Abstract
Relative survival (RS) in myeloma has improved in younger but not older patients (≥80 years) with treatment advances. Whether place of residence or socioeconomic status (SES) affect RS is unknown. We used the Queensland cancer registry to calculate the five-year RS of myeloma patients diagnosed between 1982 and 2014. This period was divided into three eras: (1) 1982–1995 chemotherapy alone; (2) 1996–2007 autologous stem cell transplantation; (3) 2008–2014 novel agents (proteasome inhibitors and IMIDs). 6025 patients were diagnosed from 1982 to 2014. RS improved across eras: (1) 30% vs. (2) 43% vs. (3) 53% (p < .001 (2) vs. (1); p < .001 (3) vs. (2)). RS improved across all age groups, including patients ≥80 years. Patients with disadvantaged SES (39% vs. affluent 46%; p < .001) and rural patients (40% vs. urban 45%; p < .001) had an inferior RS. RS has improved across all ages with treatment advances.
Authorship
All authors had full access to all the data.
Disclosure statement
M.H., N.D., J.M., G.H.: No relevant disclosures.
P.M.: Amgen, Celgene, and Janssen Myeloma Ad Board member only (no personal fees received). Pfizer Amyloidosis Ad Board member only (no personal fees received).