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将 MM 注册中心作为美国多发性骨髓瘤患者的国家参考。

Connect MM Registry as a national reference for United States multiple myeloma patients.

机构信息

Mayo Clinic, Jacksonville, FL, USA.

Mount Sinai Hospital, New York, NY, USA.

出版信息

Cancer Med. 2020 Jan;9(1):35-42. doi: 10.1002/cam4.2656. Epub 2019 Nov 7.

Abstract

BACKGROUND

The Surveillance, Epidemiology, and End Results (SEER) database and National Cancer Database (NCDB) show improved overall survival (OS) in patients with multiple myeloma (MM) over the last 15 years. This analysis evaluated the validity of the largely community-based Connect MM Registry as a national reference for MM.

METHODS

Baseline disease characteristics and survival in US newly diagnosed MM patients were examined using the Connect MM Registry as well as SEER and NCDB databases. Baseline characteristics predictive of longer survival in Connect MM were also identified.

RESULTS

As of February 2017, 3011 patients were enrolled in the Connect MM Registry; 2912 were treated. Median age at time of MM diagnosis and age range were numerically similar from 2010 to 2015 across all 3 registries; SEER had a higher representation of nonwhite racial groups than that in the other 2 registries. OS rates suggest proportionate improvement with year of diagnosis among the 3 registries. A Cox proportional hazards model suggests that younger age (<65 years) is associated with longer survival (vs ≥75; HR, 0.39; 95% confidence interval, 0.34-0.46) in the Connect MM Registry. However, sex (HR, 0.91; P = .15) and race (black vs white; HR, 0.88; P = .21) were not associated with longer OS.

CONCLUSIONS

Data from the Connect MM Registry appear to be largely representative of national trends, comprehensive, and reliable representations of the national MM population. Baseline characteristics were comparable, and survival similarly improved over time among the 3 registries. CLINICALTRIALS.

GOV, IDENTIFIER: NCT01081028.

摘要

背景

监测、流行病学和最终结果(SEER)数据库和国家癌症数据库(NCDB)显示,过去 15 年来,多发性骨髓瘤(MM)患者的总体生存率(OS)有所提高。本分析评估了主要基于社区的 Connect MM 注册中心作为 MM 国家参考的有效性。

方法

使用 Connect MM 注册表以及 SEER 和 NCDB 数据库检查美国新诊断 MM 患者的基线疾病特征和生存情况。还确定了 Connect MM 中预测生存时间较长的基线特征。

结果

截至 2017 年 2 月,3011 名患者入组 Connect MM 注册中心;2912 名患者接受治疗。在所有 3 个注册中心,2010 年至 2015 年,MM 诊断时的中位年龄和年龄范围在数值上相似;SEER 中不同种族群体的代表性高于其他 2 个注册中心。OS 率表明,3 个注册中心中诊断年度的比例均有所提高。Cox 比例风险模型表明,与年龄≥75 岁的患者相比(HR,0.39;95%置信区间,0.34-0.46),年龄较小(<65 岁)与生存时间延长相关在 Connect MM 注册中心。然而,性别(HR,0.91;P=0.15)和种族(黑人与白人;HR,0.88;P=0.21)与较长的 OS 无关。

结论

Connect MM 注册表中的数据似乎在很大程度上代表了全国趋势,是全国 MM 人群的全面、可靠代表。基线特征相似,3 个注册中心的生存时间也随时间推移而相似改善。临床试验.gov,标识符:NCT01081028。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3929/6943143/7a4e4fcd54c6/CAM4-9-35-g001.jpg

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