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结直肠无蒂锯齿状病变风险列线图模型的构建与验证

Construction and validation of a risk nomogram model for colorectal sessile serrated lesions.

作者信息

Huang Sihui, Liu Shiyu, Tan Fang, Chen Hu, Chen Guangxia

机构信息

The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, China.

出版信息

J Int Med Res. 2025 May;53(5):3000605251337577. doi: 10.1177/03000605251337577. Epub 2025 May 13.

Abstract

ObjectiveThis study aimed to explore the risk factors for colorectal sessile serrated lesions and construct a risk nomogram model.MethodsPatients were enrolled retrospectively from the Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University from January 2019 to September 2023 and randomized to the training and validation sets at a ratio of 7:3. The predictors for constructing the nomogram model were screened via univariate analysis and multivariate logistic regression analysis. Subsequently, the performance of the model was evaluated.ResultsMultivariate logistic regression analysis revealed that age, history of smoking, history of alcohol consumption, and triglyceride-glucose index were independent risk factors for colorectal sessile serrated lesions ( < 0.05). The area under the curve values of the nomogram model in the training and validation sets were 0.715 (95% confidence interval: 0.676-0.753) and 0.742 (95% confidence interval: 0.669-0.815), respectively. The calibration curves showed good homogeneity between the predicted and actual values. Decision curve analysis showed that this nomogram model can achieve positive clinical benefits.ConclusionsAge, history of smoking, history of alcohol consumption, and triglyceride-glucose index are independent predictors of colorectal sessile serrated lesions. This nomogram model may predict the risk of colorectal sessile serrated lesions.

摘要

目的

本研究旨在探讨结直肠无蒂锯齿状病变的危险因素,并构建风险列线图模型。

方法

回顾性纳入2019年1月至2023年9月徐州医科大学附属徐州市立医院的患者,并按7:3的比例随机分为训练集和验证集。通过单因素分析和多因素逻辑回归分析筛选构建列线图模型的预测因素。随后,对模型的性能进行评估。

结果

多因素逻辑回归分析显示,年龄、吸烟史、饮酒史和甘油三酯-葡萄糖指数是结直肠无蒂锯齿状病变的独立危险因素(<0.05)。列线图模型在训练集和验证集的曲线下面积值分别为0.715(95%置信区间:0.676-0.753)和0.742(95%置信区间:0.669-0.815)。校准曲线显示预测值与实际值之间具有良好的同质性。决策曲线分析表明,该列线图模型可实现积极的临床效益。

结论

年龄、吸烟史、饮酒史和甘油三酯-葡萄糖指数是结直肠无蒂锯齿状病变的独立预测因素。该列线图模型可能预测结直肠无蒂锯齿状病变的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c339/12075987/7d9300311001/10.1177_03000605251337577-fig1.jpg

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