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- Title
Simplified novel prognostic score for real-life older adults with multiple myeloma-registry-based analysis.
- Authors
Radocha, J.; Hájek, R.; Brožová, L.; Pour, L.; Špička, I.; Minařík, J.; Gregora, E.; Jungová, A.; Jelínek, T.; Heindorfer, A.; Sýkora, M.; Maisnar, V.
- Abstract
The main goal was to find a simple prognostic to evaluate overall survival of patients older than 65 years of age with myeloma. Retrospective registry-based analysis from the Registry of Monoclonal Gammopathies was conducted. Patients over 65 years with symptomatic myeloma were included. The four major parameters with impact on survival were identified: male gender, age > 75, creatinine > 152 μmol/L, and ECOG performance status 2-4. The patients were scored as good (0 points), intermediate good (1 point), intermediate poor (2 points), poor (3-4 points). Patients (1410 MM) were included. Median OS (months) was 65.7 (95% CI 49.8-81.7) for good, 51.0 (44.1-57.8) for intermediate good, 32.2 (26.2-38.2) for intermediate poor, and 18.9 (15.1-22.7) for poor. The differences in OS were statistically significant (p < 0.0001). Good score was used as reference for hazard ratios, which for each other score were 1.43 (1.09-1.84) for intermediate good, 2.58 (2.00-3.33) for intermediate poor, and 3.88 (2.94-5.10) for poor. Time to progression showed medians (months) 20.5 (17.4-62.4) for good, 19.3 (17.0-21.7) for intermediate good, 19.6 (16.2-23.0) for intermediate poor, and 13.0 (10.8-15.2) for poor. The suggested scoring system provides readily available information about the prognosis of MM patients above 65 years.
- Subjects
OLDER people; MULTIPLE myeloma; MULTIPLE myeloma treatment; AGE distribution; CLINICAL trials; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; PROGNOSIS; RESEARCH; EVALUATION research; ACQUISITION of data; IMPACT of Event Scale
- Publication
Annals of Hematology, 2019, Vol 98, Issue 4, p951
- ISSN
0939-5555
- Publication type
journal article
- DOI
10.1007/s00277-018-3568-2