Characteristics and outcome of multiple myeloma patients presenting with anaemia only: A retrospective multi-centre study.


Journal

Leukemia research
ISSN: 1873-5835
Titre abrégé: Leuk Res
Pays: England
ID NLM: 7706787

Informations de publication

Date de publication:
02 2021
Historique:
received: 27 09 2020
revised: 18 12 2020
accepted: 27 12 2020
pubmed: 17 1 2021
medline: 2 4 2021
entrez: 16 1 2021
Statut: ppublish

Résumé

Multiple myeloma (MM) patients presenting with anaemia as their sole clinical manifestation are rare and not fully defined. Retrospective multi-site study comparing the characteristics and outcome of MM patients with anaemia only with matched patients, presenting with multi-organ disease. Anaemia-only patients had a higher percentage of bone marrow monoclonal plasma cells group (median 60% [IQR 42-80%] vs. 37% [IQR 17-65%], respectively; p < 0.001), and a lower responsiveness to treatment (≥VGPR rates were 54% vs 74%, p = 0.049). Median survival in anaemia only patients was 65.9 ± 6.9 vs 83.4 ± 8.8 months in matched control patients (P = n.s). MM patients presenting with anaemia only represents a unique, potentially less favorable population.

Sections du résumé

BACKGROUND
Multiple myeloma (MM) patients presenting with anaemia as their sole clinical manifestation are rare and not fully defined.
METHODS
Retrospective multi-site study comparing the characteristics and outcome of MM patients with anaemia only with matched patients, presenting with multi-organ disease.
RESULTS
Anaemia-only patients had a higher percentage of bone marrow monoclonal plasma cells group (median 60% [IQR 42-80%] vs. 37% [IQR 17-65%], respectively; p < 0.001), and a lower responsiveness to treatment (≥VGPR rates were 54% vs 74%, p = 0.049). Median survival in anaemia only patients was 65.9 ± 6.9 vs 83.4 ± 8.8 months in matched control patients (P = n.s).
CONCLUSIONS
MM patients presenting with anaemia only represents a unique, potentially less favorable population.

Identifiants

pubmed: 33453475
pii: S0145-2126(20)30203-4
doi: 10.1016/j.leukres.2020.106498
pii:
doi:

Substances chimiques

Bortezomib 69G8BD63PP

Types de publication

Clinical Trial Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

106498

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

Tamir Shragai (T)

Department of Hematology, Tel Aviv Sourasky Medical Center, Israel. Electronic address: tamir1shragai@gmail.com.

Moshe E Gatt (ME)

Department of Hematology, Hadassah-Hebrew University medical center, Jerusalem, Israel.

Adir Shaulov (A)

Department of Hematology, Hadassah-Hebrew University medical center, Jerusalem, Israel.

Eirini Katodritou (E)

Department of Hematology, "Theagenion" Cancer Hospital, Thessaloniki, Greece.

Theodora Triantafyllou (T)

Department of Hematology, "Theagenion" Cancer Hospital, Thessaloniki, Greece.

Noa Lavi (N)

Department of Hematology, Rambam Health care campus, Haifa, Israel.

Anastasia Pouli (A)

Department of Hematology, "St. Savvas" Oncology Hospital, Athenes, Greece.

Anastasia Sioni (A)

Department of Hematology, "St. Savvas" Oncology Hospital, Athenes, Greece.

Iuliana Vaxman (I)

Sackler Faculty of Medicine, Tel-Aviv University, Ramat Aviv, Israel; Institute of Hematology, Rabin Medical Centre, Petah Tikva, Israel.

Miri Zektser (M)

Department of Hematology, Soroka Medical Center, Beer-Sheba, Israel.

Chezi Ganzel (C)

Department of Haematology, Shaare Zedek Medical Centre, Jerusalem, Israel.

Noam Benyamini (N)

Department of Hematology, Tel Aviv Sourasky Medical Center, Israel.

Svetlana Trestman (S)

Department of Hematology, Tel Aviv Sourasky Medical Center, Israel.

Tomer Ziv-Baran (T)

School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Ramat Aviv, Israel.

Yasmin Adam (Y)

Sackler Faculty of Medicine, Tel-Aviv University, Ramat Aviv, Israel.

Yael C Cohen (YC)

Department of Hematology, Tel Aviv Sourasky Medical Center, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Ramat Aviv, Israel.

Irit Avivi (I)

Department of Hematology, Tel Aviv Sourasky Medical Center, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Ramat Aviv, Israel.

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