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  4. Oncology And Carcinogenesis
  5. Predictive And Prognostic Markers
  6. Novel Decision Tree Models Predict The Overall Survival Of Patients With Submandibular Gland Cancer

Novel decision tree models predict the overall survival of patients with submandibular gland cancer

Shan-Shan Yang1, Xiong-Gang Yang2, Xiao-Hua Hu3

  • 1Hospital/School of Stomatology, Zunyi Medical University, No. 89, Wujiang East Road, Xinpu New District, Zunyi City, Guizhou Province, 563000, China.

Clinical Oral Investigations
|June 25, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

This study developed decision tree models to predict overall survival (OS) in submandibular gland cancer (SGC) patients. The models accurately identify key prognostic factors, aiding personalized treatment strategies for SGC survival.

Area of Science:

  • Oncology
  • Medical Informatics
  • Cancer Research

Background:

  • Accurate prediction of overall survival (OS) in submandibular gland cancer (SGC) is crucial for treatment planning.
  • The rarity of SGC cases presents challenges in developing reliable survival prediction models.

Purpose of the Study:

  • To identify key prognostic factors for OS in SGC patients using a large database.
  • To construct decision tree models for predicting OS probabilities at 12, 24, 60, and 120 months.

Main Methods:

  • Retrospective cohort study utilizing the Surveillance, Epidemiology and End Result (SEER) program.
  • Development of dichotomous decision tree models using the C5.0 algorithm, limited to 4 layers.
  • Evaluation of model performance using receiver operator characteristic (ROC) curves, accuracy rates, and area under the ROC curve (AUC).
Keywords:
Decision tree modelOverall survivalPredictionSEER database

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Main Results:

  • A total of 1,705 to 1,413 SGC patients were analyzed for survival at different time points.
  • Key prognostic factors influencing OS include age, sex, surgery, radiation, chemotherapy, tumor histology, summary stage, distant lymph node metastasis, and marital status.
  • Decision tree models demonstrated favorable consistency between predicted and actual survival statuses, with accuracy rates ranging from 0.737 to 0.866 and AUC values from 0.725 to 0.841.

Conclusions:

  • Decision tree models were successfully established to predict OS in SGC patients based on significant prognostic variables from the SEER database.
  • These models provide a comprehensive assessment of mortality risk.
  • The developed models have the potential to facilitate more personalized treatment strategies for SGC.
Submandibular gland cancer