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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Br+J+Haematol
2016 ; 175
(2
): 252-264
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Multiple myeloma: patient outcomes in real-world practice
#MMPMID27411022
Yong K
; Delforge M
; Driessen C
; Fink L
; Flinois A
; Gonzalez-McQuire S
; Safaei R
; Karlin L
; Mateos MV
; Raab MS
; Schoen P
; Cavo M
Br J Haematol
2016[Oct]; 175
(2
): 252-264
PMID27411022
show ga
With increasing number of therapies available for the treatment of multiple
myeloma, it is timely to examine the course of patients' journeys. We
investigated patient characteristics, treatment durations and outcomes, and
symptom burden across the treatment pathway in Belgium, France, Germany, Italy,
Spain, Switzerland and the UK. In total, 435 physicians retrospectively reviewed
4997 patient charts. Profiles of patients diagnosed with multiple myeloma during
the last 12 months were similar across countries; bone pain was the most common
presentation. Median duration of first-line therapy was 6 months, followed by a
median treatment-free interval of 10 months; both these decreased with increasing
lines of therapy, as did time to progression. Depth of response, as assessed by
the treating physician, also decreased with each additional line of therapy: 74%
of patients achieved at least a very good partial response at first line,
compared with only 11% at fifth line. Deeper responses were associated with
longer time to progression, although these were physician-judged. Toxicities and
co-morbidities increased with later treatment lines, and were more likely to have
led to discontinuation of treatment. These real-world data provide an insight
into patient outcomes and treatment decisions being made in clinical practice.
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use
[MESH]