预测患有男性乳腺癌的患者的整体存活率:诺莫格拉姆开发和外部验证研究
Wen-Zhen Tang1, Shu-Tian Mo1, Yuan-Xi Xie2
1Department of Hepatobiliary Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
JMIR cancer
|March 4, 2025
概括
这项研究开发了一种名谱,用于预测男性乳腺癌 (MBC) 患者的整体存活率. 该模型准确地识别了风险亚组,改善了这种罕见疾病的临床决策.
科学领域:
- 在瘤学瘤学.
- 癌症预后 癌症预后
- 流行病学 流行病学
背景情况:
- 男性乳腺癌 (MBC) 是一种罕见的恶性瘤,预后研究有限.
- 了解MBC预后至关重要,因为它很少发生.
研究的目的:
- 开发和外部验证用于预测男性乳腺癌患者整体存活率的诺米克图.
- 为改善MBC管理中的临床决策提供一个工具.
主要方法:
- 利用监测,流行病学和最终结果 (SEER) 数据库进行模型开发和内部验证.
- 采用考克斯回归分析来确定重要的预后变量.
- 外部验证使用来自中国医院队列的数据进行名图.
主要成果:
- 构建了一个包含7个变量 (年龄,手术,婚姻状况,瘤阶段,临床阶段,化疗,HER2状态) 的名图.
- 命名图表表现出高准确度,一致性指数为0.72 (训练),0.747 (内部验证) 和0.981 (外部验证).
- 该模型有效区分风险小组,显示低风险MBC患者的生存率明显更好.
结论:
- 已经开发了一种用于男性乳腺癌生存率预测的经过验证的诺姆图.
- 该工具为MBC的临床诊断和治疗策略提供了科学基础.
- 诺米图有助于对患者进行分层,并指导个性化护理,以获得更好的结果.
相关概念视频
Cancer Survival Analysis
319
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...
319
Kaplan-Meier Approach
75
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,...
75
Comparing the Survival Analysis of Two or More Groups
117
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...
117
Actuarial Approach
53
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,...
53


