Nomograms for Predicting Cancer-Specific and Overall Survival Among Patients With Endometrial Carcinoma: A SEER Based Study

This study aimed to develop a detailed survival prognostication tool based on various clinical indicators of patients because of the lack of comprehensive prognostic tool. Data regarding 63,729 patients with endometrial carcinoma were extracted from the SEER database between 1988 and 2015. Univariat...

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Published inFrontiers in oncology Vol. 10; p. 269
Main Authors Zhu, Lingping, Sun, Xiaoming, Bai, Wenpei
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LanguageEnglish
Published Switzerland Frontiers Media S.A 19.03.2020
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Abstract This study aimed to develop a detailed survival prognostication tool based on various clinical indicators of patients because of the lack of comprehensive prognostic tool. Data regarding 63,729 patients with endometrial carcinoma were extracted from the SEER database between 1988 and 2015. Univariate and multivariate Cox regression analyses were used to screen for meaningful independent prognostic factors. These factors were used to construct a nomogram model, a survival prognostication tool for 3- and 5-year tumor-specific survival and overall survival among patients with endometrial carcinoma. A total of 63,729 patients were randomly assigned to the training group ( = 42,486) and the test group ( = 21,243). Age, race, year of diagnosis, histologic grade, clinical stage, and tumor size were assessed as predictors of cancer-specific survival (CSS) and univariate and multivariate Cox regression analyses were used to identify independent prognostic factors ( < 0.05). Finally, a nomogram was constructed, the predicted C-indices for cancer-specific survival and overall survival training groups were 0.859 (95% confidence interval 0.847-0.871) and 0.782 (95% confidence interval 0.772-0.792). Nomograms constructed using various clinical indicators can provide better and more accurate predictions for patients with endometrial carcinoma. Those nomograms could help identify patients with high-risk endometrial carcinoma.
AbstractList Background: This study aimed to develop a detailed survival prognostication tool based on various clinical indicators of patients because of the lack of comprehensive prognostic tool.Methods: Data regarding 63,729 patients with endometrial carcinoma were extracted from the SEER database between 1988 and 2015. Univariate and multivariate Cox regression analyses were used to screen for meaningful independent prognostic factors. These factors were used to construct a nomogram model, a survival prognostication tool for 3- and 5-year tumor-specific survival and overall survival among patients with endometrial carcinoma.Results: A total of 63,729 patients were randomly assigned to the training group (n = 42,486) and the test group (n = 21,243). Age, race, year of diagnosis, histologic grade, clinical stage, and tumor size were assessed as predictors of cancer-specific survival (CSS) and univariate and multivariate Cox regression analyses were used to identify independent prognostic factors (P < 0.05). Finally, a nomogram was constructed, the predicted C-indices for cancer-specific survival and overall survival training groups were 0.859 (95% confidence interval 0.847–0.871) and 0.782 (95% confidence interval 0.772–0.792).Conclusions: Nomograms constructed using various clinical indicators can provide better and more accurate predictions for patients with endometrial carcinoma. Those nomograms could help identify patients with high-risk endometrial carcinoma.
Background: This study aimed to develop a detailed survival prognostication tool based on various clinical indicators of patients because of the lack of comprehensive prognostic tool. Methods: Data regarding 63,729 patients with endometrial carcinoma were extracted from the SEER database between 1988 and 2015. Univariate and multivariate Cox regression analyses were used to screen for meaningful independent prognostic factors. These factors were used to construct a nomogram model, a survival prognostication tool for 3- and 5-year tumor-specific survival and overall survival among patients with endometrial carcinoma. Results: A total of 63,729 patients were randomly assigned to the training group ( n = 42,486) and the test group ( n = 21,243). Age, race, year of diagnosis, histologic grade, clinical stage, and tumor size were assessed as predictors of cancer-specific survival (CSS) and univariate and multivariate Cox regression analyses were used to identify independent prognostic factors ( P < 0.05). Finally, a nomogram was constructed, the predicted C-indices for cancer-specific survival and overall survival training groups were 0.859 (95% confidence interval 0.847–0.871) and 0.782 (95% confidence interval 0.772–0.792). Conclusions: Nomograms constructed using various clinical indicators can provide better and more accurate predictions for patients with endometrial carcinoma. Those nomograms could help identify patients with high-risk endometrial carcinoma.
Background: This study aimed to develop a detailed survival prognostication tool based on various clinical indicators of patients because of the lack of comprehensive prognostic tool. Methods: Data regarding 63,729 patients with endometrial carcinoma were extracted from the SEER database between 1988 and 2015. Univariate and multivariate Cox regression analyses were used to screen for meaningful independent prognostic factors. These factors were used to construct a nomogram model, a survival prognostication tool for 3- and 5-year tumor-specific survival and overall survival among patients with endometrial carcinoma. Results: A total of 63,729 patients were randomly assigned to the training group (n = 42,486) and the test group (n = 21,243). Age, race, year of diagnosis, histologic grade, clinical stage, and tumor size were assessed as predictors of cancer-specific survival (CSS) and univariate and multivariate Cox regression analyses were used to identify independent prognostic factors (P < 0.05). Finally, a nomogram was constructed, the predicted C-indices for cancer-specific survival and overall survival training groups were 0.859 (95% confidence interval 0.847-0.871) and 0.782 (95% confidence interval 0.772-0.792). Conclusions: Nomograms constructed using various clinical indicators can provide better and more accurate predictions for patients with endometrial carcinoma. Those nomograms could help identify patients with high-risk endometrial carcinoma.Background: This study aimed to develop a detailed survival prognostication tool based on various clinical indicators of patients because of the lack of comprehensive prognostic tool. Methods: Data regarding 63,729 patients with endometrial carcinoma were extracted from the SEER database between 1988 and 2015. Univariate and multivariate Cox regression analyses were used to screen for meaningful independent prognostic factors. These factors were used to construct a nomogram model, a survival prognostication tool for 3- and 5-year tumor-specific survival and overall survival among patients with endometrial carcinoma. Results: A total of 63,729 patients were randomly assigned to the training group (n = 42,486) and the test group (n = 21,243). Age, race, year of diagnosis, histologic grade, clinical stage, and tumor size were assessed as predictors of cancer-specific survival (CSS) and univariate and multivariate Cox regression analyses were used to identify independent prognostic factors (P < 0.05). Finally, a nomogram was constructed, the predicted C-indices for cancer-specific survival and overall survival training groups were 0.859 (95% confidence interval 0.847-0.871) and 0.782 (95% confidence interval 0.772-0.792). Conclusions: Nomograms constructed using various clinical indicators can provide better and more accurate predictions for patients with endometrial carcinoma. Those nomograms could help identify patients with high-risk endometrial carcinoma.
This study aimed to develop a detailed survival prognostication tool based on various clinical indicators of patients because of the lack of comprehensive prognostic tool. Data regarding 63,729 patients with endometrial carcinoma were extracted from the SEER database between 1988 and 2015. Univariate and multivariate Cox regression analyses were used to screen for meaningful independent prognostic factors. These factors were used to construct a nomogram model, a survival prognostication tool for 3- and 5-year tumor-specific survival and overall survival among patients with endometrial carcinoma. A total of 63,729 patients were randomly assigned to the training group ( = 42,486) and the test group ( = 21,243). Age, race, year of diagnosis, histologic grade, clinical stage, and tumor size were assessed as predictors of cancer-specific survival (CSS) and univariate and multivariate Cox regression analyses were used to identify independent prognostic factors ( < 0.05). Finally, a nomogram was constructed, the predicted C-indices for cancer-specific survival and overall survival training groups were 0.859 (95% confidence interval 0.847-0.871) and 0.782 (95% confidence interval 0.772-0.792). Nomograms constructed using various clinical indicators can provide better and more accurate predictions for patients with endometrial carcinoma. Those nomograms could help identify patients with high-risk endometrial carcinoma.
Author Zhu, Lingping
Sun, Xiaoming
Bai, Wenpei
AuthorAffiliation 1 Department of General Practice, Zhongshan Hospital, Fudan University , Shanghai , China
2 Health Development Research Centre of Pudong Institute for Health Development , Pudong , China
3 Department of Gynecology, Beijing Shijitan Hospital , Beijing , China
AuthorAffiliation_xml – name: 1 Department of General Practice, Zhongshan Hospital, Fudan University , Shanghai , China
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Keywords overall survival
cancer-specific survival
endometrial carcinoma
medical technology progress
nomograms
Language English
License Copyright © 2020 Zhu, Sun and Bai.
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Edited by: Assia Konsoulova, Complex Oncological Center, Bulgaria
This article was submitted to Women's Cancer, a section of the journal Frontiers in Oncology
Reviewed by: Angel Danchev Yordanov, Medical University Pleven, Bulgaria; Simona Ruxandra Volovat, Grigore T. Popa University of Medicine and Pharmacy, Romania
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Background: This study aimed to develop a detailed survival prognostication tool based on various clinical indicators of patients because of the lack of...
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SubjectTerms cancer-specific survival
endometrial carcinoma
medical technology progress
nomograms
Oncology
overall survival
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Title Nomograms for Predicting Cancer-Specific and Overall Survival Among Patients With Endometrial Carcinoma: A SEER Based Study
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