Prognosis of concurrent renal impairment at diagnosis of multiple myeloma: a systematic review

被引：2
作者：
Zhang, Yanjie [1 ]
Pan, Juan [2 ]
Kang, Haixin [1 ]
Peng, Shuotao [1 ]
Tung, Tao-Hsin [3 ]
Shen, Bo [1 ]
机构：
[1] Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Dept Clin Lab, Linhai, Peoples R China
[2] Zhejiang Univ, Taizhou Hosp, Dept Clin Lab, Linhai, Peoples R China
[3] Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Evidence Based Med Ctr, Linhai, Peoples R China
来源：
ANNALS OF MEDICINE | 2024年 / 56卷 / 01期
关键词：
multiple myeloma; renal impairment; progression-free survival; overall survival; prognosis; STEM-CELL TRANSPLANTATION; ACUTE KIDNEY INJURY; SWOG S0777; DEXAMETHASONE; LENALIDOMIDE; BORTEZOMIB; MANAGEMENT; OUTCOMES; IMPACT; INTENT;
D O I：
10.1080/07853890.2024.2380301
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
BackgroundMultiple myeloma is a malignant tumour of the blood in which abnormal proliferation of plasma cells leads to bone destruction, renal impairment, anaemia, and hypercalcaemia. Renal impairment caused by multiple myeloma is a common and serious condition; however, the prognosis of multiple myeloma at the time of diagnosis remains unclear.MethodWe conducted searches for literature in PubMed, Web of Science, Cochrane, Embase, CNKI, Wanfang, and VIP databases up to 30 April 2023. Progression-free survival and overall survival with and without renal impairment at the time of multiple myeloma diagnosis were compared, and prognostic indicators were analysed.ResultsSix studies were finally included. Among patients with multiple myeloma, 319 had renal impairment, and 1166 had no renal impairment. Compared to the control group, no significant difference was observed in overall or progression-free survival in patients with multiple myeloma complicated with renal impairment.ConclusionThe limited low-quality evidence available does not support an association between prognosis and multiple myeloma complicated by kidney injury.
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