Chen Si-Hai, Xie Chuan
Department of Gastroenterology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi Province, China.
Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
World J Gastroenterol. 2024 Dec 7;30(45):4850-4854. doi: 10.3748/wjg.v30.i45.4850.
In this letter, we explore into the potential role of the recent study by Zeng . Rectal neuroendocrine tumours (rNETs) are rare, originate from peptidergic neurons and neuroendocrine cells, and express corresponding markers. Although most rNETs patients have a favourable prognosis, the median survival period significantly decreases when high-risk factors, such as larger tumours, poorer differentiation, and lymph node metastasis exist, are present. Clinical prediction models play a vital role in guiding diagnosis and prognosis in health care, but their complex calculation formulae limit clinical use. Moreover, the prognostic models that have been developed for rNETs to date still have several limitations, such as insufficient sample sizes and the lack of external validation. A high-quality prognostic model for rNETs would guide treatment and follow-up, enabling the precise formulation of individual patient treatment and follow-up plans. The future development of models for rNETs should involve closer collaboration with statistical experts, which would allow the construction of clinical prediction models to be standardized and robust, accurate, and highly generalizable prediction models to be created, ultimately achieving the goal of precision medicine.
在这封信中,我们探讨了曾近期研究的潜在作用。直肠神经内分泌肿瘤(rNETs)较为罕见,起源于肽能神经元和神经内分泌细胞,并表达相应标志物。尽管大多数rNETs患者预后良好,但当存在较大肿瘤、分化较差和淋巴结转移等高风险因素时,中位生存期会显著缩短。临床预测模型在医疗保健的诊断和预后指导中起着至关重要的作用,但其复杂的计算公式限制了临床应用。此外,迄今为止针对rNETs开发的预后模型仍有一些局限性,如样本量不足和缺乏外部验证。一个高质量的rNETs预后模型将指导治疗和随访,从而能够精确制定个体患者的治疗和随访计划。rNETs模型的未来发展应与统计专家进行更紧密的合作,这将使临床预测模型的构建标准化且稳健,创建准确且具有高度通用性的预测模型,最终实现精准医疗的目标。