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Correspondence
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Volume 335:1844-1845 December 12, 1996 Number 24
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High-Dose Chemotherapy in Multiple Myeloma

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 by Attal, M.
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To the Editor: Attal et al. (July 11 issue)1 state that their trial "demonstrates that high-dose therapy improves both event-free and overall survival" in patients with multiple myeloma, but that conclusion is not supported by their data. Although the unadjusted difference in overall survival between the patients receiving high-dose chemotherapy (some of whom also underwent autologous bone marrow transplantation) and those receiving conventional chemotherapy was associated with a P value of 0.03, multivariate analysis revealed that "overall survival was related only to the level of beta2-microglobulin (P<0.001)." This discrepancy between unadjusted and adjusted results indicates that there was substantial . . . [Full Text of this Article]

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