Table 1.

OS outcomes by receipt of treatment between White and Black patients with MM

Study (author, year)Study settingTreatmentBlack vs White HR (95% CI)Variables adjusted for
SCT 
Kaur et al20 (2021) Single center SCT + induction and systemic therapy 0.32 (0.07-1.37) Race, age, risk classification, gender, type and response to induction therapy, and transplant utilization 
Badar et al55 (2020) Multicenter SCT + induction/maintenance systemic therapy 0.53 (0.30-0.93) Age at transplant, time to transplant, maintenance therapy after transplant, stage at diagnosis, gender, SCT, and comorbidity index 
Ailawadhi et al78 (2020) Multicenter SCT + induction/maintenance and systemic therapy 0.56 (0.35-0.89) Age group, history of asymptomatic disease, amyloidosis, family history of other cancers, sex, calcium, hemoglobin, and calculated ISS stage 
Lupak et al79 (2021) Single center SCT + induction chemotherapy 0.66 (0.32-1.39) Cytogenetics, age at diagnosis, comorbidities, induction therapies, and income 
Scott et al74 (2016) Multicenter SCT + systemic therapy 1.7 (1.1-2.5) High-risk MM, race, ISS/Durie-Salmon stage III, pretransplant response, and planned posttransplant therapy 
No SCT 
Ailawadhi et al78 (2020) Multicenter Systemic therapy 0.86 (0.70-1.06) Cohort, age group, history of asymptomatic myeloma, history of amyloidosis, family history of other cancers, sex, calcium, hemoglobin, and calculated ISS stage 
Jayakrishnan et al80 (2021) Multicenter Systemic therapy 0.9 (0.87-0.93) Age, year of diagnosis, comorbidity, sex, lack of insurance or Medicaid insurance, income, facility center type (academic and community), and education 
Kaur et al20 (2021) Single center Systemic therapy 0.83 (0.42-1.75) Race, age, IMWG risk classification, gender, type and response to induction therapy, and SCT utilization 
Mixed treatment (SCT and/or systemic therapy) 
Kaur et al20 (2021) Single center Systemic therapy and transplant 0.83 (0.42-1.75) Race, age, IMWG risk classification, gender, type and response to induction therapy, and SCT utilization 
Fiala and Wildes8 (2017) Multicenter Systemic therapy and transplant 0.91 (0.85-0.97) Demographics (race, sex, year of diagnosis), treatment (SCT and bortezomib use), overall health measures, and potential access barriers 
   1.05 (0.99-1.12) Race, sex, year of diagnosis, and SCT and bortezomib use 
   1.12 (1.05-1.19) Race, sex, and year of diagnosis 
Fillmore et al81 (2018) Multicenter Systemic therapy and transplant 0.79 (0.72-0.87) Age, SCT, use of novel therapy, and disease stage 
Ailawadhi et al73 (2017) Multicenter Systemic therapy and transplant 1.11 (1.01-1.22) Age, sex, rurality, income, stage, and transplantation 
Makhani et al82 (2021) Multicenter Not reported 0.91 (0.85-0.98) Age, sex, ethnicity, marital status, and area of residence 
Costa et al83 (2016) Multicenter Not reported 1.01 (0.91-1.11) Age, sex, insurance, education, income, marital status, and demographic area 
Study (author, year)Study settingTreatmentBlack vs White HR (95% CI)Variables adjusted for
SCT 
Kaur et al20 (2021) Single center SCT + induction and systemic therapy 0.32 (0.07-1.37) Race, age, risk classification, gender, type and response to induction therapy, and transplant utilization 
Badar et al55 (2020) Multicenter SCT + induction/maintenance systemic therapy 0.53 (0.30-0.93) Age at transplant, time to transplant, maintenance therapy after transplant, stage at diagnosis, gender, SCT, and comorbidity index 
Ailawadhi et al78 (2020) Multicenter SCT + induction/maintenance and systemic therapy 0.56 (0.35-0.89) Age group, history of asymptomatic disease, amyloidosis, family history of other cancers, sex, calcium, hemoglobin, and calculated ISS stage 
Lupak et al79 (2021) Single center SCT + induction chemotherapy 0.66 (0.32-1.39) Cytogenetics, age at diagnosis, comorbidities, induction therapies, and income 
Scott et al74 (2016) Multicenter SCT + systemic therapy 1.7 (1.1-2.5) High-risk MM, race, ISS/Durie-Salmon stage III, pretransplant response, and planned posttransplant therapy 
No SCT 
Ailawadhi et al78 (2020) Multicenter Systemic therapy 0.86 (0.70-1.06) Cohort, age group, history of asymptomatic myeloma, history of amyloidosis, family history of other cancers, sex, calcium, hemoglobin, and calculated ISS stage 
Jayakrishnan et al80 (2021) Multicenter Systemic therapy 0.9 (0.87-0.93) Age, year of diagnosis, comorbidity, sex, lack of insurance or Medicaid insurance, income, facility center type (academic and community), and education 
Kaur et al20 (2021) Single center Systemic therapy 0.83 (0.42-1.75) Race, age, IMWG risk classification, gender, type and response to induction therapy, and SCT utilization 
Mixed treatment (SCT and/or systemic therapy) 
Kaur et al20 (2021) Single center Systemic therapy and transplant 0.83 (0.42-1.75) Race, age, IMWG risk classification, gender, type and response to induction therapy, and SCT utilization 
Fiala and Wildes8 (2017) Multicenter Systemic therapy and transplant 0.91 (0.85-0.97) Demographics (race, sex, year of diagnosis), treatment (SCT and bortezomib use), overall health measures, and potential access barriers 
   1.05 (0.99-1.12) Race, sex, year of diagnosis, and SCT and bortezomib use 
   1.12 (1.05-1.19) Race, sex, and year of diagnosis 
Fillmore et al81 (2018) Multicenter Systemic therapy and transplant 0.79 (0.72-0.87) Age, SCT, use of novel therapy, and disease stage 
Ailawadhi et al73 (2017) Multicenter Systemic therapy and transplant 1.11 (1.01-1.22) Age, sex, rurality, income, stage, and transplantation 
Makhani et al82 (2021) Multicenter Not reported 0.91 (0.85-0.98) Age, sex, ethnicity, marital status, and area of residence 
Costa et al83 (2016) Multicenter Not reported 1.01 (0.91-1.11) Age, sex, insurance, education, income, marital status, and demographic area 

IMWG, International Myeloma Working Group; ISS, International Staging System.

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