基于LASSO-Cox回归的变量查和模型构建,用于基于LASSO-Cox回归的低度质瘤的老年患者的预后:基于人口的队列研究
Xiaodong Niu1, Tao Chang1, Yuekang Zhang1
1Department of Neurosurgery, Neurosurgery Research Laboratory, and West China Glioma Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Frontiers in immunology
|September 26, 2024
概括
这项研究开发了使用LASSO-Cox回归来预测低度质瘤 (LGGs) 的老年患者的存活率的预后诺图. 这些工具有助于风险分层和个性化治疗策略,以获得更好的患者结果.
科学领域:
- 神经瘤学神经瘤学
- 老年医学 老年医学
- 生物统计学 生物统计学
背景情况:
- 低度质瘤 (LGGs) 在老年患者中构成重大挑战.
- 准确的预后因素对于在这个人口群体中有效管理和生存预测至关重要.
研究的目的:
- 确定老年LGG患者生存的独立预后因素.
- 开发和验证用于预测整体存活率 (OS) 和癌症特异性存活率 (CSS) 的预后性名录.
主要方法:
- 利用监测,流行病学和最终结果 (SEER) 数据库对2307名老年LGG患者的队列.
- 采用卡普兰-梅尔分析,考克斯回归和拉索-考克斯回归来进行变量选择和模型开发.
- 构建了预后名录和风险分层系统,使用2:1培训-验证分割进行验证.
主要成果:
- 拉索-考克斯回归确定了五个关键的预后因素:年龄,WHO等级,手术,放射治疗和化疗.
- 与完整的考克斯模型相比,LASSO模型表现出优越的预测性能.
- 开发的诺米图表显示出对1年,2年和5年的OS和CSS率具有良好的预测能力,具有有效的风险分层.
结论:
- 拉索-考克斯回归对于选择老年LGG患者的最佳预后因素是有效的.
- 预后性诺姆图为预测存活率和个性化治疗策略提供了实用的工具.
- 一个基于网络的动态名图增强了管理老年LGG患者的临床实用性.
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