Outcomes of autologous stem cell transplantation for multiple myeloma in Saudi Arabia Article Swipe
YOU?
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· 2021
· Open Access
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· DOI: https://doi.org/10.5144/0256-4947.2021.198
BACKGROUND: In 2015, multiple myeloma (MM) represented 1% of all cancers and about 5% of hematologic malignancies in Saudi cancer registry. We conducted this large study because only small pilot studies have examined MM outcomes after autologous stem-cell transplantation (ASCT). The standard therapy for eligible patients is induction chemotherapy followed by ASCT. OBJECTIVES: Determine the demographic characteristics of MM patients and the outcomes of ASCT. DESIGN: Retrospective. SETTING: Tumor registry database of major tertiary cancer care center in Riyadh. PATIENTS AND METHODS: We identified patients with newly diagnosed MM who underwent ASCT from October 1997 to March 2015. MAIN OUTCOME MEASURES: The demographic characteristics of MM patients and the outcomes of ASCT in the form of response evaluation, progression-free survival (PFS) and overall survival (OS). SAMPLE SIZE: 169 patients with newly diagnosed MM. RESULTS: The median age at diagnosis was 51 years (range 23–69) and 100 (59.2%) were male. The most common immunoglobulin (Ig) subtype was IgG-kappa (80 patients; 47.6%). Most patients presented with advanced ISS stage III (75 patients; 47.5%). The cytogenetic analysis was documented in only 87 patients (51.4%); about half (48.3%) had normal cytogenetics by fluorescence in situ hybridization. Deletion 13 was present in 18.4% of patients. In post-induction therapy, 84 patients (50%) achieved a complete response, which increased to 78.1% (132 patients) after ASCT. The median PFS and OS post-transplantation were 30 and 202 months, respectively. Only one patient (<1%) died in the first 100 days after transplantation. CONCLUSIONS: Our transplant eligible MM patients tend to be younger with a higher OS and a low ASCT-related mortality (<1%) than is reported internationally. LIMITATIONS: Usual limitations of a retrospective analysis using registry-level data; no data on quality of life. CONFLICTS OF INTEREST: None.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.5144/0256-4947.2021.198
- OA Status
- diamond
- Cited By
- 12
- References
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W3195571770Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.5144/0256-4947.2021.198Digital Object Identifier
- Title
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Outcomes of autologous stem cell transplantation for multiple myeloma in Saudi ArabiaWork title
- Type
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articleOpenAlex work type
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enPrimary language
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2021Year of publication
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2021-08-01Full publication date if available
- Authors
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Ahmed Kotb Abdrabou, Fahad Al Sharif, Riad El Fakih, Shahrukh K. Hashmi, Yasser Khafaga, Saud Alhayli, Hazaa Al Zahrani, Syed Osman Ahmed, Feras Al Fraih, Marwan Shaheen, Walid Rasheed, Naeem Chaudhri, Fahad Al Mohareb, Hala Khalil, Mahmoud Aljurf, Amr HanbaliList of authors in order
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https://doi.org/10.5144/0256-4947.2021.198Publisher landing page
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://doi.org/10.5144/0256-4947.2021.198Direct OA link when available
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Medicine, Multiple myeloma, Autologous stem-cell transplantation, Internal medicine, Transplantation, Cancer, Oncology, SurgeryTop concepts (fields/topics) attached by OpenAlex
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12Total citation count in OpenAlex
- Citations by year (recent)
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2025: 7, 2024: 4, 2023: 1Per-year citation counts (last 5 years)
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15Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(132 | 214 |
| abstract_inverted_index.(Ig) | 153 |
| abstract_inverted_index.(MM) | 5 |
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| abstract_inverted_index.ASCT | 91, 111 |
| abstract_inverted_index.MAIN | 98 |
| abstract_inverted_index.Most | 160 |
| abstract_inverted_index.Only | 230 |
| abstract_inverted_index.care | 75 |
| abstract_inverted_index.data | 277 |
| abstract_inverted_index.days | 239 |
| abstract_inverted_index.died | 234 |
| abstract_inverted_index.form | 114 |
| abstract_inverted_index.from | 92 |
| abstract_inverted_index.half | 182 |
| abstract_inverted_index.have | 31 |
| abstract_inverted_index.most | 150 |
| abstract_inverted_index.only | 27, 177 |
| abstract_inverted_index.situ | 190 |
| abstract_inverted_index.tend | 248 |
| abstract_inverted_index.than | 262 |
| abstract_inverted_index.this | 23 |
| abstract_inverted_index.were | 147, 224 |
| abstract_inverted_index.with | 85, 129, 163, 252 |
| abstract_inverted_index.(50%) | 205 |
| abstract_inverted_index.(OS). | 124 |
| abstract_inverted_index.(PFS) | 120 |
| abstract_inverted_index.18.4% | 197 |
| abstract_inverted_index.2015, | 2 |
| abstract_inverted_index.2015. | 97 |
| abstract_inverted_index.78.1% | 213 |
| abstract_inverted_index.ASCT. | 51, 64, 217 |
| abstract_inverted_index.March | 96 |
| abstract_inverted_index.None. | 285 |
| abstract_inverted_index.SIZE: | 126 |
| abstract_inverted_index.Saudi | 18 |
| abstract_inverted_index.Tumor | 68 |
| abstract_inverted_index.Usual | 267 |
| abstract_inverted_index.about | 12, 181 |
| abstract_inverted_index.after | 35, 216, 240 |
| abstract_inverted_index.data; | 275 |
| abstract_inverted_index.first | 237 |
| abstract_inverted_index.large | 24 |
| abstract_inverted_index.life. | 281 |
| abstract_inverted_index.major | 72 |
| abstract_inverted_index.male. | 148 |
| abstract_inverted_index.newly | 86, 130 |
| abstract_inverted_index.pilot | 29 |
| abstract_inverted_index.small | 28 |
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| abstract_inverted_index.using | 273 |
| abstract_inverted_index.which | 210 |
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| abstract_inverted_index.(range | 142 |
| abstract_inverted_index.SAMPLE | 125 |
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| abstract_inverted_index.center | 76 |
| abstract_inverted_index.common | 151 |
| abstract_inverted_index.higher | 254 |
| abstract_inverted_index.median | 135, 219 |
| abstract_inverted_index.normal | 185 |
| abstract_inverted_index.(48.3%) | 183 |
| abstract_inverted_index.(59.2%) | 146 |
| abstract_inverted_index.(ASCT). | 39 |
| abstract_inverted_index.47.5%). | 170 |
| abstract_inverted_index.47.6%). | 159 |
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| abstract_inverted_index.Riyadh. | 78 |
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| abstract_inverted_index.myeloma | 4 |
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| abstract_inverted_index.patient | 232 |
| abstract_inverted_index.present | 195 |
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| abstract_inverted_index.subtype | 154 |
| abstract_inverted_index.therapy | 42 |
| abstract_inverted_index.younger | 251 |
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| abstract_inverted_index.(51.4%); | 180 |
| abstract_inverted_index.23–69) | 143 |
| abstract_inverted_index.Deletion | 192 |
| abstract_inverted_index.METHODS: | 81 |
| abstract_inverted_index.PATIENTS | 79 |
| abstract_inverted_index.RESULTS: | 133 |
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| abstract_inverted_index.advanced | 164 |
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| abstract_inverted_index.complete | 208 |
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| abstract_inverted_index.eligible | 44, 245 |
| abstract_inverted_index.examined | 32 |
| abstract_inverted_index.followed | 49 |
| abstract_inverted_index.multiple | 3 |
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| abstract_inverted_index.reported | 264 |
| abstract_inverted_index.response | 116 |
| abstract_inverted_index.standard | 41 |
| abstract_inverted_index.survival | 119, 123 |
| abstract_inverted_index.tertiary | 73 |
| abstract_inverted_index.therapy, | 202 |
| abstract_inverted_index.CONFLICTS | 282 |
| abstract_inverted_index.Determine | 53 |
| abstract_inverted_index.INTEREST: | 284 |
| abstract_inverted_index.IgG-kappa | 156 |
| abstract_inverted_index.MEASURES: | 100 |
| abstract_inverted_index.conducted | 22 |
| abstract_inverted_index.diagnosed | 87, 131 |
| abstract_inverted_index.diagnosis | 138 |
| abstract_inverted_index.increased | 211 |
| abstract_inverted_index.induction | 47 |
| abstract_inverted_index.mortality | 260 |
| abstract_inverted_index.patients) | 215 |
| abstract_inverted_index.patients. | 199 |
| abstract_inverted_index.patients; | 158, 169 |
| abstract_inverted_index.presented | 162 |
| abstract_inverted_index.registry. | 20 |
| abstract_inverted_index.response, | 209 |
| abstract_inverted_index.stem-cell | 37 |
| abstract_inverted_index.underwent | 90 |
| abstract_inverted_index.autologous | 36 |
| abstract_inverted_index.documented | 175 |
| abstract_inverted_index.identified | 83 |
| abstract_inverted_index.transplant | 244 |
| abstract_inverted_index.BACKGROUND: | 0 |
| abstract_inverted_index.OBJECTIVES: | 52 |
| abstract_inverted_index.cytogenetic | 172 |
| abstract_inverted_index.demographic | 55, 102 |
| abstract_inverted_index.evaluation, | 117 |
| abstract_inverted_index.hematologic | 15 |
| abstract_inverted_index.limitations | 268 |
| abstract_inverted_index.represented | 6 |
| abstract_inverted_index.ASCT-related | 259 |
| abstract_inverted_index.CONCLUSIONS: | 242 |
| abstract_inverted_index.LIMITATIONS: | 266 |
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| abstract_inverted_index.cytogenetics | 186 |
| abstract_inverted_index.fluorescence | 188 |
| abstract_inverted_index.malignancies | 16 |
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| abstract_inverted_index.retrospective | 271 |
| abstract_inverted_index.Retrospective. | 66 |
| abstract_inverted_index.hybridization. | 191 |
| abstract_inverted_index.immunoglobulin | 152 |
| abstract_inverted_index.post-induction | 201 |
| abstract_inverted_index.registry-level | 274 |
| abstract_inverted_index.characteristics | 56, 103 |
| abstract_inverted_index.transplantation | 38 |
| abstract_inverted_index.internationally. | 265 |
| abstract_inverted_index.progression-free | 118 |
| abstract_inverted_index.transplantation. | 241 |
| abstract_inverted_index.post-transplantation | 223 |
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| cited_by_percentile_year.min | 89 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 16 |
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| citation_normalized_percentile.is_in_top_10_percent | False |