Evidence map›Paper›PMID 34644446›Full record

Observational studyCancer science2021

Improved survival of multiple myeloma patients treated with autologous transplantation in the modern era of new medicine.

Yutaka Shimazu, Shohei Mizuno, Shin-Ichi Fuchida, Kazuhito Suzuki, Nobuhiro Tsukada, Akira Hanagaishi, Mitsuhiro Itagaki, Keisuke Kataoka, Shinichi Kako, Emiko Sakaida and 9 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Cancer science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
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  7. Observational
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  15. Monocyte or white blood cell counts and βTherapeutic advances in hematology · 2022
    Article
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  17. Observational
  18. 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

19 authors at 16 institutions in 1 country.

Yutaka ShimazuDepartment of Hematology, Kyoto University Hospital, Kyoto, Japan.ORCID https://orcid.org/0000-0002-1604-7220
Shohei MizunoDivision of Hematology, Department of Internal Medicine, Aichi Medical University School of Medicine, Nagakute, Japan.
Shin-Ichi FuchidaDepartment of Hematology, JCHO Kyoto Kuramaguchi Medical Center, Kyoto, Japan.ORCID https://orcid.org/0000-0002-4147-9113
Kazuhito SuzukiDepartment of Clinical Oncology/Hematology, Jikei University Kashiwa Hospital, Chiba, Japan.
Nobuhiro TsukadaDepartment of Hematology, Japanese Red Cross Medical Center, Tokyo, Japan.
Akira HanagaishiDepartment of Hematology, National Center for Global Health and Medicine, Tokyo, Japan.
Mitsuhiro ItagakiDepartment of Hematology, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital, Hiroshima, Japan.
Keisuke KataokaDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Shinichi KakoDivision of Hematology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Emiko SakaidaDepartment of Hematology, Chiba University Hospital, Chiba, Japan.
Satoshi YoshiokaDepartment of Hematology, Kobe City Medical Center General Hospital, Hyogo, Japan.ORCID https://orcid.org/0000-0003-3664-6324
Shinsuke IidaDivision of Hematology and Oncology, Nagoya City University Hospital, Aichi, Japan.ORCID https://orcid.org/0000-0002-4951-960X
Noriko DokiHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Tatsuo OyakeDivision of Hematology and Oncology, Iwate Medical University, Iwate, Japan.
Tatsuo IchinoheDepartment of Hematology and Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Yoshinobu KandaDivision of Hematology, Department of Medicine, Jichi Medical University, Saitama, Japan.
Yoshiko AstutaJapanese Data Center for Hematopoietic Cell Transplantation, Aichi, Japan.
Hiroyuki TakamatsuDepartment of Hematology, Kanazawa University, Ishikawa, Japan.
working group of the Japan Society for Transplantation, Cellular Therapy
Aichi Medical University · JPJichi Medical University · JPChiba University Hospital · JPHiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital · JPHiroshima University · JPIwate Medical University · JPJapanese Red Cross Medical Center · JPJikei University Kashiwa hospital · JPKanazawa University · JPKeio University · JPKobe City Medical Center General Hospital · JPKyoto Medical Center · JPKyoto University Hospital · JPNagoya City University Hospital · JPNational Center for Global Health and Medicine · JPTokyo Metropolitan Komagome Hospital · JP

Funding

Japan Agency for Medical Research and Development 18ek0510023h0002
6 · The paper itself

Abstract

New drugs for multiple myeloma (MM) have dramatically improved patients' overall survival (OS). Autologous stem cell transplantation (ASCT) remains the mainstay for transplant-eligible MM patients. To investigate whether the post-ASCT prognosis of MM patients has been improved by new drugs, we undertook a retrospective observational analysis using the Transplant Registry Unified Management Program database in Japan. We analyzed 7323 patients (4135 men and 3188 women; median age, 59 years; range 16-77 years) who underwent upfront ASCT between January 2007 and December 2018. We categorized them by when they underwent ASCT according to the drugs' introduction in Japan: group 1 (2007-2010), group 2 (2011-2016), and group 3 (2017-2018). We compared the groups' post-ASCT OS. The 2-year OS rates (95% confidence interval [CI]) of groups 1, 2, and 3 were 85.8% (84.1%-87.4%), 89.1% (88.0%-90.1%), and 92.3% (90.0%-94.2%) (P < .0001) and the 5-year OS (95% CI) rates were 64.9% (62.4%-67.3%), 71.6% (69.7%-73.3%), and not applicable, respectively (P < .0001). A multivariate analysis showed that the post-ASCT OS was superior with these factors: age less than 65 years, performance status 0/1, low International Staging System (ISS) stage, receiving SCT for 180 days or less post-diagnosis, better treatment response pre-ASCT, later year of ASCT, and receiving SCT twice. A subgroup analysis showed poor prognoses for the patients with unfavorable karyotype and poor treatment response post-ASCT. The post-ASCT OS has thus improved over time (group 1 < 2 < 3) with the introduction of new drugs for MM. As the prognosis of high-risk-karyotype patients with ISS stage III remains poor, their treatment requires improvement.

Indexed as

AdolescentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyFemaleHematopoietic Stem Cell TransplantationHumansKaplan-Meier EstimateMaleMiddle AgedMultiple MyelomaOutcome Assessment, Health CarePrognosisProportional Hazards ModelsRetrospective Studiesautologous stem cell transplantationmultiple myelomanew medicineoverall survivalprognosis

Identifiers

PMID34644446
PMCPMC8645729
OpenAlexW3207400231

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.