Influence Survival of Younger Patients with Multiple Myeloma
When Luciano Costa, MD, PhD, of the University of Alabama at Birmingham, and his colleagues studied data on more than 10,000 US patients less than 65 years of age with multiple myeloma, they found that race/ethnicity was not the most important factor associated with patients’ risk of dying early, but that marital status, income, and insurance status contributed more to an affected patients’ chances of survival.
Four-year estimated overall survival was 71.1 percent, 63.2 percent, 53.4 percent, and 46.5 percent for patients with 0, 1, 2, or 3 adverse sociodemographic factors, respectively. As an example, a patient who was not married, lived in a low income county, and was beneficiary of Medicaid had a 25 percent lower likelihood of being alive four years after diagnosis than a patient of the same age who was married, lived in a medium to high income county, and had private insurance.
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