Male sex adversely impacts survival and myeloid malignancy risk in MGUS: a real-world population-based study
Monoclonal gammopathy of undetermined significance (MGUS) is a common plasma cell disorder with well described risks of progression to myeloma and lymphoplasmacytic lymphoma. Using data from an established UK population-based cohort of haematological malignancies and premalignancies, we investigated patient and disease characteristics, subsequent haematological malignancy, and survival in 4651 people diagnosed with MGUS 2005-2019. The 5-year net (relative) survival (disease-specific estimate of the probability of survival) of MGUS patients was 87.8% (95% Confidence Interval 85.9-89.7), with males (83.8%; 95% CI 81.0-86.6) more affected than females (92.2%; 95% CI 89.7-94.7). The proportion of subsequent haematological malignancies was also higher in males than females (8.8% versus 5.3%; P.
Authors
- Christopher Parrish (ORCID: https://orcid.org/0000-0001-9627-736X)
- S. Crouch
- A. Rawstron
- Debra Howell (ORCID: https://orcid.org/0000-0002-7521-7402)
- Timothy Bagguley (ORCID: https://orcid.org/0000-0002-6150-3467)
- Daniel Painter (ORCID: https://orcid.org/0000-0002-3936-7569)
- Reuben Tooze (ORCID: https://orcid.org/0000-0003-2915-7119)
- Russell Patmore (ORCID: https://orcid.org/0000-0002-0925-9014)
- Catherine Cargo (ORCID: https://orcid.org/0000-0002-5185-0190)
- Eve Roman
- Gordon Cook
- Frances Seymour
- Ruth De Tute
- Alexandra Smith
Institutions
- Castle Hill Hospital (GB)
- Yorkshire Cancer Research (GB)
- St James's University Hospital (GB)
- NIHR Research Delivery Network (GB)
- University of York (GB)
Publication Details
- Journal
- Haematologica
- Published
- 2026-01-29
- DOI
- https://doi.org/10.3324/haematol.2025.289200
- Primary Topic
- Multiple Myeloma Research and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Amgen
- Pfizer
- Sanofi
- Gilead Sciences
- Celgene
- Cancer Research UK
- National Institute for Health and Care Research
- Department of Health and Social Care
- Blood Cancer UK
- Leeds Biomedical Research Centre