Evidence map›Paper›PMID 40270073›Full record

ArticleCardio-oncology (London, England)2025

Coronary artery calcification score as a prognostic factor in younger patients with multiple myeloma undergoing autologous stem cell therapy.

Hans-Jonas Meyer, Wolfram Pönisch, Jan Borggrefe, Alexey Surov

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Article in Cardio-oncology (London, England), 2025. 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
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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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

4 authors.

Hans-Jonas MeyerDepartment of Diagnostic and Interventional Radiology, University of Leipzig, 04103, Leipzig, Germany. hans-jonas.meyer@medizin.uni-leipzig.de.
Wolfram PönischDepartment of Hematology and Cell Therapy, University of Leipzig, Leipzig, Germany.
Jan BorggrefeDepartment of Radiology and Nuclear Medicine, Muehlenkreiskliniken Minden, Ruhr-University of Bochum, Bochum, Germany.
Alexey SurovDepartment of Radiology and Nuclear Medicine, Muehlenkreiskliniken Minden, Ruhr-University of Bochum, Bochum, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary artery calcification (CAC) scoring can be performed as a by-product of computed tomography (CT). CAC scoring may reflect the general cardiovascular risk profile of patients. The aim of the present study was to determine the impact of CAC on overall survival (OS) in patients with multiple myeloma (MM).

methodsA retrospective analysis was conducted on all patients with MM undergoing peripheral blood stem cell transplantation between the years 2009 and 2019. A total of 127 patients (50 female patients, 39.4%) with a mean age of 57.8 ± 7.6 years were included in the analysis. A whole-body CT scan was used to assess the CAC score for each patient. The Weston score as a surrogate for Agatston score was applied in the non-gated staging CT images.c

resultsA total of 27 patients (22.0%) died during the course of the study. The CAC score did not differ between non-survivors and survivors in the discrimination analysis (mean 1.2 ± 2.4 versus 2.0 ± 2.8, p = 0.13). The CAC score showed no correlation with overall survival, with an HR of 0.92 (95% CI 0.78-1.09, p = 0.35). Of the patients without calcification (CAC score 0, n = 66, 51.9%), 18 died, while of those with calcification (CAC score 1 or higher, n = 61, 48.1%), nine died. The results of the Fisher's exact test showed no statistically significant difference between the two groups (p = 0.20).

conclusionsThe presence of CT-defined coronary calcifications does not predict survival in younger patients with multiple myeloma undergoing autologous stem cell therapy and comparably short survival. The impact of CT-defined cardiovascular risk factors appears to be relatively modest in this heterogeneous disease.

Indexed as

CAC scoreCTMultiple myeloma

Identifiers

PMID40270073
PMCPMC12016443

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