Nomogram模型用于预测胃癌D2根治术后个体化预后
Nomogram Model Is Used to Predict the Individualized Prognosis of Gastric Cancer after D2 Radical Operation
DOI: 10.12677/ACM.2020.108237, PDF,   
作者: 郑 寒, 刘勇峰:延安大学附属医院,陕西 延安
关键词: 胃癌生存率预后列线图Gastric Cancer Survival Rate Prognosis Nomogram
摘要: 背景与目的:目前延安市尚未有针对胃癌患者预后的预测模型,本研究拟构建一种个体化预测模型预测延安市患者胃癌预后的列线图模型。方法:回顾性收集2010年1月1日至2014年11月1日在YAUAH胃肠外科(705例)行胃癌手术的患者。并采用COX比例风险回归模型进行多因素生存分析,并构建Nomogram模型。结果:多因素分析显示,年龄、肿瘤直径、T分期、N分期、LODDS和化疗次数是影响总生存率(OS)的独立危险因素,并依据此构建了Nomogram模型。结论:本研究构建的Nomogram模型能够预测胃癌患者3年、5年生存率,并有良好的临床应用前景。
Abstract: Background and Purpose: At present, there is no prediction model for the prognosis of gastric cancer in Yan’an City. This study intends to build a personalized prediction model to predict the prognosis of gastric cancer in Yan’an City. Method: The patients who underwent gastric cancer surgery in YAUAH Gastrointestinal Surgery (705 cases) were collected retrospectively from January 1, 2010 to November 1, 2014. The COX proportional hazards regression model was used for multi-factor survival analysis, and the Nomogram model was constructed. Results: Multivariate analysis showed that age, tumor diameter, T stage, N stage, LODDS, and the number of chemotherapy were independent risk factors affecting overall survival (OS), and based on this, the Nomogram model was constructed. Conclusion: The Nomogram model constructed in this study can predict the 3-year and 5-year survival rates of gastric cancer patients, and has good clinical application prospects.
文章引用:郑寒, 刘勇峰. Nomogram模型用于预测胃癌D2根治术后个体化预后[J]. 临床医学进展, 2020, 10(8): 1587-1593. https://doi.org/10.12677/ACM.2020.108237

参考文献

[1] 彭智. GLOBCAN胃癌流行病学数据解读[J]. 肿瘤综合治疗电子杂志, 2018, 4(4): 63-65.
[2] Wang, W., Li, Y.F., Sun, X.W., et al. (2010) Prognosis of 980 Patients with Gastric Cancer after Surgical Resection. Chinese Journal of Cancer, 29, 923-930. [Google Scholar] [CrossRef] [PubMed]
[3] Shiozaki, H., Shimodaira, Y., Elimova, E., et al. (2016) Evolution of Gastric Surgery Techniques and Outcomes. Chinese Journal of Cancer, 35, Article No. 69. [Google Scholar] [CrossRef] [PubMed]
[4] Kwon, S.J. and Kim, G.S. (1996) Prognostic Significance of Lymph Node Metastasis in Advanced Carcinoma of the Stomach. British Journal of Surgery, 83, 1600-1603. [Google Scholar] [CrossRef] [PubMed]
[5] Kong, S.H., Lee, H.J., Ahn, H.S., et al. (2012) Stage Migration Effect on Survival in Gastric Cancer Surgery with Extended Lymphadenectomy: The Reappraisal of Positive Lymph Node Ratio as a Proper N-Staging. Annals of Surgery, 255, 50-58. [Google Scholar] [CrossRef
[6] Deng, W., Xu, T., Wang, Y., Xu, Y., Yang, P., Gomez, D. and Liao, Z. (2018) Log Odds of Positive Lymph Nodes May Predict Survival Benefit in Patients with Node-Positive Non-Small Cell Lung Cancer. Lung Cancer, 122, 60-66. [Google Scholar] [CrossRef] [PubMed]
[7] Wen, J.H., Ye, F., He, X.F., Li, S.J., Huang, X.J., Xiao, X.S. and Xie, X.M. (2016) Development and Validation of a Prognostic Nomogram Based on the Log Odds of Positive Lymph Nodes (LODDS) for Breast Cancer. Oncotarget, 7, 21046-21053. [Google Scholar] [CrossRef] [PubMed]
[8] Agalar, C., Aysal, A., Unek, T., et al. (2019) The Role of Log Odds of Positive Lymph Nodes in Predicting the Survival after Resection for Ampullary Adenocarcinoma. Pathology & Oncology Research, 26, 467-473. [Google Scholar] [CrossRef] [PubMed]
[9] Cao, J., Yuan, P., Ma, H., et al. (2016) Log Odds of Positive Lymph Nodes Predicts Survival in Patients after Resection for Esophageal Cancer. The Annals of Thoracic Surgery, 102, 424-432. [Google Scholar] [CrossRef] [PubMed]
[10] Amin, M.B., Edge, S., Greene, F., et al. (2016) AJCC Cancer Staging Manual. 8th Edition, Springer, New York. [Google Scholar] [CrossRef
[11] Occhionorelli, S., Andreotti, D., Vallese, P., Morganti, L., Lacavalla, D., Forini, E. and Pascale, G. (2018) Evaluation on Prognostic Efficacy of Lymph Nodes Ratio (LNR) and Log Odds of Positive Lymph Nodes (LODDS) in Complicated Colon Cancer: The First Study in Emergency Surgery. World Journal of Surgical Oncology, 16, 186. [Google Scholar] [CrossRef] [PubMed]
[12] Twine, C.P., Roberts, S.A., Rawlinson, C.E., et al. (2010) Prognostic Significance of the Endoscopic Ultrasound Defined Lymph Node Metastasis Count in Esophageal Cancer. Diseases of the Esophagus, 23, 652-659. [Google Scholar] [CrossRef] [PubMed]
[13] Reid-Lombardo, K.M., Gay, G., Patel-Parekh, L., Ajani, J.A. and Donohue, J.H. (2007) Treatment of Gastric Adenocarcinoma May Differ among Hospital Types in the United States, a Report from the National Cancer Data Base. Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract, 11, 410-419. [Google Scholar] [CrossRef] [PubMed]
[14] Strong, V.E., Song, K.Y., Park, C.H., Jacks, L.M., Gonen, M., Shah, M., Coit, D.G. and Brennan, M.F. (2010) Comparison of Gastric Cancer Survival Following R0 Resection in the United States and Korea Using an Internationally Validated Nomogram. Annals of Surgery, 251, 640-646. [Google Scholar] [CrossRef
[15] Peeters, K.C.M.J., Hundahl, S.A., Kranenbarg, E.K., Hartgrink, H. and van de Velde, C.J.H. (2005) Low Maruyama Index Surgery for Gastric Cancer: Blinded Reanalysis of the Dutch D1-D2 Trial. World Journal of Surgery, 29, 1576-1584. [Google Scholar] [CrossRef] [PubMed]
[16] Sun, Z., Xu, Y., Li, D.M., et al. (2010) Log Odds of Positive Lymph Nodes: A Novel Prognostic Indicator Superior to the Number-Based and the Ratio-Based N Category for Gastric Cancer Patients with R0 Resection. Cancer, 116, 2571-2580. [Google Scholar] [CrossRef] [PubMed]
[17] Lee, J.W., Ali, B., Park, C.H., et al. (2016) Different Lymph Node Staging Systems in Patients with Gastric Cancer from Korean. Medicine, 95, e3860. [Google Scholar] [CrossRef