Prevalence and Mortality-Related Factors of Multiple Myeloma in Taiwan.

In this retrospective cohort study based in Taiwan, we reported the current epidemiology of patients with multiple myeloma and analyzed the factors affecting mortality. We identified 7285 patients with newly diagnosed multiple myeloma (MM) between 1997 and 2013 in Taiwan. Privileges data from the Na...

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Main Authors: Jia-Hong Chen, Chi-Hsiang Chung, Yung-Chih Wang, Shun-Neng Hsu, Wen-Yen Huang, Wu-Chien Chien
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5132205?pdf=render
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author Jia-Hong Chen
Chi-Hsiang Chung
Yung-Chih Wang
Shun-Neng Hsu
Wen-Yen Huang
Wu-Chien Chien
author_facet Jia-Hong Chen
Chi-Hsiang Chung
Yung-Chih Wang
Shun-Neng Hsu
Wen-Yen Huang
Wu-Chien Chien
author_sort Jia-Hong Chen
collection DOAJ
description In this retrospective cohort study based in Taiwan, we reported the current epidemiology of patients with multiple myeloma and analyzed the factors affecting mortality. We identified 7285 patients with newly diagnosed multiple myeloma (MM) between 1997 and 2013 in Taiwan. Privileges data from the National Health Institute Research Database was used, as it is made readily available to the public in electronic format for research purposes. From 1997 to 2013, the average incidence of MM per 100,000 people was 1.83. The mortality accounted for an average of 0.44 per 100,000 deaths. In all 7285 inpatients with MM, the proportion of male patients was greater than that of female (59.90% vs. 40.10%); the mean age was 68.71 years with the proportion of those >55 years of age was 85.11%; and the proportion of a catastrophic illness was 66.51%. The death risk of the inpatient dialysis group was 3.044 times that of patients without dialysis (P <0.001). Moreover, the risk of death to men in the hospital setting was 1.162 times that of women (P = 0.012), and in the group of patients aged >55 years, the risk of in-hospital death was 1.511 times more than that in those aged ≤55 years (P <0.001). The risk of hospital death due to catastrophic illness was 1.347 times that of a non-catastrophic illness (P <0.001). Male patients and those >55 years of age had the most common prevalence of MM in Taiwan. Hemodialysis treatment, male sex, old age, and catastrophic illness were independent predictors of hospital mortality in patients with MM.
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spelling doaj.art-19af90f381e04199b53f3c0765bbb30b2022-12-21T18:10:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011112e016722710.1371/journal.pone.0167227Prevalence and Mortality-Related Factors of Multiple Myeloma in Taiwan.Jia-Hong ChenChi-Hsiang ChungYung-Chih WangShun-Neng HsuWen-Yen HuangWu-Chien ChienIn this retrospective cohort study based in Taiwan, we reported the current epidemiology of patients with multiple myeloma and analyzed the factors affecting mortality. We identified 7285 patients with newly diagnosed multiple myeloma (MM) between 1997 and 2013 in Taiwan. Privileges data from the National Health Institute Research Database was used, as it is made readily available to the public in electronic format for research purposes. From 1997 to 2013, the average incidence of MM per 100,000 people was 1.83. The mortality accounted for an average of 0.44 per 100,000 deaths. In all 7285 inpatients with MM, the proportion of male patients was greater than that of female (59.90% vs. 40.10%); the mean age was 68.71 years with the proportion of those >55 years of age was 85.11%; and the proportion of a catastrophic illness was 66.51%. The death risk of the inpatient dialysis group was 3.044 times that of patients without dialysis (P <0.001). Moreover, the risk of death to men in the hospital setting was 1.162 times that of women (P = 0.012), and in the group of patients aged >55 years, the risk of in-hospital death was 1.511 times more than that in those aged ≤55 years (P <0.001). The risk of hospital death due to catastrophic illness was 1.347 times that of a non-catastrophic illness (P <0.001). Male patients and those >55 years of age had the most common prevalence of MM in Taiwan. Hemodialysis treatment, male sex, old age, and catastrophic illness were independent predictors of hospital mortality in patients with MM.http://europepmc.org/articles/PMC5132205?pdf=render
spellingShingle Jia-Hong Chen
Chi-Hsiang Chung
Yung-Chih Wang
Shun-Neng Hsu
Wen-Yen Huang
Wu-Chien Chien
Prevalence and Mortality-Related Factors of Multiple Myeloma in Taiwan.
PLoS ONE
title Prevalence and Mortality-Related Factors of Multiple Myeloma in Taiwan.
title_full Prevalence and Mortality-Related Factors of Multiple Myeloma in Taiwan.
title_fullStr Prevalence and Mortality-Related Factors of Multiple Myeloma in Taiwan.
title_full_unstemmed Prevalence and Mortality-Related Factors of Multiple Myeloma in Taiwan.
title_short Prevalence and Mortality-Related Factors of Multiple Myeloma in Taiwan.
title_sort prevalence and mortality related factors of multiple myeloma in taiwan
url http://europepmc.org/articles/PMC5132205?pdf=render
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