Evidence map›Paper›PMID 38636951›Full record

ArticleThe oncologist2024

A Prognostic Survival Model Incorporating Patient-Reported Outcomes for Transplant-Ineligible Patients With Multiple Myeloma.

Hira Mian, Hsien Seow, Amaris K Balitsky, Matthew C Cheung, Anastasia Gayowsky, Jason Tay, Tanya M Wildes, Arleigh McCurdy, Alissa Visram, Irwindeep Sandhu and 1 more

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

11 authors at 7 institutions in 2 countries.

Hira MianDepartment of Oncology, McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-1584-1067
Hsien SeowDepartment of Oncology, McMaster University, Hamilton, ON, Canada.
Amaris K BalitskyDepartment of Oncology, McMaster University, Hamilton, ON, Canada.
Matthew C CheungDepartment of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Anastasia GayowskyICES, McMaster University, Hamilton, ON, Canada.
Jason TayDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Tanya M WildesDepartment of Medicine, University of Nebraska Medical Center/Nebraska Medicine, Omaha, NE, USA.
Arleigh McCurdyDepartment of Medicine, The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Alissa VisramDepartment of Medicine, The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Irwindeep SandhuDepartment of Medicine, University of Edmonton, Edmonton, AB, Canada.
Rinku SutradharInstitute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
McMaster University · CAUniversity of Ottawa · CASunnybrook Health Science Centre · CAUniversity of Alberta · CAUniversity of Calgary · CAUniversity of Nebraska Medical Center · USUniversity of Toronto · CA

Funding

Ontario Ministry of Health and the Ministry
6 · The paper itself

Abstract

Developing prognostic tools specifically for patients themselves represents an important step in empowering patients to engage in shared decision-making. Incorporating patient-reported outcomes may improve the accuracy of these prognostic tools. We conducted a retrospective population-based study of transplant-ineligible (TIE) patients with multiple myeloma (MM) diagnosed between January 2007 and December 2018. A multivariable Cox regression model was developed to predict the risk of death within 1-year period from the index date. We identified 2356 patients with TIE MM. The following factors were associated with an increased risk of death within 1 year: age > 80 (HR 1.11), history of heart failure (HR 1.52), "CRAB" at diagnosis (HR 1.61), distance to cancer center (HR 1.25), prior radiation (HR 1.48), no proteosome inhibitor/immunomodulatory therapy usage (HR 1.36), recent emergency department (HR 1.55) or hospitalization (HR 2.13), poor performance status (ECOG 3-4 HR 1.76), and increasing number of severe symptoms (HR 1.56). Model discrimination was high with C-statistic of 0.74, and calibration was very good. To our knowledge, this represents one of the first prognostic models developed in MM incorporating patient-reported outcomes. This survival prognostic tool may improve communication regarding prognosis and shared decision-making among older adults with MM and their health care providers.

Indexed as

Multiple MyelomaPatient Reported Outcome MeasuresAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective Studiesmultiple myelomapatient-reported outcomesprognostic toolsurvival

Identifiers

PMID38636951
PMCPMC11145018
OpenAlexW4394909371

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.