开发和验证一种多变量诺米图,用于预测脏切除术后的功能
Patrick J Hensley1, Craig Labbate2, Andrew Zganjar3
1Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; Markey Cancer Center, University of Kentucky College of Medicine, Lexington, KY, USA.
European urology oncology
|February 2, 2024
概括
一个新的诺莫图谱预测了上道泌尿道癌 (UTUC) 手术后的功能. 该工具有助于确定UTUC患者的化疗资格,改善治疗决策.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 在瘤学瘤学.
背景情况:
- 对上路泌尿道癌 (UTUC) 的术后化疗的时间进行了讨论.
- 化学疗法的资格取决于激进脏切除术 (RNU) 后预测的功能.
研究的目的:
- 开发和验证一个多变量名谱,以预测RNU后估计的膜过率 (eGFR).
- 为UTUC患者提供一种工具,以协助化疗决策.
主要方法:
- 在1100名接受RNU.TUC患者的多机构回顾性研究中.
- 患者随机分配到发现 (n=733) 和验证 (n=367) 队列.
- 线性回归和逆向选择用于确定术后eGFR的预测因子.
主要成果:
- 预测EGFR下降的预测因素包括晚年,糖尿病和高血压.
- 良好的术后eGFR与较大的瘤大小和较高的术前eGFR相关.
- 诺米图预测了手术后的eGFR,在发现过程中准确率为80.5%,在验证队列中准确率为78.6%.
结论:
- 使用手术前临床变量验证的诺图可以预测RNU后的eGFR.
- 该工具可以帮助确定UTUC患者的基化疗资格.
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