• The lancet oncology · Nov 2013

    Review Practice Guideline

    Management of multiple myeloma in Asia: resource-stratified guidelines.

    • Daryl Tan, Wee Joo Chng, Takaaki Chou, Weerasak Nawarawong, Shang-Yi Hwang, Chor Sang Chim, Wenming Chen, Brian G M Durie, and Jae Hoon Lee.
    • Raffles Cancer Center, Raffles Hospital, Singapore, Singapore; Department of Haematology, Singapore General Hospital, Singapore, Singapore. Electronic address: tan_daryl@rafflesmedical.com.
    • Lancet Oncol.. 2013 Nov 1;14(12):e571-81.

    AbstractTreatment of multiple myeloma has undergone substantial developments in the past 10 years. The introduction of novel drugs has changed the treatment of the disease and substantially improved survival outcomes. Clinical practice guidelines based on evidence have been developed to provide recommendations on standard treatment approaches. However, the guidelines do not take into account resource limitations encountered by developing countries. The huge disparities in economy, health-care infrastructure, and access to novel drugs in Asian countries hinder the delivery of optimum care to every patient with multiple myeloma in Asia. In this Review we outline the guidelines that correspond with different levels of health-care resources and expertise, with the aim to unify diagnostic and therapeutic guidelines and help with the design of future studies in Asia.Copyright © 2013 Elsevier Ltd. All rights reserved.

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