Prediction Model for Gastric Cancer Incidence in Korean Population

Predicting high risk groups for gastric cancer and motivating these groups to receive regular checkups is required for the early detection of gastric cancer. The aim of this study is was to develop a prediction model for gastric cancer incidence based on a large population-based cohort in Korea. Bas...

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Veröffentlicht in:PloS one 2015-07, Vol.10 (7), p.e0132613-e0132613
Hauptverfasser: Eom, Bang Wool, Joo, Jungnam, Kim, Sohee, Shin, Aesun, Yang, Hye-Ryung, Park, Junghyun, Choi, Il Ju, Kim, Young-Woo, Kim, Jeongseon, Nam, Byung-Ho
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container_issue 7
container_start_page e0132613
container_title PloS one
container_volume 10
creator Eom, Bang Wool
Joo, Jungnam
Kim, Sohee
Shin, Aesun
Yang, Hye-Ryung
Park, Junghyun
Choi, Il Ju
Kim, Young-Woo
Kim, Jeongseon
Nam, Byung-Ho
description Predicting high risk groups for gastric cancer and motivating these groups to receive regular checkups is required for the early detection of gastric cancer. The aim of this study is was to develop a prediction model for gastric cancer incidence based on a large population-based cohort in Korea. Based on the National Health Insurance Corporation data, we analyzed 10 major risk factors for gastric cancer. The Cox proportional hazards model was used to develop gender specific prediction models for gastric cancer development, and the performance of the developed model in terms of discrimination and calibration was also validated using an independent cohort. Discrimination ability was evaluated using Harrell's C-statistics, and the calibration was evaluated using a calibration plot and slope. During a median of 11.4 years of follow-up, 19,465 (1.4%) and 5,579 (0.7%) newly developed gastric cancer cases were observed among 1,372,424 men and 804,077 women, respectively. The prediction models included age, BMI, family history, meal regularity, salt preference, alcohol consumption, smoking and physical activity for men, and age, BMI, family history, salt preference, alcohol consumption, and smoking for women. This prediction model showed good accuracy and predictability in both the developing and validation cohorts (C-statistics: 0.764 for men, 0.706 for women). In this study, a prediction model for gastric cancer incidence was developed that displayed a good performance.
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subjects Alcohol use
Alcoholic beverages
Body mass
Calibration
Cancer
Cancer diagnosis
Cohort Studies
Data processing
Discrimination
Epidemiology
Exercise
Female
Gastric cancer
Genetics
Hazards
Health insurance
Health risk assessment
Health risks
Humans
Incidence
Male
Medical screening
Men
Middle Aged
Model accuracy
Multivariate Analysis
National health insurance
Physical activity
Prediction models
Probability
Proportional Hazards Models
Reproducibility of Results
Republic of Korea - epidemiology
Risk analysis
Risk Factors
Risk groups
Salts
Smoking
Socioeconomic factors
Statistical models
Statistics
Stomach cancer
Stomach Neoplasms - epidemiology
title Prediction Model for Gastric Cancer Incidence in Korean Population
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