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构建黏液性乳腺癌患者预后列线图模型。

Construction of a Prognostic Nomogram Model for Patients with Mucinous Breast Cancer.

机构信息

Department of Surgical Oncology, Shaanxi Provincial People's Hospital, Xian 710068, China.

School of Life Science and Technology, Xi'an Jiaotong University, Xi'an 710049, China.

出版信息

J Healthc Eng. 2022 Mar 23;2022:1230812. doi: 10.1155/2022/1230812. eCollection 2022.

Abstract

OBJECTIVE

The objective of the study is to develop a nomogram for estimating three- and five-year survival rates in mucinous breast cancer patients.

METHODS

Between 2010 and 2016, the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) were searched as a data source for patients associated with mucinous breast cancer (MBC). A total of 3964 patients were recruited after screening. The multivariate Cox model and the univariate Kaplan-Meier (KM) approach were employed to evaluate the independent prognostic markers, followed by developing a nomogram for estimating three- and five-year survival rates in MBC patients. Consequently, the consistency index (C-index) was employed to assess the predictive accuracy of the generated nomogram.

RESULTS

Age, race, T stage, M stage, surgery, and radiotherapy were all independent predictive biomarkers for the MBC patients ( < 0.05). The nomogram was finally developed based on the underlined factors. Furthermore, the C-index of 0.803 and reliable calibration curves were obtained in the nomogram's assessment.

CONCLUSIONS

In patients with mucinous breast cancer, the proposed nomogram provides a viable tool for accurate prognostic prediction. In clinical practice, it could serve as a personalized diagnosis tool, estimate prognosis, and help in suggesting treatment plans for patients with MBC.

摘要

目的

本研究旨在建立一个列线图,用于估计黏液性乳腺癌患者的三年和五年生存率。

方法

2010 年至 2016 年,国家癌症研究所的监测、流行病学和最终结果(SEER)被用作黏液性乳腺癌(MBC)相关患者的数据源进行检索。经过筛选后,共招募了 3964 名患者。采用多变量 Cox 模型和单变量 Kaplan-Meier(KM)方法评估独立预后标志物,然后为 MBC 患者建立估计三年和五年生存率的列线图。随后,采用一致性指数(C 指数)评估所生成列线图的预测准确性。

结果

年龄、种族、T 分期、M 分期、手术和放疗均为 MBC 患者的独立预测生物标志物(<0.05)。最终基于下划线因素建立了列线图。此外,该列线图的评估中获得了 0.803 的 C 指数和可靠的校准曲线。

结论

在黏液性乳腺癌患者中,所提出的列线图为准确的预后预测提供了一种可行的工具。在临床实践中,它可以作为一种个性化的诊断工具,用于估计预后,并有助于为 MBC 患者提供治疗方案建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37da/8967531/c983995b14c4/JHE2022-1230812.001.jpg

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