Evidence map›Paper›PMID 35628848›Full record

ArticleJournal of clinical medicine2022

Incidence of Venous Thromboembolism in Multiple Myeloma Patients across Different Regimens: Role of Procoagulant Microparticles and Cytokine Release.

Antonio Gidaro, Roberto Manetti, Alessandro Palmerio Delitala, Mark Johns Soloski, Giorgio Lambertenghi Deliliers, Dante Castro, Davide Soldini, Roberto Castelli

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Anticoagulants in hematologic malignancies: what is the data?Hematology. American Society of Hematology. Education Program · 2025
    Review
  3. Observational
  4. Transforming Growth Factors in Venous Thrombus Formation and Resolution.Arteriosclerosis, thrombosis, and vascular biology · 2025
    Review
  5. Thromboprophylaxis in multiple myeloma.Research and practice in thrombosis and haemostasis · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Thrombotic Risk and Calculated Whole Blood Viscosity in a Cohort of Patients With New Diagnosis of Multiple Myeloma.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Observational
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

8 authors at 4 institutions in 2 countries.

Antonio GidaroDepartment of Biomedical and Clinical Sciences Luigi Sacco, Luigi Sacco Hospital, University of Milan, Via G.B. Grassi N° 74, 20157 Milan, Italy.ORCID 0000-0002-5379-1091
Roberto ManettiDepartment of Medical, Surgical and Experimental Sciences, University of Sassari, Piazza Università N° 21, 07100 Sassari, Italy.ORCID 0000-0001-7376-2303
Alessandro Palmerio DelitalaDepartment of Medical, Surgical and Experimental Sciences, University of Sassari, Piazza Università N° 21, 07100 Sassari, Italy.
Mark Johns SoloskiDivision of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA.
Giorgio Lambertenghi DeliliersFondazione Mattarelli, Largo della Crocetta, 2, 20122 Milan, Italy.
Dante CastroDepartment of Medical, Surgical and Experimental Sciences, University of Sassari, Piazza Università N° 21, 07100 Sassari, Italy.
Davide SoldiniDepartment of Internal Medicine, ASST Papa Giovanni XXIII, Piazza OMS, 1, 24127 Bergamo, Italy.
Roberto CastelliDepartment of Medical, Surgical and Experimental Sciences, University of Sassari, Piazza Università N° 21, 07100 Sassari, Italy.
University of Sassari · ITJohns Hopkins University · USOspedale Papa Giovanni XXIII · ITUniversity of Milan · IT

Funding

Progetto Fondazione di Sardegna year 2022-2023
6 · The paper itself

Abstract

Introduction: Multiple myeloma (MM) is characterized by a high prevalence of thrombotic complications. Microvesicles (MVs) are small membrane vesicles released from activated cells, and they may potentially contribute to thrombosis. Methods: We have evaluated the plasma levels of MVs and cytokines (IL-10, IL-17, and TGF-β in MM and Watch and Wait Smoldering MM (WWSMM) from patients and related them to thrombotic complications. The secondary aim was to assess the impact of ongoing therapy on MV and on cytokine levels. Result: 92 MM and 31 WWSMM were enrolled, and 14 (12%) experienced a thrombotic episode. Using univariate analysis, TGF-β and MV were significantly higher in patients with thrombotic events (p = 0.012; p = 0.008, respectively). Utilizing a Cox proportional hazard model, we confirmed this difference (TGF-β p = 0.003; Odds ratio 0.001, 95% CI 0−0.003 and MV p = 0.001; Odds ratio 0.003, 95% CI 0.001−0.005). Active treatment management displayed higher levels of MV (p < 0.001) and lower levels of glomerular filtration-rate (p < 0.001), IL-17 (p < 0.001) as compared to the WWSMM group. The TGF-β values of immunomodulatory derivatives patients were lower in the WWSMM (p < 0.001) and Dexamethasone/Bortezomib subgroup (p < 0.001). Conclusion: The increased levels of MVs in active regimens add insight into the mechanisms of hypercoagulation in MM. In addition, a role for cytokine-related thrombosis is also suggested.

Indexed as

dexamethasone/bortezomibIL-17immunomodulatory derivatives (IMiDs)microvesiclesmultiple myelomaTGF-βthrombosiswatch and wait strategy

Identifiers

PMID35628848
PMCPMC9143530
OpenAlexW4280652399

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.