Panelists discuss how quality of life (QOL) and treatment convenience should be balanced with maximal depth of response through personalized therapy approaches, emphasizing the importance of multidisciplinary care teams and the flexibility to adapt treatment regimens based on individual patient preferences and circumstances.
Quality of life and treatment convenience are increasingly important factors in multiple myeloma treatment decisions, particularly for transplant-ineligible patients requiring long-term therapy. The balance between maximal treatment intensity and patient preferences requires individualized discussions about treatment goals, frequency of clinic visits, and acceptable adverse effect profiles. Modern treatment options provide flexibility to adapt regimens based on patient priorities while maintaining therapeutic efficacy.
Treatment personalization involves adjusting dosing schedules, such as transitioning from twice-weekly to once-weekly proteasome inhibitor administration and considering subcutaneous formulations to reduce clinic visit frequency. The availability of multiple effective treatment options allows clinicians to tailor therapy to individual patient circumstances, including mobility limitations, transportation challenges, and personal preferences regarding treatment intensity vs convenience.
Multidisciplinary support including cardio-oncology consultation enables treatment of patients previously considered ineligible for intensive therapy due to comorbidities. The discussion highlights successful treatment of patients with significant cardiac dysfunction through specialized supportive care and monitoring. This comprehensive approach expands treatment options for complex patients while maintaining safety and efficacy standards. The emphasis on team-based care demonstrates how specialized resources can optimize outcomes for challenging patient populations.