• Daryl Tan, Jae Hoon Lee, Wenming Chen, Kazuyuki Shimizu, Jian Hou, Kenshi Suzuki, Weerasak Nawarawong, Shang-Yi Huang, Sang ChimChorCj Queen Mary Hospital, University of Hong Kong , Hong Kong , China., Kihyun Kim, Lalit Kumar, Pankaj Malhotra, Wee Joo Chng, Brian Durie, and Asian Myeloma Network.
• a Raffles Cancer Center , Raffles Hospital , Singapore.
• Leuk. Lymphoma. 2018 Oct 1; 59 (10): 2305-2317.

AbstractPredicated on our improved understanding of the disease biology, we have seen remarkable advances in the management of multiple myeloma over the past few years. Recently approved drugs have radically transformed the treatment paradigm and improved survivals of myeloma patients. The progress has necessitated revision of the diagnostic criteria, risk-stratification and response definition. The huge disparities in economy, healthcare infrastructure and access to novel drugs among different Asian countries will hinder the delivery of optimum myeloma care to patients managed in resource-constrained environments. In the light of the tremendous recent changes and evolution in myeloma management, it is timely that the resource-stratified guidelines from the Asian Myeloma Network be revised to provide updated recommendations for Asia physicians practicing under various healthcare reimbursement systems. This review will highlight the most recent advances and our recommendations on how they could be integrated in both resource-abundant and resource-constrained facilities.

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