Evidence map›Paper›PMID 41432254›Full record

ArticleCancer reports (Hoboken, N.J.)2025

Incidence and Clinical Outcomes of Vitamin D Status and Myeloma Bone Disease Among Patients With Newly Diagnosed Multiple Myeloma (MM) in a Tropical Country-Retrospective Cohort Study.

Chi Ching Lim, Wai San Wilson Tam, Widanalage Sanjay Prasad De Mel, Siew Ping Lang, Wee Joo Chng, Cinnie Yentia Soekojo, Fang Fang Song, Melissa Gaik Ming Ooi

Abstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 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

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.

  1. Article
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.

Chi Ching LimDivision of Oncology Nursing, National University Cancer Institute, Singapore, Singapore.ORCID 0009-0004-5447-5092
Wai San Wilson TamNational University Health System, Singapore.
Widanalage Sanjay Prasad De MelDepartment of Haematology-Oncology, National University Cancer Institute, Singapore, Singapore.ORCID 0000-0002-8881-3537
Siew Ping LangDivision of Oncology Nursing, National University Cancer Institute, Singapore, Singapore.
Wee Joo ChngDepartment of Haematology-Oncology, National University Cancer Institute, Singapore, Singapore.
Cinnie Yentia SoekojoDepartment of Haematology-Oncology, National University Cancer Institute, Singapore, Singapore.ORCID 0000-0001-8376-8872
Fang Fang SongDepartment of Haematology-Oncology, National University Cancer Institute, Singapore, Singapore.ORCID 0009-0003-5102-1418
Melissa Gaik Ming OoiDepartment of Haematology-Oncology, National University Cancer Institute, Singapore, Singapore.

Funding

Yong Siew Yoon Research Fellowship
6 · The paper itself

Abstract

objectiveThe retrospective data analysis on 80 patients from 2018 to 2022 aimed to determine the incidence and clinical outcomes of vitamin D status and myeloma bone disease among newly diagnosed multiple myeloma (MM) patients in Singapore.

methodPatients' demographics, bone health data and bone disease management were collected. Chi-square test was conducted to compare variables between patients who survived versus those who demised. Survival differences were compared using log-rank analysis and plotted using Kaplan-Meier estimates. Multivariable survival analysis was conducted using Cox Regression.

resultsFifty-nine (73.8%) patients had myeloma bone disease at diagnosis, and 42 (71.2%) of these patients had skeletal-related adverse events at diagnosis. The compliance to bone health management needs to be optimized, as only 70 patients had their vitamin D level tested at diagnosis, of which 48 (68.7%) patients were vitamin D insufficient or deficient. Bone disease data did not correlate with mortality. Higher mortality was initially observed among patients with non-Chinese (p = 0.03), R-ISS 3 (p = 0.001), and renal involvement at diagnosis (p = 0.035). R-ISS staging remained the only statistically significant variable after adjusting for race (adjusted HR 3.99; 95% CI 1.58-10.07).

conclusionThe study found no correlation between myeloma bone health data and survival outcomes in our centre.

Indexed as

Bone DiseasesMultiple MyelomaVitamin DVitamin D DeficiencyAdultAgedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesSingaporeVitamin Dincidencemultiple myelomaskeletal morbidityvitamin D

Identifiers

PMID41432254
PMCPMC12723718

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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.