1 City of Hope Cancer Center, Phoenix, AZ.
2 International Myeloma Foundation, North Hollywood, CA.
J Clin Oncol. 2019 May 10;37(14):1228-1263. doi: 10.1200/JCO.18.02096. Epub 2019 Apr 1.
To provide evidence-based recommendations on the treatment of multiple myeloma to practicing physicians and others.
ASCO and Cancer Care Ontario convened an Expert Panel of medical oncology, surgery, radiation oncology, and advocacy experts to conduct a literature search, which included systematic reviews, meta-analyses, randomized controlled trials, and some phase II studies published from 2005 through 2018. Outcomes of interest included survival, progression-free survival, response rate, and quality of life. Expert Panel members used available evidence and informal consensus to develop evidence-based guideline recommendations.
The literature search identified 124 relevant studies to inform the evidence base for this guideline.
Evidence-based recommendations were developed for patients with multiple myeloma who are transplantation eligible and those who are ineligible and for patients with relapsed or refractory disease.
为执业医师和其他人员提供多发性骨髓瘤治疗的循证推荐。
美国临床肿瘤学会和安大略省癌症护理协会召集了一个医学肿瘤学、外科学、放射肿瘤学和宣传专家小组,进行文献检索,包括系统评价、荟萃分析、随机对照试验和一些发表于 2005 年至 2018 年的 II 期研究。感兴趣的结果包括生存、无进展生存期、缓解率和生活质量。专家小组成员利用现有证据和非正式共识制定了循证指南建议。
文献检索确定了 124 项相关研究,为该指南的循证基础提供了信息。
为符合移植条件和不符合移植条件的多发性骨髓瘤患者以及复发或难治性疾病患者制定了循证推荐。