Evidence map›Paper›PMID 39638882›Full record

ArticleBone marrow transplantation2025

Single versus tandem autologous stem cell transplantation in newly diagnosed multiple myeloma.

Nora Grieb, Alexander Oeser, Maximilian Ferle, Franziska Hanke, Sarah Flossdorf, Sandra Sauer, Hartmut Goldschmidt, Carsten Müller-Tidow, Hans-Jürgen Salwender, Roland Fenk and 16 more

Abstract read
In one paragraph

Article in Bone marrow transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Trial
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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

26 authors.

Nora GriebInnovation Center Computer Assisted Surgery (ICCAS), University of Leipzig, Leipzig, Germany.
Alexander OeserInnovation Center Computer Assisted Surgery (ICCAS), University of Leipzig, Leipzig, Germany.
Maximilian FerleInnovation Center Computer Assisted Surgery (ICCAS), University of Leipzig, Leipzig, Germany.
Franziska HankeGerman Registry for Hematopoietic Stem Cell Transplantation and Cell Therapy (DRST), Ulm, Germany.
Sarah FlossdorfGerman Registry for Hematopoietic Stem Cell Transplantation and Cell Therapy (DRST), Ulm, Germany.ORCID http://orcid.org/0000-0003-0642-7104
Sandra SauerDepartment of Internal Medicine V, University Hospital Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-5552-3149
Hartmut GoldschmidtDepartment of Internal Medicine V, University Hospital Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-0961-0035
Carsten Müller-TidowDepartment of Internal Medicine V, University Hospital Heidelberg, Heidelberg, Germany.
Hans-Jürgen SalwenderAsklepios Tumor Center Hamburg, AK Altona and AK St Georg, Hamburg, Germany.
Roland FenkDepartment of Hematology, Oncology and Clinical Immunology, Heinrich-Heine University, Düsseldorf, Germany.
Monika EngelhardtDepartment of Hematology, Oncology and Stem Cell Transplantation, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0003-0405-1676
Robert ZeiserDepartment of Hematology, Oncology and Stem Cell Transplantation, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0001-6565-3393
Vladan VucinicDepartment of Hematology, Hemostaseology, Cellular Therapy and Infectiology, University Hospital Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0002-8398-285X
Georg-Nikolaus FrankeDepartment of Hematology, Hemostaseology, Cellular Therapy and Infectiology, University Hospital Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0001-8239-002X
Igor Wolfgang BlauDepartment for Haematology, Oncology and Tumorimmunology, Medical Clinic, Charité University Medicine Berlin, Berlin, Germany.
Daniel TeschnerDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Hermann EinseleDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0002-7680-0819
Christoph KimmichDepartment of Oncology and Hematology, University Hospital Oldenburg, Oldenburg, Germany.
Miriam KullInternal Medicine III, University Hospital Ulm, Ulm, Germany.
Britta BesemerDepartment of Hematology, Oncology, Immunology, and Rheumatology, University Hospital Tübingen, Tübingen, Germany.
Nico GagelmannDepartment for Stem Cell Transplantation, University Cancer Centre Hamburg-Eppendorf, Hamburg, Germany.
Nicolaus KrögerGerman Registry for Hematopoietic Stem Cell Transplantation and Cell Therapy (DRST), Ulm, Germany.
Thomas NeumuthInnovation Center Computer Assisted Surgery (ICCAS), University of Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0001-6999-5024
Uwe PlatzbeckerDepartment of Hematology, Hemostaseology, Cellular Therapy and Infectiology, University Hospital Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0003-1863-3239
Maximilian MerzDepartment of Hematology, Hemostaseology, Cellular Therapy and Infectiology, University Hospital Leipzig, Leipzig, Germany. maximilian.merz@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0002-2805-5973
German Registry for Hematopoietic Stem Cell Transplantation and Cell Therapy (DRST)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Identifying patients who may benefit from autologous stem cell transplantation (ASCT) in newly diagnosed multiple myeloma is crucial, especially in the era of effective induction and consolidation strategies. We analyzed data from 12763 patients enrolled in the German Registry for Hematopoietic Stem Cell Transplantation and Cell Therapy (DRST), distinguishing those who underwent single (n = 8736) or tandem ASCT (n = 4027) from 1998 to 2021. Our findings show that the median age at first ASCT increased over time, while the use of tandem ASCT declined. The shift in treatment practices coincided with higher rates of complete response (CR) post-induction therapy. Significantly improved overall survival and event-free survival over time were observed across all age groups, especially in older patients, but not in patients under 40. Tandem ASCT showed benefits for patients who did not achieve CR after initial ASCT. However, patients with ISS III and renal impairment had poorer outcomes with tandem ASCT. In conclusion, while ASCT remains an important anti-myeloma tool, careful patient selection for tandem ASCT is essential, particularly avoiding its use in patients with ISS III and renal impairment, older age, and those already achieving CR after initial ASCT.

Indexed as

Hematopoietic Stem Cell TransplantationMultiple MyelomaTransplantation, AutologousAdultAgedFemaleHumansMaleMiddle AgedRegistries

Identifiers

PMID39638882
PMCPMC11893441

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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.