Establishing and Validating a novel Prognostic Model in the Initial Diagnosis of Non-small Cell Lung Cancer with Bone Metastases
- Bin Li 1, Deying Su 2, Xiaoyan Wen 3, Miaomiao Jia 4, Ning Xue 4, Shulin Chen 2,5, Chaoju Lou 1
- Bin Li 1, Deying Su 2, Xiaoyan Wen 3
- 1Department of Orthopedics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, P. R. China.
- 2Research Center for Translational Medicine, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510006, P. R. China.
- 3Department of Central Sterile Supply, Guanghua School of Stomatology, Affiliated Stomatological Hospital, Guangdong Province Key Laboratory of Stomatology, Sun Yat-Sen University, Guangzhou 510055, P. R. China.
- 4Department of Clinical Laboratory, The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital, Zhengzhou Key Laboratory of Digestive System Tumor Marker Diagnosis, Zhengzhou 450008, P. R. China.
- 5State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-Sen University Cancer Center, Guangzhou 510060, P. R. China.
- 0Department of Orthopedics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, P. R. China.
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View abstract on PubMed
Summary
This summary is machine-generated.A new prognostic model accurately predicts outcomes for non-small cell lung cancer (NSCLC) patients with bone metastases, outperforming existing methods and aiding personalized treatment strategies.
Area Of Science
- Oncology
- Medical Statistics
Background
- Non-small cell lung cancer (NSCLC) with bone metastases presents a significant challenge in prognosis prediction.
- Accurate prognostic tools are crucial for guiding treatment decisions in these patients.
Purpose Of The Study
- To develop and validate a novel prognostic model for predicting survival in NSCLC patients with bone metastases.
- To compare the model's performance against the advanced lung cancer inflammation index (ALI).
Main Methods
- Retrospective analysis of 176 NSCLC patients with bone metastases.
- Utilized LASSO-Cox regression for indicator selection and prognostic model construction.
- Assessed model discriminative ability using ROC curves and C-index.
Main Results
- A 9-indicator prognostic model was established, demonstrating superior C-index values in both training (0.738) and validation (0.660) cohorts compared to ALI.
- The model achieved higher AUCs for 1-, 2-, and 3-year overall survival (OS) predictions than ALI.
- Risk stratification identified subgroups with significantly different cancer-specific mortality probabilities.
Conclusions
- The developed prognostic model offers precise prognostic information for NSCLC patients with bone metastases.
- Facilitates individualized treatment planning and improves clinical decision-making for this patient population.
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