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Rapidly changing myeloma epidemiology in the general population : Increased incidence, older patients, and longer survival

Turesson, Ingemar LU ; Bjorkholm, Magnus ; Blimark, Cecilie Hveding ; Kristinsson, Sigurdur ; Velez, Ramon and Landgren, Ola (2018) In European Journal of Haematology 101(2). p.237-244
Abstract

The incidence of multiple myeloma is characterized by a steep increase with advancing age. Dramatic improvements in survival have been reported in clinical trials; however, elderly patients are generally underrepresented in these. The aims of this study are to review patterns of incidence and survival in multiple myeloma in the general population. We searched PubMed for population-based studies on trends in incidence and survival published between January 1, 2000 and June 30, 2017 and based on regional or national cancer registries and report the following results of the review. The age-adjusted incidence of multiple myeloma has increased during the second half of the twentieth century in some countries but remained stable in areas with... (More)

The incidence of multiple myeloma is characterized by a steep increase with advancing age. Dramatic improvements in survival have been reported in clinical trials; however, elderly patients are generally underrepresented in these. The aims of this study are to review patterns of incidence and survival in multiple myeloma in the general population. We searched PubMed for population-based studies on trends in incidence and survival published between January 1, 2000 and June 30, 2017 and based on regional or national cancer registries and report the following results of the review. The age-adjusted incidence of multiple myeloma has increased during the second half of the twentieth century in some countries but remained stable in areas with high case ascertainment and access to universal medical care. The crude incidence is increasing globally due to an aging population. Survival rates have improved, and 5-year relative survival rates are now around 50% and over 60% in patients 65-70 years or younger. Preliminary data suggest a 3-fold increase in the prevalence of multiple myeloma. We conclude that the number of multiple myeloma patients is increasing in the general population due to (i) aging populations and (ii) more patients living longer due to modern drugs.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
incidence, multiple myeloma, overall survival, prevalence, trends
in
European Journal of Haematology
volume
101
issue
2
pages
8 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:85050306617
  • pmid:29676004
ISSN
0902-4441
DOI
10.1111/ejh.13083
language
English
LU publication?
yes
id
a70889b2-05f1-4379-8925-99e56d18acdd
date added to LUP
2018-08-16 11:06:07
date last changed
2024-06-25 20:33:55
@article{a70889b2-05f1-4379-8925-99e56d18acdd,
  abstract     = {{<p>The incidence of multiple myeloma is characterized by a steep increase with advancing age. Dramatic improvements in survival have been reported in clinical trials; however, elderly patients are generally underrepresented in these. The aims of this study are to review patterns of incidence and survival in multiple myeloma in the general population. We searched PubMed for population-based studies on trends in incidence and survival published between January 1, 2000 and June 30, 2017 and based on regional or national cancer registries and report the following results of the review. The age-adjusted incidence of multiple myeloma has increased during the second half of the twentieth century in some countries but remained stable in areas with high case ascertainment and access to universal medical care. The crude incidence is increasing globally due to an aging population. Survival rates have improved, and 5-year relative survival rates are now around 50% and over 60% in patients 65-70 years or younger. Preliminary data suggest a 3-fold increase in the prevalence of multiple myeloma. We conclude that the number of multiple myeloma patients is increasing in the general population due to (i) aging populations and (ii) more patients living longer due to modern drugs.</p>}},
  author       = {{Turesson, Ingemar and Bjorkholm, Magnus and Blimark, Cecilie Hveding and Kristinsson, Sigurdur and Velez, Ramon and Landgren, Ola}},
  issn         = {{0902-4441}},
  keywords     = {{incidence; multiple myeloma; overall survival; prevalence; trends}},
  language     = {{eng}},
  month        = {{08}},
  number       = {{2}},
  pages        = {{237--244}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{European Journal of Haematology}},
  title        = {{Rapidly changing myeloma epidemiology in the general population : Increased incidence, older patients, and longer survival}},
  url          = {{http://dx.doi.org/10.1111/ejh.13083}},
  doi          = {{10.1111/ejh.13083}},
  volume       = {{101}},
  year         = {{2018}},
}