Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2011-7-22
pubmed:abstractText
For establishing the true effect of different response categories in patients with multiple myeloma (MM) treated with autologous stem cell transplantation, we evaluated, after a median follow-up of 153 months, 344 patients with MM who received a transplant between 1989 and 1998. Overall survival (OS) at 12 years was 35% in complete response (CR) patients, 22% in near complete response (nCR), 16% in very good partial response (VGPR), and 16% in partial response (PR) groups. Significant differences in OS and progression-free survival were found between CR and nCR groups (P = .01 and P = .002, respectively), between CR and VGPR groups (P = .0001 and P = .003), or between CR and PR groups (P = .003 and P = < 10(-5)); no differences were observed between the nCR and VGPR groups (P = .2 and P = .9) or between these groups and the PR group (P = .1 and P = .8). A landmark study found a plateau phase in OS after 11 years; 35% patients in the CR group and 11% in the nCR+VGPR+PR group are alive at 17 years; 2 cases had relapsed in the nCR+VGPR+PR group. In conclusion, MM achieving CR after autologous stem cell transplantation is a central prognostic factor. The relapse rate is low in patients with > 11 years of follow-up, possibly signifying a cure for patients in CR.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1528-0020
pubmed:author
pubmed-author:AlegreAdriánA, pubmed-author:BesalduchJoanJ, pubmed-author:BladeJoanJ, pubmed-author:CabreraRafaelR, pubmed-author:CondeEulogioE, pubmed-author:García-LarañaJoséJ, pubmed-author:García-RuizJuan CJC, pubmed-author:Gomez del CastilloMaria CarmenMC, pubmed-author:Gonzalez-San MiguelJosé DJD, pubmed-author:GrandeCarlosC, pubmed-author:Grupo Español de MM, pubmed-author:Guzman-ZamudioJosé LuisJL, pubmed-author:LahuertaJuan JoséJJ, pubmed-author:Martinez-LopezJoaquinJ, pubmed-author:MartinezRafaelR, pubmed-author:MateosMaría-VictoriaMV, pubmed-author:MoraledaJosé MariaJM, pubmed-author:Programa para el Estudio de la Terapé utica en Hemopatía Maligna, pubmed-author:San MiguelJesúsJ, pubmed-author:SuredaAnnaA, pubmed-author:ViguriaMaria CMC, pubmed-author:de ArribaFelipeF, pubmed-author:de la RubiaJavierJ
pubmed:issnType
Electronic
pubmed:day
21
pubmed:volume
118
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
529-34
pubmed:meshHeading
pubmed:year
2011
pubmed:articleTitle
Long-term prognostic significance of response in multiple myeloma after stem cell transplantation.
pubmed:affiliation
Hospital Universitario 12 de Octubre, Madrid, Spain.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't