Department of Hematology, Wuxi People's Hospital, Wuxi Medical Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, 299 Qingyang Road, Wuxi, Jiangsu Province, China.
Sci Rep. 2024 Oct 1;14(1):22861. doi: 10.1038/s41598-024-73822-w.
Multiple myeloma (MM) is a common hematological malignancy, and its prognostic factors have been extensively studied. Progression of disease within 24 months (POD24) suggests a poor prognosis in many malignancies, but is rarely mentioned in MM. This study aimed to investigate the prognostic value of POD24 in MM and risk factors of POD24, and to evaluate the predictive value of existing MM prognostic models for POD24. The research retrospectively analyzed the clinical data of MM patients and found that the occurrence of POD24 is an independent prognostic factor affecting overall survival in MM, while non-transplantion and genetic abnormality are independent risk factors for the occurrence of POD24. The existing prognostic models are not effective in predicting POD24. Therefore, it's still necessary to explore a prognostic model that can predict POD24 more accurately.
多发性骨髓瘤(MM)是一种常见的血液系统恶性肿瘤,其预后因素已得到广泛研究。在许多恶性肿瘤中,24 个月内疾病进展(POD24)提示预后不良,但在 MM 中很少提及。本研究旨在探讨 POD24 在 MM 中的预后价值及 POD24 的危险因素,并评估现有 MM 预后模型对 POD24 的预测价值。该研究回顾性分析了 MM 患者的临床资料,发现 POD24 的发生是影响 MM 患者总生存的独立预后因素,而非移植和遗传异常是 POD24 发生的独立危险因素。现有的预后模型对 POD24 的预测效果不佳。因此,仍需要探索一种能更准确预测 POD24 的预后模型。