Article (Scientific journals)
International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma
Rajkumar, Vincent; Dimopoulos, Meletios; Palumbo, Antonio et al.
2014In The Lancet Oncology, p. 538-548
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Abstract :
[en] This International Myeloma Working Group consensus updates the disease defi nition of multiple myeloma to include validated biomarkers in addition to existing requirements of attributable CRAB features (hypercalcaemia, renal failure, anaemia, and bone lesions). These changes are based on the identifi cation of biomarkers associated with near inevitable development of CRAB features in patients who would otherwise be regarded as having smouldering multiple myeloma. A delay in application of the label of multiple myeloma and postponement of therapy could be detrimental to these patients. In addition to this change, we clarify and update the underlying laboratory and radiographic variables that fulfi l the criteria for the presence of myeloma-defi ning CRAB features, and the histological and monoclonal protein requirements for the disease diagnosis. Finally, we provide specifi c metrics that new biomarkers should meet for inclusion in the disease defi nition. The International Myeloma Working Group recommends the implementation of these criteria in routine practice and in future clinical trials, and recommends that future studies analyse any diff erences in outcome that might occur as a result of the new disease defi nition.
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Author, co-author :
Rajkumar, Vincent
Dimopoulos, Meletios
Palumbo, Antonio
Blade, Joan
Merlini, Giampaolo
Mateos, Maria-Victoria
Kumar, Shaji
Hillengass, Jens
Kastritis, Efstathios
Richardson, Paul
Landgren, Ola
Paiva, Bruno
Dispenzieri, Angela
Weiss, Brendan
Leleu, Xavier
Zweegman, Sonja
Lonial, Sagar
Rosinol, Laura
Zamagni, Elena
Jagannath, Sundar
Sezer, Orhan
Kristinsson, Sigurdur
CAERS, Jo  ;  Centre Hospitalier Universitaire de Liège - CHU > Hématologie clinique
Usmani, Saad
Lahuerta, Juan José
Johnsen, Hans Erik
Beksac, Meral
Cavo, Michele
Goldschmidt, Hartmut
Terpos, Evangelos
Kyle, Robert
Anderson, Kenneth
Durie, Brian
San Miguel, Jesus
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Title :
International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma
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The Lancet Oncology
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