Evidence map›Paper›PMID 33490234›Full record

ArticleBioMed research international2020

Establishment and Validation of Novel Clinical Prognosis Nomograms for Luminal A Breast Cancer Patients with Bone Metastasis.

QiHao Tu, Chuan Hu, Hao Zhang, Chen Peng, Meng Kong, MengXiong Song, Chong Zhao, YuJue Wang, Jianyi Li, ChuanLi Zhou and 2 more

Abstract read
In one paragraph

Article in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

QiHao TuDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.ORCID https://orcid.org/0000-0002-3397-8545
Chuan HuDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.
Hao ZhangDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.
Chen PengDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.
Meng KongDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.
MengXiong SongDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.
Chong ZhaoDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.
YuJue WangMedical College of Qingdao University, Qingdao, 266000 Shandong, China.
Jianyi LiDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.
ChuanLi ZhouDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.
Chao WangDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.
XueXiao MaDepartment of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266071, China.ORCID https://orcid.org/0000-0001-5250-0259

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOverall survival (OS) and cancer-specific survival (CSS) of luminal A breast cancer (BC) patients with bone metastasis remain poor and vary dramatically from person to person. Our goal was to build two universally applicable nomograms to accurately predict OS and CSS for luminal A patients with bone metastasis.

methodsThe data were collected from the Surveillance, Epidemiology, and End Results (SEER) database for luminal A BC patients with bone metastasis between 2010 and 2015. Univariate and multivariate Cox regression analyses were to assess and identify independent risk factors of OS and CSS. Integrating all significant predictors, nomograms and risk group stratification model was developed. The performance of the nomogram was validated with concordance index (C-index), calibration plots, and decision curve analyses (DCA) for discriminative ability, calibration, and clinical utility, respectively.

results3171 luminal A BC patients with bone metastasis were included. Through univariate and multivariate Cox regression analyses, 12 variables were identified as both independent OS- and CSS-related factors, including age, race, primary site, histology grade, tumor size, surgery, brain metastasis, liver metastasis, lung metastasis, estrogen receptor status, progesterone receptor status, and insurance. Our nomograms for 1-, 3-, and 5-year survival were based on those significant prognostic factors to develop. The C-indexes of OS- and CSS-nomograms in the training cohort were 0.701 and 0.704, respectively. Similar results were obtained in the validation cohort. The calibration curves and DCA presented satisfactory calibration and clinical utility.

conclusionTwo nomograms have good discrimination, calibration, and clinical utility, can accurately and effectively predict the prognosis of patients, and may benefit for clinical decision-making. In high-risk patients, more aggressive therapy and closer surveillance should be considered.

Indexed as

Bone NeoplasmsBreast NeoplasmsNomogramsAdultAgedAged, 80 and overClinical Decision-MakingFemaleHumansMiddle AgedRisk FactorsYoung Adult

Identifiers

PMID33490234
PMCPMC7787749

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.