Evidence map›Paper›PMID 33915804›Full record

ArticleCancers2021

Multiple Myeloma Patients Undergoing Carfilzomib: Development and Validation of a Risk Score for Cardiovascular Adverse Events Prediction.

Anna Astarita, Giulia Mingrone, Lorenzo Airale, Fabrizio Vallelonga, Michele Covella, Cinzia Catarinella, Marco Cesareo, Giulia Bruno, Dario Leone, Carlo Giordana and 7 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 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
1.5field-weighted citation impact, top 18% 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, 15 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

17 authors.

Anna AstaritaHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Giulia MingroneHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.ORCID 0000-0002-7360-728X
Lorenzo AiraleHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Fabrizio VallelongaHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Michele CovellaHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Cinzia CatarinellaHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Marco CesareoHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Giulia BrunoHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Dario LeoneHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.ORCID 0000-0002-2904-3130
Carlo GiordanaHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Giusy CetaniMyeloma Unit, Department of Medical Sciences, Division of Hematology, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Marco SalviniMyeloma Unit, Department of Medical Sciences, Division of Hematology, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Francesca GayMyeloma Unit, Department of Medical Sciences, Division of Hematology, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Sara BringhenMyeloma Unit, Department of Medical Sciences, Division of Hematology, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.ORCID 0000-0003-4539-6363
Franco RabbiaHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Franco VeglioHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.
Alberto MilanHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AO "Città della Salute e della Scienza" University Hospital, 10126 Turin, Italy.ORCID 0000-0002-8863-8572

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular adverse events (CVAEs) are linked to Carfilzomib (CFZ) therapy in multiple myeloma (MM); however, no validated protocols on cardiovascular risk assessment are available. In this prospective study, the effectiveness of the European Myeloma Network protocol (EMN) in cardiovascular risk assessment was investigated, identifying major predictors of CVAEs. From January 2015 to March 2020, 116 MM patients who had indication for CFZ therapy underwent a baseline evaluation (including blood pressure measurements, echocardiography and arterial stiffness estimation) and were prospectively followed. The median age was 64.53 ± 8.42 years old, 56% male. Five baseline independent predictors of CVAEs were identified: office systolic blood pressure, 24-h blood pressure variability, left ventricular hypertrophy, pulse wave velocity value and global longitudinal strain. The resulting 'CVAEs risk score' distinguished a low- and a high-risk group, obtaining a negative predicting value for the high-risk group of 90%. 52 patients (44.9%) experienced one or more CVAEs: 17 (14.7%) had major and 45 (38.7%) had hypertension-related events. In conclusion, CVAEs are frequent and a specific management protocol is crucial. The EMN protocol and the risk score proved to be useful to estimate the baseline risk for CVAEs during CFZ therapy, allowing the identification of higher-risk patients.

Indexed as

arterial hypertensioncardiovascular adverse eventscardiovascular risk assessmentcarfilzomibechocardiographyglobal longitudinal strainmultiple myelomapulse wave velocity

Identifiers

PMID33915804
PMCPMC8036868
OpenAlexW3151908005

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.