Evidence map›Paper›PMID 35440057›Full record

ArticleBlood cancer journal2022

A simple score to predict early severe infections in patients with newly diagnosed multiple myeloma.

Cristina Encinas, José-Ángel Hernandez-Rivas, Albert Oriol, Laura Rosiñol, María-Jesús Blanchard, José-María Bellón, Ramón García-Sanz, Javier de la Rubia, Ana López de la Guía, Ana Jímenez-Ubieto and 31 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06099912 (Individualized Dynamic Frailty-tailored Therapy), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 6% 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.

NCT06099912 recruitingnot on this map

Individualized Dynamic Frailty-tailored Therapy (DynaFiT) in Elderly Patients With Newly Diagnosed Multiple Myeloma: a Prospective and Multi-center Study

TypeobservationalSponsorFengYan JinRan2021 to 2029Enrolled131ConditionsMultiple Myeloma, Frailty
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 24 citations in OpenAlex.

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  6. Advanced disease and CD8Frontiers in immunology · 2025
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  12. Eastern Cooperative Oncology Group,Frontiers in microbiology · 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

41 authors at 20 institutions in 1 country.

Cristina Encinas *Hospital General Universitario Gregorio Marañón (HGUGM), IiSGM, Madrid, Spain.ORCID 0000-0002-9001-9754
José-Ángel Hernandez-Rivas *Hospital Universitario Infanta Leonor, Madrid, Spain.
Albert OriolHospital Universitario Germans Trias i Pujol, Badalona (Barcelona), Barcelona, Spain.ORCID 0000-0001-6804-2221
Laura RosiñolHospital Clinic, CIBERONC, Barcelona, Spain.
María-Jesús BlanchardHospital Universitario Ramón y Cajal, Madrid, Spain.
José-María BellónHospital General Universitario Gregorio Marañón (HGUGM), IiSGM, Madrid, Spain.ORCID 0000-0002-8492-1565
Ramón García-SanzUniversity Hospital of Salamanca (HUS/IBSAL), CIBERONC and Cancer Research Institute of Salamanca-IBMCC (USAL-CSIC), Salamanca, Spain.ORCID 0000-0003-4120-2787
Javier de la RubiaHospital Universitario Doctor Peset, Valencia, Spain.ORCID 0000-0002-8354-768X
Ana López de la GuíaHospital Universitario la Paz, Madrid, Spain.
Ana Jímenez-UbietoHospital Universitario 12 de Octubre, CIBERONC, Madrid, Spain.
Isidro JarqueHospital Universitario la Fe, CIBERONC, Valencia, Spain.ORCID 0000-0001-5673-4490
Belén IñigoHospital Clínico San Carlos, Madrid, Spain.
Victoria DourdilHospital Clínico Universitario "Lozano Blesa", Zaragoza, IIS Aragón, Spain.
Felipe de ArribaHospital J.M. Morales Meseguer, Murcia, Spain.ORCID 0000-0002-4451-1318
Clara Cuéllar Pérez-ÁvilaHospital Universitario 12 de Octubre, CIBERONC, Madrid, Spain.
Yolanda GonzalezHospital Universitario Dr. Josep Trueta, Girona, Spain.
Miguel-Teodoro HernándezHospital Universitario de Canarias, San Cristóbal de La Laguna, Spain.
Joan BargayHospital Son Llatzer, Palma de Mallorca, Spain.
Miguel GranellHospital de la Santa Creu i Sant Pau, Barcelona, Spain.ORCID 0000-0002-0366-3673
Paula Rodríguez-OteroClínica Universidad de Navarra, CIMA, IDISNA; CIBERONC, Pamplona, Spain.
Maialen SilventHospital Donostia, San Sebastián, Spain.
Carmen CabreraComplejo Hospitalario de Cáceres, Cáceres, Spain.
Rafael RiosHospital Universitario Virgen de las Nieves, Granada, Spain.
Adrián AlegreHospital Universitario de la Princesa y Hospital Universitario Quirónsalud, Madrid, Spain.ORCID 0000-0002-2423-822X
Mercedes GironellaHospital Vall D'Hebron, Barcelona, Spain.
Marta-Sonia GonzalezHospital Universitario de Santiago, Santiago de Compostela, Spain.
Anna SuredaICO-L'Hospitalet, IDIBELL, Universitat de Barcelona, Barcelona, Spain.
Antonia SampolHospital Universitario Son Espases, Palma de Mallorca, Spain.ORCID 0000-0001-7465-6203
Enrique M OcioHospital Universitario Marqués de Valdecilla, (IDIVAL). Universidad de Cantabria, Santander, Spain.
Isabel KrsnikHospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Antonio GarcíaHospital Universitario Arnau de Vilanova, Lleida, Spain.
Aránzazu García-MateoHospital General de Segovia, Segovia, Spain.
Joan-Alfons SolerHospital Parc Taulí, Sabadell (Barcelona), Barcelona, Spain.
Jesús MartínComplejo Hospitalario Regional Virgen del Rocío, CIBERONC, Sevilla, Spain.ORCID 0000-0003-4250-4824
José-María ArguiñanoComplejo Hospitalario de Navarra, Pamplona, Spain.
María-Victoria MateosUniversity Hospital of Salamanca (HUS/IBSAL), CIBERONC and Cancer Research Institute of Salamanca-IBMCC (USAL-CSIC), Salamanca, Spain.ORCID 0000-0003-2390-1218
Joan BladéHospital Clinic, CIBERONC, Barcelona, Spain.ORCID 0000-0002-4563-3405
Jesús F San-MiguelClínica Universidad de Navarra, CIMA, IDISNA; CIBERONC, Pamplona, Spain.ORCID 0000-0002-9183-4857
Juan-José LahuertaHospital Universitario 12 de Octubre, CIBERONC, Madrid, Spain.ORCID 0000-0002-3393-9570
Joaquín Martínez-LópezHospital Universitario 12 de Octubre, CIBERONC, Madrid, Spain. jmarti01@ucm.es.ORCID 0000-0001-7908-0063
GEM/PETHEMA (Grupo Español de Mieloma/Programa para el Estudio de la Terapéutica en Hemopatías Malignas) cooperative study group
Hospital Universitario 12 De Octubre · ESCentro de Investigación Biomédica en Red de Cáncer · ESClinica Universidad de Navarra · ESHospital General Universitario Gregorio Marañón · ESInstituto de Investigación Biomédica de Salamanca · ESBiogipuzkoa Health Research Institute · ESComplejo Hospitalario de Cáceres · ESComplejo Hospitalario de Navarra · ESComplejo Hospitalario Universitario de Santiago · ESDeleted InstitutionHospital Clínico San Carlos · ESHospital Clínico Universitario Lozano Blesa · ESHospital de Sant Pau · ESHospital General De Segovia · ESHospital General Universitario Morales Meseguer · ESHospital Son Llatzer · ESHospital Universitari Arnau de Vilanova · ESHospital Universitari de Girona Doctor Josep Trueta · ESHospital Universitari Germans Trias i Pujol · ESHospital Universitari i Politècnic La Fe · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infections remain a common complication in patients with multiple myeloma (MM) and are associated with morbidity and mortality. A risk score to predict the probability of early severe infection could help to identify the patients that would benefit from preventive measures. We undertook a post hoc analysis of infections in four clinical trials from the Spanish Myeloma Group, involving a total of 1347 patients (847 transplant candidates). Regarding the GEM2010 > 65 trial, antibiotic prophylaxis was mandatory, so we excluded it from the final analysis. The incidence of severe infection episodes within the first 6 months was 13.8%, and majority of the patients experiencing the first episode before 4 months (11.1%). 1.2% of patients died because of infections within the first 6 months (1% before 4 months). Variables associated with increased risk of severe infection in the first 4 months included serum albumin ≤30 g/L, ECOG > 1, male sex, and non-IgA type MM. A simple risk score with these variables facilitated the identification of three risk groups with different probabilities of severe infection within the first 4 months: low-risk (score 0-2) 8.2%; intermediate-risk (score 3) 19.2%; and high-risk (score 4) 28.3%. Patients with intermediate/high risk could be candidates for prophylactic antibiotic therapies.

Indexed as

Multiple MyelomaAntibiotic ProphylaxisHumansMale

Identifiers

PMID35440057
PMCPMC9018751
OpenAlexW4224234740

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Registered trials

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.