Evidence map›Paper›PMID 34588423›Full record

ReviewBlood cancer journal2021

Extramedullary disease in multiple myeloma.

Radhika Bansal, Sagar Rakshit, Shaji Kumar

Abstract readReview
In one paragraph

Review 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 82 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 1 pooled it
–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

82 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Extramedullary Disease-Achilles Heel in Myeloma?American journal of hematology · 2026
    Review
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22 more citing papers are in PubMed but not listed here.

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

3 authors.

Radhika BansalDivision of Hematology, Mayo Clinic, Rochester, MN, USA, 55905.ORCID 0000-0003-0964-098X
Sagar RakshitDivision of Hematology, Mayo Clinic, Rochester, MN, USA, 55905.
Shaji KumarDivision of Hematology, Mayo Clinic, Rochester, MN, USA, 55905. kumar.shaji@mayo.edu.ORCID 0000-0001-5392-9284

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

When clonal plasma cells grow at anatomic sites distant from the bone marrow or grows contiguous from osseous lesions that break through the cortical bone, it is referred to as extramedullary multiple myeloma (EMD). EMD remains challenging from a therapeutic and biological perspective. The pathogenetic mechanisms are not completely understood and it is generally associated with high-risk cytogenetics which portends poor outcomes. There is a rising incidence of EMD in the era of novel agents, likely a reflection of longer OS, with no standard treatment approach. Patients benefit from aggressive chemotherapy-based approaches, but the OS and prognosis remains poor. RT has been used for palliative care. There is a need for large prospective trials for development of treatment approaches for treatment of EMD.

Indexed as

AnimalsBone MarrowChromosome AberrationsClone CellsDisease ManagementHumansMultiple MyelomaPlasma Cells

Identifiers

PMID34588423
PMCPMC8481260

What OpenQuestion holds

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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.