TY - JOUR T1 - PRogression from precursor disease to multiple myeloma—reply AU - Landgren O, Waxman A, Korde N Y1 - 2011/03/16 N1 - 10.1001/jama.2011.302 JO - JAMA SP - 1094 EP - 1094 VL - 305 IS - 11 N2 - An important feature of the 2010 IMWG guidelines is the introduction of low-risk, intermediate-risk, and high-risk categories of MGUS and smoldering myeloma.1 These categories are based on standard clinical markers. While the prior 2003 guidelines recommended annual follow-up for all patients with MGUS,2 the 2010 guidelines suggest that low-risk MGUS patients (approximately 40% of all patients) with less than a 5% risk of progression at 20 years of follow-up should be assessed with serum protein electrophoresis at 6 months.1 If stable, they can be followed up every 2 to 3 years or when symptoms suggest plasma cell malignancy.1 SN - 0098-7484 M3 - doi: 10.1001/jama.2011.302 UR - http://dx.doi.org/10.1001/jama.2011.302 ER -