Evidence map›Paper›PMID 36409606›Full record

ArticleBlood advances2023

Peripheral blood monocyte count is a dynamic prognostic biomarker in multiple myeloma.

Camille V Edwards, Hamza Hassan, Cenk Yildirim, Grace Ferri, Karina P Verma, Mara E Murray Horwitz, Nathanael R Fillmore, Nikhil C Munshi

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.4field-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.

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

17 citing papers in PubMed, 21 citations in OpenAlex.

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  10. T-lymphocytes suppression by CD14Journal of translational medicine · 2025
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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

8 authors at 2 institutions in 1 country.

Camille V EdwardsSection of Hematology/Oncology, Boston Medical Center, Boston, MA.ORCID 0000-0002-2601-0667
Hamza HassanSection of Hematology/Oncology, Boston Medical Center, Boston, MA.ORCID 0000-0003-1775-2703
Cenk YildirimCooperative Studies Program Informatics Center, Massachusetts Veterans Epidemiology Research and Information Center, Boston, MA.
Grace FerriSection of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA.ORCID 0000-0001-9377-9129
Karina P VermaSection of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA.ORCID 0000-0002-7413-2271
Mara E Murray HorwitzSection of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA.ORCID 0000-0001-6142-0285
Nathanael R FillmoreCooperative Studies Program Informatics Center, Massachusetts Veterans Epidemiology Research and Information Center, Boston, MA.
Nikhil C MunshiHematology and Oncology Department, Veterans Administration Boston Healthcare System, West Roxbury, MA.
Boston Medical Center · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the growing knowledge of multiple myeloma (MM) pathobiology and the introduction of novel therapies, risk stratification continues to evolve. Myeloid-derived suppressor cells and tumor-associated macrophages, derived from peripheral blood monocytes, support malignant plasma cell proliferation in the bone marrow. Because peripheral blood absolute monocyte count (AMC) is thought to reflect the bone marrow microenvironment, we sought to evaluate the prognostic significance of AMC in MM. We retrospectively analyzed 10 822 patients newly diagnosed with MM between 2000 and 2019 at Veteran's Administration hospitals. We obtained AMC closest to diagnosis and every 3 months thereafter up to 2.5 years. Patients were stratified into 4 groups: low, normal, elevated, and severely elevated AMC (<0.2, 0.2-<0.8, 0.8-<1.25, and ≥1.25 × 103/mm3, respectively). Abnormal AMC at diagnosis was observed in 25.3% of the patients and was associated with an inferior overall survival (OS). In patients with low, severely elevated, elevated, and normal AMC, respectively, median OS at diagnosis was 2.3, 2.7, 3.1, and 3.6 years (P < .001) and at 2.5 years was 2.0, 2.6, 3.4, and 3.9 years (P < .001). Patients with normal AMC at diagnosis who developed an abnormal AMC >1 year after diagnosis also had an inferior OS relative to patients who maintained a normal AMC. Abnormal AMC was also associated with inferior OS independent of validated prognostic markers, including the international staging system and lactate dehydrogenase. Our findings provide novel clues for future prospective studies on the functional role of monocytes in MM, which could be a readily available metric for risk stratification.

Indexed as

MonocytesMultiple MyelomaBiomarkersHumansPrognosisProspective StudiesRetrospective StudiesTumor MicroenvironmentBiomarkers

Identifiers

PMID36409606
PMCPMC9979755
OpenAlexW4309505989

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.