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Gamma Gap: A Point-of-Care Test That Correlates With Disease Burden and Treatment Response in Multiple Myeloma
Author(s) -
Megan Dupuis,
Barry Paul,
Gavin Loitsch,
Parker Mathews,
Daniel Feinberg,
Ian Barak,
Zhiguo Li,
Sascha A. Tuchman,
Yubin Kang
Publication year - 2020
Publication title -
jco oncology practice
Language(s) - English
Resource type - Journals
eISSN - 2688-1535
pISSN - 2688-1527
DOI - 10.1200/jop.19.00517
Subject(s) - multiple myeloma , medicine , point of care , chart , disease , retrospective cohort study , oncology , pathology , statistics , mathematics
PURPOSE: We performed a retrospective chart review on 393 patients with multiple myeloma (MM) to determine the utility of the gamma gap (GG).METHODS: We calculated the difference between a patient’s total serum protein and albumin as a point-of-care test for assessing disease status in MM.RESULTS: GG is highly correlated with the level of M-spike, and the change in GG correlates with myeloma treatment response. In addition, fitted linear models were established that allow for the calculation of M-protein level from the GG within hours from blood draw.CONCLUSION: Our study has important implications in the care of MM, particularly in countries/areas with limited resources.

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