Evidence map›Paper›PMID 36066204›Full record

ArticleEuropean journal of haematology2022

Conditioning with melphalan 200 mg/m

Gabriel Afram, Roza Chaireti, Katarina Uttervall, Vincent Luong, Johan Lund, Muhammad Kashif, Gösta Gahrton, Evren Alici, Hareth Nahi

Open access · hybridAbstract read
In one paragraph

Article in European journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Conditioning with melphalan 200 mg/mEuropean journal of haematology · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Gabriel AframCenter for Hematology and Regenerative Medicine, Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-7376-535X
Roza ChairetiDepartment of Hematology, Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-9069-1903
Katarina UttervallCenter for Hematology and Regenerative Medicine, Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-9786-6876
Vincent LuongCenter for Hematology and Regenerative Medicine, Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-9825-6706
Johan LundCenter for Hematology and Regenerative Medicine, Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-5364-3670
Muhammad KashifCenter for Hematology and Regenerative Medicine, Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-7545-8548
Gösta GahrtonCenter for Hematology and Regenerative Medicine, Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-2596-6149
Evren AliciCenter for Hematology and Regenerative Medicine, Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-5307-6648
Hareth NahiCenter for Hematology and Regenerative Medicine, Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-4711-5094
Karolinska University Hospital · SEKarolinska Institutet · SE

Funding

Cancerfonden
6 · The paper itself

Abstract

objectivesDespite the effectiveness of newer drugs for the treatment of multiple myeloma (MM), the outcomes are further improved by subsequent autologous stem cell transplantation (ASCT). Data on effectiveness in older patients are limited. We compared outcomes in patients aged 65-75 years depending on whether they were treated with ASCT or not and compared those to outcomes in patients <65 years.

methodsThis was a retrospective, single-center study. We compared progression-free survival (PFS) and overall survival (OS) for all MM patients below and above the age of 65 years treated ± ASCT at the Karolinska University Hospital between 2010 and 2020. PFS and OS were calculated by the Kaplan-Meier method. Variables affecting PFS and OS were evaluated using Cox regression model.

resultsBoth PFS and OS were improved in the group 65-75 years treated +ASCT compared to those treated pharmacologically (p = 0.008 and p < 0.001, respectively). There were no significant differences between patients <65 years and those 65-75 years treated with ASCT.

conclusionThe findings indicate that even patients >65 years should be evaluated as candidates for ASCT. An individualized approach supported by a frailty/geriatric assessment score could assist clinicians to select the appropriate treatment for each patient.

Indexed as

Hematopoietic Stem Cell TransplantationMultiple MyelomaAgedDisease-Free SurvivalHumansMelphalanRetrospective StudiesStandard of CareTransplantation, AutologousTransplantation ConditioningTreatment OutcomeMelphalanagedmultiple myelomaprogression-free survivalstem cell transplantation

Identifiers

PMID36066204
PMCPMC9826071
OpenAlexW4294761387

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.