患者的生存分析和临床病理特征IA阶段的肺腺癌
Jiahao Li1, Yadong Wang1, Yong Liu1
1Institute of Oncology, Shandong Provincial Hospital, Shandong University, Jinan, PR China.
Heliyon
|January 3, 2024
概括
这项研究确定了12个预后因素,包括诊断到治疗间隔和收入水平,用于早期肺腺癌 (LUAD). 一种新型的诺米图准确地预测了IA阶段的LUAD患者的整体存活率 (OS).
科学领域:
- 在瘤学瘤学.
- 医学统计 医学统计
- 公共卫生 公共卫生
背景情况:
- 由于医学进步和生活方式的改变,早期肺腺癌 (LUAD) 越来越常见.
- 确定IA阶段LUAD的预后因素对于患者管理至关重要.
研究的目的:
- 在IA阶段的LUAD患者中系统地分析与整体存活 (OS) 相关的临床病理因素.
- 开发和验证用于预测这个患者群体的OS的诺米克图.
主要方法:
- 利用来自SEER数据库的5942名IA阶段LUAD患者的数据.
- 采用卡普兰-梅尔方法,日志等级测试和考克斯回归分析.
- 通过使用C指数,校准曲线,DCA和AUC验证了一个名谱,并从136名患者获得外部验证.
主要成果:
- 确定了12个独立的预后因素,包括诊断到治疗间隔 (DTI) 和收入水平.
- 在训练,内部和外部验证队列中,名图显示出强大的预测准确性,C指数为0.702,0.724和0.872.
- 证实DTI和收入水平是IA阶段LUAD的新预后因素,T1子组的影响各不相同.
结论:
- 开发了一种包含12个预后因素的诺莫图,用于预测手术IA阶段LUAD患者的OS.
- 诊断到治疗间隔 (DTI) 和收入水平是新发现的,对于阶段IA LUAD的生存相关的重要因素.
关键词:
在 DTI 中,DTI 是指DTI.收入水平 收入水平肺部腺癌瘤是肺部腺癌.这个名字是名ogramogram.塞尔·塞尔 (Seer) 是一个看得见的人.阶段 IA 阶段 IA.幸存的生存方式更多相关视频
06:03Orthotopic Transplantation of Syngeneic Lung Adenocarcinoma Cells to Study PD-L1 Expression
Published on: January 19, 2019
17.0K
04:04Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
10.5K
相关概念视频
Cancer Survival Analysis
355
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
355
Comparing the Survival Analysis of Two or More Groups
195
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
195
Actuarial Approach
79
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
79
Assumptions of Survival Analysis
133
Survival models analyze the time until one or more events occur, such as death in biological organisms or failure in mechanical systems. These models are widely used across fields like medicine, biology, engineering, and public health to study time-to-event phenomena. To ensure accurate results, survival analysis relies on key assumptions and careful study design.
133
Kaplan-Meier Approach
148
The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
148
