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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1982-12-18
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pubmed:abstractText |
Forty-five patients met the criteria for the diagnosis of multiple myeloma in a retrospective chart review from 1975 to 1980. Renal insufficiency with peak serum creatinine concentration greater than 1.5 mg/dL involved 69% of all patients. Renal insufficiency was reversible in 55% of the cases. Treatment of hypercalcemia and/or chemotherapy for multiple myeloma was associated with reversibility in 88% of cases. Once renal insufficiency occurred in patients with multiple myeloma, those with reversible renal failure had a duration of survival fourfold longer (11.4 v 2.8 months) than those with irreversible renal insufficiency. In conclusion, reversible renal insufficiency from hypercalcemia or the myeloma process itself develops in a majority of patients with multiple myeloma. If therapy reverses the renal dysfunction, a greater life expectancy occurs. Patients with multiple myeloma and renal insufficiency should, therefore, be examined for reversible causes of renal dysfunction, since if found and treated, a substantial improvement in prognosis is achieved.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0003-9926
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
142
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2083-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7138157-Adult,
pubmed-meshheading:7138157-Aged,
pubmed-meshheading:7138157-Bence Jones Protein,
pubmed-meshheading:7138157-Creatinine,
pubmed-meshheading:7138157-Female,
pubmed-meshheading:7138157-Humans,
pubmed-meshheading:7138157-Hypercalcemia,
pubmed-meshheading:7138157-Kidney,
pubmed-meshheading:7138157-Male,
pubmed-meshheading:7138157-Middle Aged,
pubmed-meshheading:7138157-Multiple Myeloma,
pubmed-meshheading:7138157-Prognosis,
pubmed-meshheading:7138157-Retrospective Studies
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pubmed:year |
1982
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pubmed:articleTitle |
Reversible renal insufficiency in multiple myeloma.
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pubmed:publicationType |
Journal Article
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