诺米图预测三阴性乳腺癌的老年妇女的生存率:一个基于SEER人口的SEER研究
Ruigang Feng1,2,3,4,5, Wenwen Huang1,2,3,4,6, Bowen Liu1,2,3,4
1The First Department of Breast Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, China.
概括
这项研究开发了一种名谱,用于预测三阴性乳腺癌 (TNBC) 患者的生存率. 该模型准确预测整体存活率和乳腺癌特异性存活率,性能优于TNM分期系统.
科学领域:
- 在瘤学瘤学.
- 生物统计学 生物统计学
- 癌症流行病学 癌症流行病学
背景情况:
- 对老年乳腺癌患者的有效治疗仍然是一个挑战.
- 三重阴性乳腺癌 (TNBC) 存在独特的治疗困难.
- 准确的预后模型对于指导TNBC患者管理至关重要.
研究的目的:
- 开发一种名谱来预测三阴性乳腺癌 (TNBC) 患者的整体生存期 (OS).
- 为TNBC建立一个可靠的生存风险预测模型.
- 确定影响TNBC患者结果的关键预后因素.
主要方法:
- 利用来自SEER数据库 (2010-2015) 的5317名TNBC患者 (ER-, PR-, HER2-) 的数据.
- 采用单变量和多变量考克斯回归分析来确定预后因素.
- 使用培训和验证队列构建并验证了一个名录,通过C指数,校准曲线,AUC和DCA评估性能.
主要成果:
- 在训练组中,Nomograms表现出强大的预测性能,C指数为0.797 (OS) 和0.825 (BCSS),在验证组中为0.795 (OS) 和0.818 (BCSS).
- 与TNM分期系统相比,该名图显示出更高的灵敏度.
- 决策曲线分析证实了名图的临床实用性和适用性.
结论:
- 该研究为TNBC患者的临床特征和预后因素提供了宝贵的基于人口的见解.
- 一个可靠和准确的TNBC预后野图已经成功构建.
- 这个名图可以帮助临床医生预测生存结果,并优化TNBC的治疗策略.
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