Prediction of overall survival in pancreatic cancer based on a twenty-four-gene risk model associated with lymph node metastasi
- Junwei Fang 1, Meiping Wang 1, Yi Gao 2, Yafeng Qi 1, Weixuan Hong 1, Chunhong Xiao 1
- Junwei Fang 1, Meiping Wang 1, Yi Gao 2
- 1Department of General Surgery, 900th Hospital of Joint Logistics Support Force of People's Liberation Army, Fuzhou, China.
- 2Fujian University of Traditional Chinese, Fuzhou, China.
- 0Department of General Surgery, 900th Hospital of Joint Logistics Support Force of People's Liberation Army, Fuzhou, China.
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View abstract on PubMed
Summary
This summary is machine-generated.A novel 24-gene risk score effectively predicts pancreatic adenocarcinoma (PAAD) patient survival. This tool stratifies patients into low- and high-risk groups, aiding clinical prognosis and treatment decisions for this deadly cancer.
Area Of Science
- Oncology
- Genomics
- Biostatistics
Background
- Pancreatic adenocarcinoma (PAAD) is a significant cause of cancer mortality.
- Accurate prediction of overall survival is critical for PAAD patient management.
- Identifying robust prognostic biomarkers is essential for improving patient outcomes.
Purpose Of The Study
- To develop and validate a gene-based risk score for predicting PAAD patient prognosis.
- To assess the accuracy of the risk score in stratifying patients into different survival risk groups.
- To identify independent prognostic factors for PAAD.
Main Methods
- Construction and validation of a 24-gene risk score model.
- Survival analysis using Kaplan-Meier curves on independent patient cohorts (GEO datasets).
- Multivariate Cox regression analysis to identify independent risk factors and assess model performance using AUC values.
Main Results
- The 24-gene risk score accurately stratified PAAD patients into low- and high-risk groups with significant survival differences (P < .01).
- The risk score demonstrated high prognostic accuracy: 1-year AUC 0.81, 2-year AUC 0.85, 3-year AUC 0.92.
- N stage and the 24-gene risk score were identified as independent prognostic factors. A nomogram incorporating these factors showed good performance (AUCs 0.76-0.86).
Conclusions
- A validated 24-gene risk score serves as a powerful tool for predicting PAAD patient prognosis.
- The developed risk score and nomogram can assist clinicians in personalized risk assessment and treatment planning for PAAD.
- This study provides a valuable genomic biomarker for improving the clinical management of pancreatic cancer.
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