Development and validation of a nomogram containing the prognostic determinants of chondrosarcoma based on the Surveillance, Epidemiology, and End Results database
Background We aimed to develop and validate a reliable nomogram for predicting the disease-specific survival (DSS) of chondrosarcoma patients. Methods The Surveillance, Epidemiology, and End Results (SEER) database was queried from 2004 to 2015 to identify cases of histologically confirmed chondrosarcoma. Multivariate Cox regression analysis was performed to identify independent prognostic factors and construct a nomogram for predicting the 3- and 5-year DSS rates. Predictive values were compared between the new model and the American Joint Committee on Cancer (AJCC) staging system using concordance indexes (C-indexes), calibration plots, integrated discrimination improvement (IDI), net reclassification improvement (NRI), and decision curve analysis (DCA). Results Multivariate Cox regression identified 1180 patients, who were used to establish a nomogram based on a new model containing the predictive variables of age, socioeconomic status, tumor size, surgery status, chemotherapy status, and AJCC staging. In the nomogram, age at diagnosis is the factor with the highest risk, followed by AJCC stage IV and tumor size > 100 mm. Both the C-index and the calibration plots demonstrated the good performance of the nomogram. Moreover, both NRI and IDI were improved compared to the AJCC staging system, and also DCA demonstrated that the nomogram is clinically useful. Conclusion We have developed a reliable nomogram for determining the prognosis and treatment outcomes of chondrosarcoma patients that is superior to the traditional AJCC staging system.
基金:
National Social Science Foundation of China [16BGL183]; Research Fund of Health Bureau of Xi'an [QFO1330]
第一作者单位:[1]Xi An Jiao Tong Univ, Clin Res Ctr, Affiliated Hosp 1, Xian, Shaanxi, Peoples R China[2]Xi An Jiao Tong Univ, Hlth Sci Ctr, Sch Publ Hlth, Xian, Shaanxi, Peoples R China[3]Baoji Municipal Cent Hosp, Dept Orthopaed, Baoji, Shaanxi, Peoples R China
通讯作者:
通讯机构:[1]Xi An Jiao Tong Univ, Clin Res Ctr, Affiliated Hosp 1, Xian, Shaanxi, Peoples R China[2]Xi An Jiao Tong Univ, Hlth Sci Ctr, Sch Publ Hlth, Xian, Shaanxi, Peoples R China[7]Henan Univ, Inst Evidence Based Med & Knowledge Translat, Kaifeng, Peoples R China
推荐引用方式(GB/T 7714):
Zhang Jun,Pan Zhenyu,Zhao Fanfan,et al.Development and validation of a nomogram containing the prognostic determinants of chondrosarcoma based on the Surveillance, Epidemiology, and End Results database[J].INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY.2019,24(11):1459-1467.doi:10.1007/s10147-019-01489-9.
APA:
Zhang, Jun,Pan, Zhenyu,Zhao, Fanfan,Feng, Xiaojie,Huang, Yuanchi...&Lyu, Jun.(2019).Development and validation of a nomogram containing the prognostic determinants of chondrosarcoma based on the Surveillance, Epidemiology, and End Results database.INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY,24,(11)
MLA:
Zhang, Jun,et al."Development and validation of a nomogram containing the prognostic determinants of chondrosarcoma based on the Surveillance, Epidemiology, and End Results database".INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY 24..11(2019):1459-1467