Evidence map›Paper›PMID 33396800›Full record

ArticleJournal of clinical medicine2020

Real-World Data on Clinical Features, Outcomes, and Prognostic Factors in Multiple Myeloma from Miyazaki Prefecture, Japan.

Keiichi Akizuki, Hitoshi Matsuoka, Takanori Toyama, Ayako Kamiunten, Masaaki Sekine, Kotaro Shide, Takuro Kameda, Noriaki Kawano, Kouichi Maeda, Masanori Takeuchi and 9 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
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  11. Article
  12. Diagnosis and treatment of multiple myeloma in Hunan Province.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Article
  13. Review
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

19 authors.

Keiichi AkizukiDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.ORCID 0000-0003-0031-3456
Hitoshi MatsuokaDepartment of Internal Medicine, Koga General Hospital, 1749-1 Sudaki, Ikeuchi Machi, Miyazaki 880-0041, Japan.
Takanori ToyamaDepartment of Internal Medicine, Miyazaki Prefectural Nobeoka Hospital, 2-1-10 Shinkouji, Nobeoka 882-0835, Japan.
Ayako KamiuntenDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
Masaaki SekineDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
Kotaro ShideDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.ORCID 0000-0002-0046-3254
Takuro KamedaDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
Noriaki KawanoDepartment of Internal Medicine, Miyazaki Prefectural Miyazaki Hospital, 5-30 Kitatakamatsu, Miyazaki 880-8510, Japan.
Kouichi MaedaDepartment of Internal Medicine, Miyakonojo Medical Center, 5033-1 Iwayoshi-cho, Miyakonojo 880-8510, Japan.
Masanori TakeuchiDepartment of Internal Medicine, Koga General Hospital, 1749-1 Sudaki, Ikeuchi Machi, Miyazaki 880-0041, Japan.
Hiroshi KawanoDepartment of Internal Medicine, Koga General Hospital, 1749-1 Sudaki, Ikeuchi Machi, Miyazaki 880-0041, Japan.
Seiichi SatoFujimoto General Hospital, 17-1 Hayasuzumachi, Miyakonojo 885-0055, Japan.
Junzo IshizakiDepartment of Internal Medicine, Miyazaki Aisenkai Nichinan Hospital, 3649-2 Kazeta, Nichinan 887-0034, Japan.
Yuki TahiraDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
Haruko ShimodaDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
Tomonori HidakaDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
Kiyoshi YamashitaDepartment of Internal Medicine, Miyazaki Prefectural Miyazaki Hospital, 5-30 Kitatakamatsu, Miyazaki 880-8510, Japan.ORCID 0000-0002-0194-2046
Yoko KubukiDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
Kazuya ShimodaDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognosis of multiple myeloma (MM) has improved with the introduction of novel agents. These data are largely derived from clinical trials and might not reflect real-world patient outcomes accurately. We surveyed real-world data from 284 patients newly diagnosed with MM between 2010 and 2018 in Miyazaki Prefecture. The median follow-up period was 32.8 months. The median age at diagnosis was 71 years, with 68% of patients aged >65 years. The International Staging System (ISS) stage at diagnosis was I in 18.4% of patients, II in 34.1%, and III in 47.5%. Bortezomib-containing regimens were preferred as initial treatment; they were used in 147 patients (51.8%). In total, 80% of patients were treated with one or more novel agents (thalidomide, lenalidomide, or bortezomib). Among 228 patients who were treated with novel agents as an initial treatment, the overall response rate (partial response (PR) or better) to initial treatment was 78.4%, and the median time to next treatment (TTNT) was 11.6 months. In the multivariate analysis, PR or better responses to initial treatment were independently favorable prognostic factors for TTNT. The median survival time after initial therapy for patients with novel agents was 56.4 months and 3-year overall survival (OS) was 70.4%. In multivariate analysis, ISS stage I/II disease and PR or better response to initial treatment, and autologous stem cell transplantation (ASCT) were identified as independent prognostic factors for overall survival (OS).

Indexed as

international staging systemmultiple myelomaprognostic factorsreal-world outcomes

Identifiers

PMID33396800
PMCPMC7795356

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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.