Certain age, health status, race, and socioeconomic factors appear to be linked with receiving no treatment for multiple myeloma (MM), according to a study involving nearly 4,200 individuals. Participants were from the 2007-2011 SEER-Medicare database and had plasma cell myeloma. Investigators looked at factors linked with receiving no treatment for MM. Among the results:
- 373 had no claims showing MM treatment nor ICD-9 codes for MM-defining clinical features.
- Of ~3,800 patients with active MM, 4 in every 10 had no claims for systemic treatment.
- Patients who were older, had poor performance indicators, and had comorbidities were more likely to receive no systemic treatment.
- The same was true for blacks, those with lower socioeconomic status, and patients receiving Medicaid.
Fakhri B, Fiala M, Tuchman S, Wildes T. Undertreatment of older patients with newly diagnosed multiple myeloma in the era of novel therapies. [Published online ahead of print February 3, 2018]. Clin Lymphoma Myeloma Leuk. doi: 10.1016/j.clml.2018.01.005.