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Research Article

Renal outcome in multiple myeloma patients with cast nephropathy: a retrospective analysis of potential predictive values on clinical and renal outcome

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Article: 2311600 | Received 23 Aug 2023, Accepted 24 Jan 2024, Published online: 08 Feb 2024

Figures & data

Figure 1. Description of patient population – for assessment of renal response, IMWG renal response criteria were used.

Figure 1. Description of patient population – for assessment of renal response, IMWG renal response criteria were used.

Table 1. Inclusion and exclusion criteria.

Figure 2. Leading symptoms on hospitalization day.

Figure 2. Leading symptoms on hospitalization day.

Figure 3. Renal response evaluation (IMWG renal response criteria) – Best renal response after one month, first therapy line and after one year.

Figure 3. Renal response evaluation (IMWG renal response criteria) – Best renal response after one month, first therapy line and after one year.

Table 2. Patients‘ characteristics – renal responder and renal non-responder (defined as renal response within one year).

Figure 4. A: Mean number of casts/mm2 (total, cortical, medulla) compared between renal responders (green) and renal non-responders (red); B: Cortical IF/TA score compared between patients with end-stage renal disease(grey) and no end stage renal disease (blue).

Figure 4. A: Mean number of casts/mm2 (total, cortical, medulla) compared between renal responders (green) and renal non-responders (red); B: Cortical IF/TA score compared between patients with end-stage renal disease(grey) and no end stage renal disease (blue).

Table 3. Pathological findings (number of casts and IF/TA) defined as described in paragraph 2.3 and 2.4.

Figure 5. Percentage of hematologic responders in the group of renal responders and non-responders.

Figure 5. Percentage of hematologic responders in the group of renal responders and non-responders.

Table 4. Hematologic response – renal responder and renal non-responder.

Figure 6. Therapy and dialysis – renal responders and renal non-responders. * Dialysis dependency > 3 months. ** PIs used were Bortezomib (n = 22) and Carfilzomib (n = 1)

Figure 6. Therapy and dialysis – renal responders and renal non-responders. * Dialysis dependency > 3 months. ** PIs used were Bortezomib (n = 22) and Carfilzomib (n = 1)

Figure 7. Time period (in days) from initial presentation (A) to CN-diagnosis (B) to therapy start (T).

Figure 7. Time period (in days) from initial presentation (A) to CN-diagnosis (B) to therapy start (T).

Figure 8. Survival – complete cohort.

Figure 8. Survival – complete cohort.

Figure 9. Survival analysis: A: renal response / B: dialysis dependency.

Figure 9. Survival analysis: A: renal response / B: dialysis dependency.
Supplemental material

Dataset CN_paper _final 20230808.xlsx

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Summary of available data CN and renal response.pdf

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Supplementary tables and figures.pdf

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