影响晚期胃癌新辅助疗法后病理反应的因素
Yuanyuan Wang1, Xiaoxia Li1, Jing Huang1
1Department of Digestive System, The Fifth Hospital of Wuhan Wuhan 430050, Hubei, China.
American journal of translational research
|May 19, 2025
概括
瘤分化,CEA,瘤大小和cN阶段预测了晚期胃癌中新辅助疗法反应. 一种名ogram模型有效地预测病理结果,帮助临床决策.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 医学统计 医学统计
背景情况:
- 晚期胃癌 (AGC) 需要有效的新辅助疗法 (NT) 来改善结果.
- 预测对NT的病理反应对于定制治疗策略至关重要.
- 识别关键预测因素可以提高患者管理.
研究的目的:
- 确定影响AGC中NT病理反应的因素.
- 开发和验证病理反应的预测模型.
- 改善接受NT的AGC患者的临床决策.
主要方法:
- 从100名接受NT的AGC患者的临床数据的回顾性分析.
- 单变量和多变量逻辑回归以确定重要的预测因素.
- 使用ROC曲线,AUC,校准曲线和Hosmer-Lemeshow测试构建和验证一个名ogram预测模型.
主要成果:
- 22%的患者取得了良好的病理反应.
- 多变量分析确定了瘤分化,CEA,最长的瘤直径和cN阶段作为重要的预测因素.
- 诺莫格拉姆模型表现出良好的预测性能,AUC为0.884 (训练) 和0.861 (测试).
结论:
- 瘤分化,CEA,最大瘤直径和cN阶段是影响AGC中对NT的病理反应的关键因素.
- 开发的名ogram模型显示了强大的预测能力.
- 这种模型可以帮助临床医生预测治疗反应并优化患者护理.
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