基于适应性拉索和考克斯回归的食道癌症风险建模
Xiaoli Li1, Gaoyong Han2, Yudan Yang1
1Department of Oncology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Frontiers in oncology
|August 18, 2025
概括
国际正常化比率 (INR) 是食道癌患者手术后生存的关键预测指标. 较高的INR水平与更好的长期结果相关,有助于个性化治疗策略.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 生物标志物发现发现
背景情况:
- 食道癌 (EC) 具有侵略性,高水平的营养不良影响患者的生存率.
- 准确的诊断和风险评估对于改善EC患者的生存率至关重要.
研究的目的:
- 开发一个风险评估模型,用于手术后的EC患者.
- 为了确定影响食道切除术后生存的显著预后因素.
主要方法:
- 使用自适应拉索用于变量选择和考克斯比例危险回归.
- 用户接收器运行特征 (ROC) 曲线分析.
- 评估了经过食道切除术的患者的临床数据.
主要成果:
- 国际规范化比率 (INR) 被确定为最重要的生存预测指标.
- 升高的INR水平与改善的3年和5年生存结果有关.
- 较高的INR与EC中更好的分化,透和节点状态相关.
结论:
- INR是EC患者术后生存的有价值和独立的预后生物标志物.
- 将INR纳入风险模型可以提高预后准确性,并指导个性化治疗.
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