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

Ingemar Turesson, Magnus Bjorkholm, Cecilie Hveding Blimark, Sigurdur Kristinsson, Ramon Velez, Ola Landgren

Research output: Contribution to journalReview articlepeer-review

48 Scopus citations

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 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.

Original languageEnglish (US)
Pages (from-to)237-244
Number of pages8
JournalEuropean Journal of Haematology
Volume101
Issue number2
DOIs
StatePublished - Aug 2018
Externally publishedYes

Keywords

  • incidence
  • multiple myeloma
  • overall survival
  • prevalence
  • trends

ASJC Scopus subject areas

  • Hematology

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