Trends in survival of multiple myeloma: a thirty-year population-based study in a single institution.

Abstract:

BACKGROUND:Despite the progress made in recent years, multiple myeloma is still considered an incurable disease. Most survival data come from clinical trials. Little is known about the outcome in unselected real-life patients. METHODS:Overall survival was analyzed in a cohort of newly diagnosed symptomatic multiple myeloma patients, over the last three decades, in a single institution population-based study. RESULTS:582 consecutive myeloma patients were included in the study. Survival increased over time in patients younger than 65 years but did not reach statistical significance in patients with 65 years or older. The prognostic factors associated with overall survival were the International Staging System, the serum lactate dehydrogenase level, the renal impairment, the realization of autologous stem cell transplantation, and the presence of concomitant amyloidosis. Overall survival shows a steady improvement over time. INTERPRETATION:The survival of myeloma is improving progressively in real-life patients, particularly after the widespread use of the novel agents. A comprehensive assessment of comorbidity can help to explain the huge heterogeneity of myeloma outcome. The optimization of current therapeutic resources as well as the incorporation of new drugs will allow further improvement of survival in the coming years.

journal_name

Cancer Epidemiol

journal_title

Cancer epidemiology

authors

Ríos-Tamayo R,Sánchez MJ,Puerta JM,Sáinz J,Chang DY,Rodríguez T,López P,de Pablos JM,Navarro P,de Veas JL,Romero A,Garrido P,Moratalla L,Alarcón-Payer C,López-Fernández E,González PA,Jiménez-Moleón JJ,Calleja-Hernández

doi

10.1016/j.canep.2015.08.002

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

693-9

issue

5

eissn

1877-7821

issn

1877-783X

pii

S1877-7821(15)00166-6

journal_volume

39

pub_type

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