GP Myeloma Diagnostic Tool (for Scotland)

Early diagnosis of myeloma relies on primary care clinicians being able to accurately suspect, test and refer patients with suspected myeloma. It is important that GPs are able to distinguish those patients that require urgent investigation in secondary care versus those that likely have lower risk MGUS and so can be monitored in primary care or via discussion with a haematologist.

We recognise that GPs may not always receive clear instructions with results of initial myeloma tests. Here we present the Scottish version of the GP myeloma investigation tool which aims to summarise:

1. The signs and symptoms of myeloma
2. The tests that should be requested for suspected myeloma and confident interpretation of the laboratory results
3. Guidance on when and how urgently to refer (Note: we have used NICE terminology and are aware of regional variations)

This GP Myeloma Diagnostic Tool was developed in collaboration with the Scottish Primary Care Cancer group and haematologists in Scotland.