Development and validation of nomograms to forecast overall survival and cancer-specific survival in Asian patients diagnosed with epithelial ovarian cancer.

IF 1.6 4区 医学 Q2 SURGERY
Frontiers in Surgery Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1443605
Hao He, Xin Cheng, Mengna Zhao, Shimeng Wan, Shijie Yao, Hongbing Cai
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引用次数: 0

Abstract

Objective: Asian females with ovarian cancer have different clinicopathological characteristics compared with other races. However, an effective prognostic prediction tool is lacking. The goal of our study was to develop and evaluate nomograms for estimating overall survival and cancer-specific survival in Asian patients with ovarian cancer.

Methods: We extracted data from 2010 to 2018 in the Surveillance, Epidemiology, and End Results database, focusing on Asian/Pacific Islander females that had been diagnosed with epithelial ovarian cancer. To find prognostic factors, least absolute shrinkage and selection operator Cox regression and multivariate Cox regression analyses were used. Based on the outcomes, nomograms were then constructed. Numerous techniques, such as the C-index, calibration plots, decision curve analysis, and risk subgroup stratification, were used to assess the performance of the nomograms.

Results: Nomograms were created to evaluate overall survival and cancer-specific survival rates over three and five years. The C-indices for overall survival and cancer-specific survival in the training cohort were 0.768 and 0.778, respectively. The C-indices for overall survival and cancer-specific survival in the validation cohort were 0.804 and 0.812, respectively. The calibration plots showed that the nomogram forecasts and actual survival results agreed. Additionally, the decision curve analysis curves indicated that the nomogram outperformed the American Joint Commission on Cancer staging system in terms of predictive accuracy.

Conclusion: Nomograms and a risk classification system were created to forecast the overall survival and cancer-specific survival of Asian females with ovarian cancer. The nomograms and risk stratification system have the potential to provide valuable assistance in making future clinical decisions.

开发和验证用于预测亚洲上皮性卵巢癌患者总生存期和癌症特异性生存期的形态图。
目的:亚洲女性卵巢癌的临床病理特征与其他种族不同。然而,缺乏有效的预后预测工具。本研究的目的是开发和评估用于估计亚洲卵巢癌患者总生存率和癌症特异性生存率的nomogram。方法:我们从监测、流行病学和最终结果数据库中提取2010年至2018年的数据,重点关注被诊断患有上皮性卵巢癌的亚洲/太平洋岛民女性。为了寻找预后因素,使用最小绝对收缩和选择算子Cox回归和多变量Cox回归分析。然后,根据结果构建nomogram。许多技术,如c指数、校准图、决策曲线分析和风险亚组分层,被用来评估nomographic的性能。结果:创建nomogram来评估3年和5年的总生存率和癌症特异性生存率。培训队列总生存期和癌症特异性生存期的c指数分别为0.768和0.778。验证队列中总生存期和癌症特异性生存期的c指数分别为0.804和0.812。校正图显示nomogram预测结果与实际存活结果一致。此外,决策曲线分析曲线表明,nomogram预测准确率优于美国癌症分期联合委员会(American Joint Commission on Cancer分期system)。结论:建立了一种预测亚洲女性卵巢癌总生存期和肿瘤特异性生存期的nomogram和risk classification system。图和风险分层系统有可能为未来的临床决策提供有价值的帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Surgery
Frontiers in Surgery Medicine-Surgery
CiteScore
1.90
自引率
11.10%
发文量
1872
审稿时长
12 weeks
期刊介绍: Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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