Evidence map›Paper›PMID 34503130›Full record

ReviewCancers2021

Choosing the Right Therapy for Patients with Relapsed/Refractory Multiple Myeloma (RRMM) in Consideration of Patient-, Disease- and Treatment-Related Factors.

Laura Gengenbach, Giulia Graziani, Heike Reinhardt, Amelie Rösner, Magdalena Braun, Mandy-Deborah Möller, Christine Greil, Ralph Wäsch, Monika Engelhardt

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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  15. Prognostic value of low muscle mass at the 12Diagnostic and interventional radiology (Ankara, Turkey) · 2023
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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

9 authors at 1 institution in 1 country.

Laura GengenbachUniversity Medical Center Freiburg, Department of Hematology, Oncology & Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Giulia GrazianiUniversity Medical Center Freiburg, Department of Hematology, Oncology & Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Heike ReinhardtUniversity Medical Center Freiburg, Department of Hematology, Oncology & Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Amelie RösnerUniversity Medical Center Freiburg, Department of Hematology, Oncology & Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Magdalena BraunUniversity Medical Center Freiburg, Department of Hematology, Oncology & Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Mandy-Deborah MöllerUniversity Medical Center Freiburg, Department of Hematology, Oncology & Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Christine GreilUniversity Medical Center Freiburg, Department of Hematology, Oncology & Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Ralph WäschUniversity Medical Center Freiburg, Department of Hematology, Oncology & Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.ORCID 0000-0002-0813-3444
Monika EngelhardtUniversity Medical Center Freiburg, Department of Hematology, Oncology & Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
University of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment of relapsed/refractory multiple myeloma (RRMM) is more complex today due to the availability of novel therapeutic options, mostly applied as combination regimens. immunotherapy options have especially increased substantially, likewise the understanding that patient-, disease- and treatment-related factors should be considered at all stages of the disease. RRMM is based on definitions of the international myeloma working group (IMWG) and includes biochemical progression, such as paraprotein increase, or symptomatic relapse with CRAB criteria (hypercalcemia, renal impairment, anemia, bone lesions). When choosing RRMM-treatment, the biochemical markers for progression and severity of the disease, dynamic of disease relapse, type and number of prior therapy lines, including toxicity and underlying health status, need to be considered, and shared decision making should be pursued. Objectively characterizing health status via geriatric assessment (GA) at each multiple myeloma (MM) treatment decision point has been shown to be a better estimate than via age and comorbidities alone. The well-established national comprehensive cancer network, IMWG, European myeloma network and other national treatment algorithms consider these issues. Ideally, GA-based clinical trials should be supported in the future to choose wisely and efficaciously from available intervention and treatment options in often-older MM adults in order to further improve morbidity and mortality.

Indexed as

frailtygeriatric assessment (GA)immunotherapynovel agentsrelapsed/refractory multiple myeloma (RRMM)revised myeloma comorbidity Index (R-MCI)

Identifiers

PMID34503130
PMCPMC8430818
OpenAlexW3194213195

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.