Evidence map›Paper›PMID 34001889›Full record

Trial reportBlood cancer journal2021

Iceland screens, treats, or prevents multiple myeloma (iStopMM): a population-based screening study for monoclonal gammopathy of undetermined significance and randomized controlled trial of follow-up strategies.

Sæmundur Rögnvaldsson, Thorvardur Jon Love, Sigrun Thorsteinsdottir, Elín Ruth Reed, Jón Þórir Óskarsson, Íris Pétursdóttir, Guðrún Ásta Sigurðardóttir, Brynjar Viðarsson, Páll Torfi Önundarson, Bjarni A Agnarsson and 25 more

Erratum issuedOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Blood cancer journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 82 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 2 pooled it
11.8field-weighted citation impact, top 1% 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

82 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.

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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors at 5 institutions in 3 countries.

Sæmundur RögnvaldssonFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.ORCID http://orcid.org/0000-0003-2162-8414
Thorvardur Jon LoveFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Sigrun ThorsteinsdottirFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.ORCID http://orcid.org/0000-0001-5017-3530
Elín Ruth ReedFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Jón Þórir ÓskarssonFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.ORCID http://orcid.org/0000-0002-9201-1166
Íris PétursdóttirFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Guðrún Ásta SigurðardóttirFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Brynjar ViðarssonLandspítali University Hospital, Reykjavík, Iceland.
Páll Torfi ÖnundarsonFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Bjarni A AgnarssonFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Margrét SigurðardóttirLandspítali University Hospital, Reykjavík, Iceland.
Ingunn ÞorsteinsdóttirLandspítali University Hospital, Reykjavík, Iceland.
Ísleifur ÓlafssonLandspítali University Hospital, Reykjavík, Iceland.
Ásdís Rósa ÞórðardóttirFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Elías EyþórssonLandspítali University Hospital, Reykjavík, Iceland.
Ásbjörn JónssonLandspítali University Hospital, Reykjavík, Iceland.
Andri S BjörnssonFaculty of Psychology, University of Iceland, Reykjavik, Iceland.
Gunnar Þór GunnarssonFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Runólfur PálssonFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Ólafur Skúli IndriðasonFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Gauti Kjartan GíslasonFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.ORCID http://orcid.org/0000-0003-4710-0781
Andri ÓlafssonFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Guðlaug Katrín HákonardóttirFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Manje BrinkhuisFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.ORCID http://orcid.org/0000-0001-6371-7218
Sara Lovísa HalldórsdóttirFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland.
Tinna Laufey ÁsgeirsdóttirFaculty of Economics, University of Iceland, Reykjavik, Iceland.
Hlíf SteingrímsdóttirLandspítali University Hospital, Reykjavík, Iceland.
Ragnar DanielsenLandspítali University Hospital, Reykjavík, Iceland.
Inga Dröfn WessmanFaculty of Psychology, University of Iceland, Reykjavik, Iceland.
Petros KampanisThe Binding Site, Birmingham, West Midlands, UK.
Malin HultcrantzMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Brian G M DurieCedar-Sinai Samual Oschin Cancer Center, Los Angeles, CA, USA.
Stephen HardingThe Binding Site, Birmingham, West Midlands, UK.
Ola LandgrenSylvester Comprehensive Cancer Center, University of Miami, Miami, FL, USA.ORCID http://orcid.org/0000-0001-6485-4839
Sigurður Yngvi KristinssonFaculty of Medicine, Univeristy of Iceland, Reykjavík, Iceland. sigyngvi@hi.is.ORCID http://orcid.org/0000-0002-4964-7476
University of Iceland · ISReykjavík University · ISCedars-Sinai Medical Center · USMemorial Sloan Kettering Cancer Center · USUniversity of Miami · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Monoclonal gammopathy of undetermined significance (MGUS) precedes multiple myeloma (MM). Population-based screening for MGUS could identify candidates for early treatment in MM. Here we describe the Iceland Screens, Treats, or Prevents Multiple Myeloma study (iStopMM), the first population-based screening study for MGUS including a randomized trial of follow-up strategies. Icelandic residents born before 1976 were offered participation. Blood samples are collected alongside blood sampling in the Icelandic healthcare system. Participants with MGUS are randomized to three study arms. Arm 1 is not contacted, arm 2 follows current guidelines, and arm 3 follows a more intensive strategy. Participants who progress are offered early treatment. Samples are collected longitudinally from arms 2 and 3 for the study biobank. All participants repeatedly answer questionnaires on various exposures and outcomes including quality of life and psychiatric health. National registries on health are cross-linked to all participants. Of the 148,704 individuals in the target population, 80 759 (54.3%) provided informed consent for participation. With a very high participation rate, the data from the iStopMM study will answer important questions on MGUS, including potentials harms and benefits of screening. The study can lead to a paradigm shift in MM therapy towards screening and early therapy.

Indexed as

AdultAgedAged, 80 and overDisease ProgressionFemaleFollow-Up StudiesHumansIcelandMaleMiddle AgedMonoclonal Gammopathy of Undetermined SignificanceMultiple MyelomaRisk Factors

Identifiers

PMID34001889
PMCPMC8128921
OpenAlexW3160548038

What OpenQuestion holds

Textmetadata
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.