基于SIRI的诺姆图,用于预测非转移性清细胞癌患者的术后生存结果
Baochao Zhang1, Wenming Ren2, Tao Yang2
1Department of Urology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, 2310000, China.
BMC surgery
|December 24, 2025
概括
术前系统性炎症反应指数 (SIRI) 的升高预测非转移性清细胞癌 (ccRCC) 患者的生存率较差. 开发的整合SIRI的诺姆图提供了对整体生存,癌症特异性生存和无转移生存的更好的预后准确性.
科学领域:
- 在瘤学瘤学.
- 细胞癌研究 细胞癌研究
- 炎症生物标志物 炎症生物标志物
背景情况:
- 清细胞细胞癌 (ccRCC) 是一个重大的健康问题.
- 准确的预后工具对于管理非转移性ccRCC至关重要.
- 系统性炎症在ccRCC预后中的作用需要进一步研究.
研究的目的:
- 评估手术前系统性炎症反应指数 (SIRI) 在非转移性ccRCC中的预后值.
- 开发和验证总生存率 (OS),癌症特异性生存率 (CSS) 和无转移生存率 (MFS) 的预测模型.
主要方法:
- 对231名非转移性ccRCC患者的回顾性分析.
- 通过ROC分析确定最佳的SIRI截止点.
- 拉索和多变量考克斯回归确定了预测因素.
- 使用C指数,校准图表和DCA.构建和验证的名图.
主要成果:
- 较高的SIRI (>1.405) 独立地预测了更糟糕的OS,CSS和MFS.
- 开发的整合SIRI的诺姆图表显示出卓越的预测性能.
- 在准确性方面,名图表的性能优于已有的SSIGN和UISS模型.
结论:
- 治疗前SIRI是非转移性ccRCC中生存结果的重要独立预测因子.
- 结合SIRI的新型名ograms提供了宝贵的预后评估工具.
- 这些名图可以帮助为ccRCC患者提供个性化的管理策略.
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