Multiple myeloma epidemiology and survival: A unique malignancy
1Myeloma Program, Lymphoid Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Multiple myeloma (MM) survival has improved due to novel treatments and sensitive monitoring. However, health disparities persist, necessitating inclusive clinical trials for diverse populations.
Area of Science:
- Hematologic Malignancies
- Plasma Cell Dyscrasias
Background:
- Multiple myeloma (MM) is the second most common blood cancer, part of a spectrum of plasma cell disorders.
- MM causes significant morbidity and affects older adults, with higher incidence in African Americans.
- Recent treatment advances have improved survival, but diagnosis and monitoring require further development.
Purpose of the Study:
- To review the evolving epidemiology of multiple myeloma.
- To highlight improvements in MM survival rates.
- To examine health disparities in MM subgroups.
Main Methods:
- Review of current literature on MM epidemiology and treatment.
- Analysis of survival data and treatment outcomes.
- Examination of diagnostic and monitoring advancements.
Main Results:
- Significant improvements in MM survival due to novel therapies like immunomodulatory drugs (ImIDs) and proteasome inhibitors (PIs).
- Advancements in minimal residual disease detection enhance MM monitoring.
- Persistent health disparities observed in specific MM patient populations.
Conclusions:
- Continued advancements in MM treatment and monitoring are crucial.
- Inclusive clinical trials representing diverse populations (minorities, elderly) are essential for generalizable results.
- Addressing health disparities is vital for equitable MM patient outcomes.
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