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A new risk grouping for IgD myeloma based on analysis of 165 Japanese patients.
Shimamoto, Y; Anami, Y; Yamaguchi, M.
Afiliación
  • Shimamoto Y; Department of Internal Medicine, Saga Medical School, Japan.
Eur J Haematol ; 47(4): 262-7, 1991 Oct.
Article en En | MEDLINE | ID: mdl-1954984
The common staging systems for myeloma do not include IgD myeloma because its rarity makes analysis difficult. We studied a series of 165 Japanese patients with IgD myeloma retrospectively to assess which of the easily assessable parameters present at the time of diagnosis were of prognostic significance. The important individual variables detected in a previous univariate analysis were placed in a multiple regression model to identify the major prognostic factors for survival. This analysis showed that light-chain subtype and white blood cell (WBC) count had a strong predictive relationship for the length of survival. These two factors were used to construct a model containing four categories of patients at increased risk for shortened survival. These categories divided the patients into three groups with respective 5-year survival rates of 66% (low risk), 23% (moderate risk), and 0% (high risk). This new risk grouping showed prognostic validity for IgD myeloma.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inmunoglobulina D / Mieloma Múltiple Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Eur J Haematol Asunto de la revista: HEMATOLOGIA Año: 1991 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inmunoglobulina D / Mieloma Múltiple Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Eur J Haematol Asunto de la revista: HEMATOLOGIA Año: 1991 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido