Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2000-1-31
pubmed:abstractText
High-dose therapy has become a common treatment for myeloma. The objectives of this study were to estimate in a prospective, population-based setting the impact on survival of high-dose therapy in newly diagnosed, symptomatic patients less than 60 years old and to compare the results with those of conventionally treated historic controls. The prospective population comprised 348 patients. Of these, 274 were treated according to a specified intensive-therapy protocol (Nordic Myeloma Study Group [NMSG] #5/94) and constituted the intensive-therapy group. The historic population consisted of 313 patients identified from 5 previous population-based Nordic studies. Of these, 274 fulfilled the eligibility criteria for high-dose therapy stated in NMSG #5/94 and constituted the control group. The expected numbers of patients in the prospective population and the historic population were 450 and 410, respectively, estimated from previously established data on the incidence in this population and the population base for each study. Survival was prolonged in the intensive-therapy group compared with the control group (risk ratio for the control group 1.62; 95% confidence interval 1.22-2.15; P =.001). These groups represented more than 60% of the expected number of patients. When survival for all the registered patients in the 2 populations was compared, representing more than 75% of the expected number of patients, the advantage for the prospective population persisted (risk ratio for the historic population 1.46; 95% confidence interval 1.14-1.86; P =. 002). These results indicate that the introduction of high-dose therapy for newly diagnosed myeloma has resulted in prolonged survival for the total patient population aged less than 60 years. (Blood. 2000; 95:7-11)
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0006-4971
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
95
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
7-11
pubmed:dateRevised
2010-10-6
pubmed:meshHeading
pubmed-meshheading:10607678-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:10607678-Case-Control Studies, pubmed-meshheading:10607678-Cause of Death, pubmed-meshheading:10607678-Confidence Intervals, pubmed-meshheading:10607678-Dexamethasone, pubmed-meshheading:10607678-Disease-Free Survival, pubmed-meshheading:10607678-Doxorubicin, pubmed-meshheading:10607678-Female, pubmed-meshheading:10607678-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:10607678-Humans, pubmed-meshheading:10607678-Male, pubmed-meshheading:10607678-Middle Aged, pubmed-meshheading:10607678-Multiple Myeloma, pubmed-meshheading:10607678-Remission Induction, pubmed-meshheading:10607678-Salvage Therapy, pubmed-meshheading:10607678-Scandinavia, pubmed-meshheading:10607678-Survival Analysis, pubmed-meshheading:10607678-Time Factors, pubmed-meshheading:10607678-Vincristine
pubmed:year
2000
pubmed:articleTitle
Impact on survival of high-dose therapy with autologous stem cell support in patients younger than 60 years with newly diagnosed multiple myeloma: a population-based study. Nordic Myeloma Study Group.
pubmed:affiliation
Department of Hematology, Lund University Hospital, Sweden.
pubmed:publicationType
Journal Article, Clinical Trial, Controlled Clinical Trial, Research Support, Non-U.S. Gov't, Multicenter Study