Table 3.
Patient | Age | Gender | Ethnicity | Myeloma
|
Previous GFRa | GFR at Presentation | Oligo-anuricb | Hyper-calcaemia | NSAIDc | Presenting FLC Concentration (mg/L) | Interruption to Chemotherapyd | Renal Recovery | Percentage FLC Reduction at Outcomee | Duration of HCO-HD (days) | GFR at 3 monthsf | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Presentation | Type | |||||||||||||||
1 | 51 | Male | Ca | New | IgA K | n/a | 11 | No | Yes | No | 42,000 | Yes | No | n/a | 27 | n/a |
2 | 68 | Female | Ca | New | IgG L | n/a | 5 | No | No | No | 1120 | Yes | No | n/a | 39 | n/a |
3 | 58 | Male | Ca | New | IgG L | 58 | 13 | No | No | No | 855 | Yes | No | n/a | 32 | n/a |
4 | 64 | Female | Ca | New | IgA L | n/a | 5 | Yes | Yes | Yes | 1740 | Yes | No | n/a | 5 | n/a |
5 | 52 | Male | Ca | Relapsing | Free L | 23 | 9 | No | No | No | 69,430 | Yes | No | n/a | 29 | n/a |
6g | 59 | Male | Ca | New | Free L | n/a | 4 | No | No | No | 26,382 | No | Yes | 96 | 14 | 83 |
7 | 68 | Female | Ca | New | Free K | 30 | 8 | No | No | No | 18,500 | No | Yes | 81 | 8 | 45 |
8 | 62 | Male | AC | MGUS | IgG K | n/a | 6 | No | No | Yes | 1030 | No | Yes | 83 | 18 | 45 |
9 | 53 | Male | IA | New | IgA K | >60 | 13 | No | No | No | 13,500 | No | Yes | 50 | 34 | 48 |
10 | 81 | Male | Ca | New | IgG L | n/a | 7 | Yes | No | No | 2110 | No | Yes | 90 | 29 | 34 |
11 | 61 | Male | IA | Relapsing | IgG K | >60 | 3 | No | No | No | 2520 | No | Yes | 60 | 18 | 76 |
12 | 71 | Male | Ca | New | IgA L | 49 | 3 | No | No | No | 4200 | No | Yes | 65 | 22 | 34 |
13 | 46 | Male | Ca | New | IgG K | n/a | 9 | No | No | No | 1780 | No | Yes | 86 | 26 | 29 |
14 | 64 | Male | IA | Relapsing | IgG L | 31 | 9 | No | No | No | 2530 | No | Yes | 93 | 19 | 37 |
15 | 61 | Female | Ca | New | Free K | n/a | 5 | No | No | No | 3000 | No | Yes | 87 | 45 | 11h |
16 | 38 | Male | Ca | New | Free K | n/a | 7 | No | No | No | 27,000 | No | Yes | 87 | 28 | 27 |
17 | 60 | Male | Ca | New | IgG K | n/a | 12 | No | No | No | 2254 | No | Yes | 79 | 12 | 67 |
18 | 67 | Male | Ca | CLL | IgM L | >60 | 4 | No | No | No | 2585 | No | Yes | 82 | 39 | 43 |
19 | 55 | Female | Ca | New | Free K | n/a | 8 | No | No | No | 8076 | Yes | Yes | 97 | 105 | 17h |
20 | 56 | Male | Ca | New | IgA L | n/a | 6 | No | No | No | 9918 | No | Yes | 97 | 56 | 27 |
n/a, not available; Ca, Caucasian; AC, Afro-Caribbean; IA, Indo-Asian; MGUS, monoclonal gammopathy of undetermined significance.
GFR if known 3 to 12 mo before presentation.
Defined as a urine output of < 500 ml/24 h.
Nonsteroidal anti-inflammatory drug (NSAID) use preceding presentation with renal failure.
Interruption to chemotherapy during the first 6 wk of treatment.
Free light chain (FLC) concentration at dialysis independence.
GFR at 3 mo from enrollment.
Patient 6 did not have a renal biopsy because of low platelets but was treated to protocol; the 19 remaining patients all had cast nephropathy on renal biopsy.
These patients became independent of dialysis after 3 months therefore the GFRs presented were those at 2 wk after the last dialysis session.