Renal impairment is a very serious cause of multiple myeloma and can quickly become a medical emergency. Kidney failure is also one way that patients often first present with the disease. Addressing this issue, the International Myeloma Working Group (IMWG)has developed practical recommendations for the diagnosis and management of multiple myeloma-related renal impairment. The group based its recommendations on published data through December 2015, and they were created using the system developed by the Grading of Recommendation, Assessment, Development, and Evaluation Working Group. The recommendations for testing are quite technical and detailed, so if you are experiencing renal failure caused by multiple myeloma, we recommend that you print the article in its entirety and take it with you to your doctor to discuss details and how it affects you. The team segmented its recommendations it categories Grade A, B and C, which are included in the linked article, International Myeloma Working Group Recommendations for the Diagnosis and Management of Myeloma-Related Renal Impairment. They include (but are not segmented here for simplicity's sake:
about the author
Lizzy Smith was diagnosed with myeloma in 2012 at age 44. Within days, she left her job, ended her marriage, moved, and entered treatment. "To the extent I'm able, I want to prove that despite life's biggest challenges, it is possible to survive and come out stronger than ever," she says.