Background The goal of this study was to establish and validate two nomograms for predicting the long-term overall survival (OS) and cancer-specific survival (CSS) in lip squamous cell carcinoma (LSCC). Methods This study selected 4175 patients who were diagnosed with LSCC between 2004 and 2015 in the SEER (Surveillance, Epidemiology, and End Results) database. The patients were allocated randomly to a training cohort and validation cohort. Variables were selected using a backward stepwise method in a Cox regression model. Based on the predictive model with the identified prognostic factors, nomograms were established to predict the 3-, 5-, and 8-year survival OS and CSS rates of LSCC patients. The accuracy of the nomograms was evaluated based on the consistency index (C-index), while their prediction accuracy was evaluated using calibration plots. Decision curve analyses (DCAs) were used to evaluate the performance of our survival model. Results The multivariate analyses demonstrated that age at diagnosis, marital status, sex, race, American Joint Committee on Cancer stage, surgery status, and radiotherapy status were risk factors for both OS and CSS. The C-index, area under the time-dependent receiver operating characteristic curve, and calibration plots demonstrated the good performance of the nomograms. DCAs of both nomograms further showed that they exhibited good 3-, 5-, and 8-year net benefits. Conclusions We have developed and validated LSCC prognosis nomograms for OS and CSS for the first time. These nomograms can be valuable tools for clinical practice when clinicians are helping patients to understand their survival risk for the next 3, 5, and 8 years.
基金:
National Social Science Foundation of China [16BGL183]; Foundation of Health Commission of Hubei, China [WJ2017M072]
第一作者单位:[1]Xi An Jiao Tong Univ, Affiliated Hosp 1, Clin Res Ctr, Xian 710061, Shaanxi, Peoples R China[2]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Stomatol Ctr, Wuhan, Hubei, Peoples R China
通讯作者:
通讯机构:[1]Xi An Jiao Tong Univ, Affiliated Hosp 1, Clin Res Ctr, Xian 710061, Shaanxi, Peoples R China[3]Xi An Jiao Tong Univ, Hlth Sci Ctr, Sch Publ Hlth, Xian, Shaanxi, Peoples R China
推荐引用方式(GB/T 7714):
Hu Chuan-Yu,Pan Then-Yu,Yang Jin,et al.Nomograms for predicting long-term overall survival and cancer-specific survival in lip squamous cell carcinoma: A population-based study[J].CANCER MEDICINE.2019,8(8):4032-4042.doi:10.1002/cam4.2260.
APA:
Hu, Chuan-Yu,Pan, Then-Yu,Yang, Jin,Chu, Xiu-Hong,Zhang, Jun...&Lyu, Jun.(2019).Nomograms for predicting long-term overall survival and cancer-specific survival in lip squamous cell carcinoma: A population-based study.CANCER MEDICINE,8,(8)
MLA:
Hu, Chuan-Yu,et al."Nomograms for predicting long-term overall survival and cancer-specific survival in lip squamous cell carcinoma: A population-based study".CANCER MEDICINE 8..8(2019):4032-4042