Non-intensive first line treatment

This section provides information about the drugs and the combinations most commonly used for older/and or less fit newly diagnosed patients. As highlighted above, assessing fitness and frailty can help determine whether a patient is fit enough for intensive investigations regardless of age, as well as how their disease and treatment is affecting their overall health and functioning. The most commonly used in myeloma include the Rockwood Clinical Frailty Score (CFS) and the IMWG International Myeloma Working Group Myeloma Frailty Score calculator. Nurses should consider how they could be introduced into a patient’s clinic appointments, such as being completed in the waiting room.