Evidence map›Paper›PMID 33304804›Full record

ArticleJournal of bone oncology2021

Alkaline phosphatase (alp) levels in multiple myeloma and solid cancers with bone lesions: Is there any difference?

O Annibali, M T Petrucci, D Santini, V Bongarzoni, M Russano, F Pisani, O Venditti, F Pantano, A Rago, A Siniscalchi and 16 more

Open access · goldAbstract read
In one paragraph

Article in Journal of bone oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 24 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

26 authors at 4 institutions in 1 country.

O AnnibaliGruppo Mieloma Lazio, Italy.
M T PetrucciGruppo Mieloma Lazio, Italy.
D SantiniOncologia Medica, Università Campus Bio Medico di Roma, Italy.
V BongarzoniGruppo Mieloma Lazio, Italy.
M RussanoOncologia Medica, Università Campus Bio Medico di Roma, Italy.
F PisaniGruppo Mieloma Lazio, Italy.
O VendittiUOC Oncologia Medica-Ospedale San Salvatore, l'Aquila, Italy.
F PantanoOncologia Medica, Università Campus Bio Medico di Roma, Italy.
A RagoGruppo Mieloma Lazio, Italy.
A SiniscalchiGruppo Mieloma Lazio, Italy.
E CerchiaraGruppo Mieloma Lazio, Italy.
L FranceschiniGruppo Mieloma Lazio, Italy.
L De RosaGruppo Mieloma Lazio, Italy.
M MarianiIstituto di Sanità Pubblica-Sezione di Igiene, Univesrsità Cattolica del sacro Cuore Roma, Italy.
S AndrianiGruppo Mieloma Lazio, Italy.
L CudilloGruppo Mieloma Lazio, Italy.
M GarciaGruppo Mieloma Lazio, Italy.
M CantonettiGruppo Mieloma Lazio, Italy.
S MohamedGruppo Mieloma Lazio, Italy.
B AnaclericoGruppo Mieloma Lazio, Italy.
T CaravitaGruppo Mieloma Lazio, Italy.
F StocchiGruppo Mieloma Lazio, Italy.
G CiminoGruppo Mieloma Lazio, Italy.
S GumenyukGruppo Mieloma Lazio, Italy.
F VozellaGruppo Mieloma Lazio, Italy.
G AvvisatiGruppo Mieloma Lazio, Italy.
Gruppo Riva (Italy) · ITUniversità Campus Bio-Medico · ITSan Salvatore Hospital · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBone involvement in Multiple Myeloma results from increased osteoclast formation and activity that occurs in proximity to myeloma cells. The role of Alkaline Phosphatse (ALP) in this process and the diagnostic significance of plasma levels in patients with MM are unclear.

aimTo compare plasma ALP levels in patients with MM and solid cancers and metastatic lesions to the bone.

resultsIn this observational retrospective study we enrolled 901 patients were enrolled: 440 patients (49%) with Multiple Myeloma, 461 (51%) with solid cancers. All 901 patients had bone lesions. Among patients with Multiple Myeloma, ALP values were mainly in the range of normality than those observed in patients with solid cancers and bone lesions. This difference is independent of stage, number and type of bone lesions.

conclusionThis study suggests that plasma ALP has a different clinical significance in MM than in other neoplasms and could be used as a discriminating marker in presence of bone lesions. In particular, lower or normal values, should suggest further investigations such as urinary and serum electrophoresis, associated with bone marrow aspirate in case of the presence of a monoclonal component, in order to confirm or exclude a MM diagnosis.

Indexed as

ALPLytic lesionsMMOsteoblastic lesions

Identifiers

PMID33304804
PMCPMC7708946
OpenAlexW3107254663

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.