预测原发性睾丸淋巴瘤患者生存的nomogram:一项基于人群的研究。

IF 2.4 3区 医学 Q3 ONCOLOGY
Hao Zhang, Yuwei Yang, Yan Cao, Jingzhi Guan
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引用次数: 0

摘要

背景:原发性睾丸淋巴瘤(PTL)是一种罕见的恶性肿瘤,其流行病学和预后尚未研究。材料与方法:PTL患者资料从SEER在线数据库中收集,按随机分配分为训练队列和验证队列。训练队列采用单因素COX回归分析,多因素COX回归分析及构建的norm图均纳入差异有统计学意义的因素。基于危险因子构建森林样地。通过观察图的c指数大小、ROC曲线下面积百分比和预测曲线在校准图中的拟合程度来验证图的有效性。验证队列验证了nomogram的准确性和适用性。结果:PTL患者的年龄、肿瘤组织学类型、Ann Arbor分期、分化程度、是否接受放化疗与预后不良有显著相关性。结论:基于多因素COX回归分析构建的nomogram可以预测PTL患者的预后。在线可视化图可以帮助临床医生计算PTL肿瘤患者的生存率,并对PTL肿瘤患者进行个性化的预后评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A nomogram for predicting survival in patients with primary testicular lymphoma: A population-based study.

Background: Primary testicular lymphoma (PTL) is a rare malignancy whose epidemiology and prognosis have not been studied.

Materials and methods: PTL patient data were collected from the SEER online database, and the data were divided into a training cohort and a validation cohort according to random assignment. The training cohort was subjected to a one-way COX regression analysis, and statistically significant differences were included in the multi-factor COX regression analysis and constructed nomograms. Forest plots were constructed based on risk factors. The validity of the nomograms was verified by observing the C-index size of the nomograms, the percentage of area under the ROC curve, and the degree of fit of the prediction curve in the calibration plot. The validation cohort verified the accuracy and applicability of the nomograms.

Result: The patient's age, tumor histologic type, Ann Arbor stage, grade of differentiation, and whether or not they received radiation and chemotherapy were significantly associated with poor prognosis in PTL.

Conclusion: The nomogram constructed based on multivariate COX regression analysis can predict the prognosis of PTL patients. The online visualization nomogram can help clinicians calculate the survival rate of PTL tumor patients and conduct personalized prognostic assessments for PTL tumor patients.

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来源期刊
CiteScore
4.80
自引率
3.70%
发文量
297
审稿时长
7.6 weeks
期刊介绍: Urologic Oncology: Seminars and Original Investigations is the official journal of the Society of Urologic Oncology. The journal publishes practical, timely, and relevant clinical and basic science research articles which address any aspect of urologic oncology. Each issue comprises original research, news and topics, survey articles providing short commentaries on other important articles in the urologic oncology literature, and reviews including an in-depth Seminar examining a specific clinical dilemma. The journal periodically publishes supplement issues devoted to areas of current interest to the urologic oncology community. Articles published are of interest to researchers and the clinicians involved in the practice of urologic oncology including urologists, oncologists, and radiologists.
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