimmune diseaselymphoproliferativemonoclonal gammopathy of undetermined significancemultiple myelomapopulation-based

Identifiers

PMID33295006
PMCPMC9206721
OpenAlexW3112461348

What OpenQuestion holds

Textmetadata
LicenceTDM
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.