Evidence map›Paper›PMID 33414400›Full record

Observational studyBlood cancer journal2021

Effect of autologous hematopoietic stem cell transplant on the development of second primary malignancies in multiple myeloma patients.

A S Rosenberg, A Brunson, J Tuscano, B A Jonas, R Hoeg, T Wun, T H M Keegan

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Blood cancer journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Second Primary Malignancies Post Autologous Stem-cell Transplant in Multiple Myeloma from India - Knowing the Unknown.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Second malignancies in multiple myeloma; emerging patterns and future directions.Best practice & research. Clinical haematology · 2020
    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

7 authors at 2 institutions in 1 country.

A S RosenbergDavis School of Medicine, Center for Hematology and Oncology Outcomes Research and Training (COHORT), University of California, Sacramento, CA, USA. asrosenberg@ucdavis.edu.ORCID 0000-0003-0714-734X
A BrunsonDavis School of Medicine, Center for Hematology and Oncology Outcomes Research and Training (COHORT), University of California, Sacramento, CA, USA.
J TuscanoDavis Comprehensive Cancer Center, University of California, Sacramento, CA, USA.
B A JonasDavis Comprehensive Cancer Center, University of California, Sacramento, CA, USA.ORCID 0000-0002-4921-5809
R HoegDavis Comprehensive Cancer Center, University of California, Sacramento, CA, USA.
T WunDavis School of Medicine, Center for Hematology and Oncology Outcomes Research and Training (COHORT), University of California, Sacramento, CA, USA.ORCID 0000-0001-6383-7172
T H M KeeganDavis School of Medicine, Center for Hematology and Oncology Outcomes Research and Training (COHORT), University of California, Sacramento, CA, USA.
University of California, Davis · USNorthern California Research · US

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
UC Davis Paul Calabresi K12 Clinical Oncology Research Career Development ProgramK12CA138464 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BIRKELAND, ANDREW CHARLES, LARA, PRIMO N. · 2011 to 2025
$11.4M
NCATS NIH HHS UL1 TR001860NCCDPHP CDC HHS NU58DP006344NCI NIH HHS HHSN261201800009CNCI NIH HHS HHSN261201800009INCI NIH HHS HHSN261201800015CNCI NIH HHS HHSN261201800015INCI NIH HHS HHSN261201800032CNCI NIH HHS HHSN261201800032INCI NIH HHS K12 CA138464
6 · The paper itself

Abstract

Autologous stem cell transplant (aHSCT) is associated with improved survival for multiple myeloma (MM) patients but may be associated with second primary malignancy (SPM) development. Using the California Cancer Registry linked to statewide hospitalization data, we determined the cumulative incidence (CMI) of SPMs more than 1 year after MM diagnosis, accounting for the competing risk of death. AHSCT recipients were matched 1:2 to non-aHSCT patients. Adjusted hazard ratios (aHR) were estimated using the Fine and Gray method. Among 16,331 patients, 933 (5.7%) developed a SPM more than 1 year after diagnosis. The 10-year CMI of developing any SPM was 6.6%, 5.7% for solid tumor SPM and 0.9% for hematologic malignancies. The 10-year CMI of developing any SPM was similar among aHSCT [9.1% (7.7-10.7%)] and non-aHSCT [7.5% (6.5-8.6%)] (P = 0.26) recipients and there was no difference in solid-tumor SPMs (P = 0.98). The 10-year CMI of hematologic SPMs was higher among aHSCT recipients [2.1% (1.4-2.9%) vs. 0.8% (0.5-1.2%); P = 0.005], corresponding to a 1.3% absolute increase and an aHR of 1.51 (1.01-2.27). Ten-year myeloma-specific and non-cancer mortality rates were 59% (58.2-60.0%) and 18.1% (17.4-18.8%), respectively. Although aHSCT was associated with a small increase in hematologic SPMs, mortality was driven by MM and non-cancer causes.

Indexed as

AdultAgedFemaleHematopoietic Stem Cell TransplantationHumansIncidenceMaleMiddle AgedMultiple MyelomaNeoplasms, Second PrimaryRetrospective StudiesRisk FactorsTransplantation, Autologous

Identifiers

PMID33414400
PMCPMC7791054
OpenAlexW3119106861

What OpenQuestion holds

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LicenceCC BY
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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.