Competing-risk nomogram for predicting survival in patients with advanced (stage III/IV) gallbladder cancer: A SEER population-based study

Abstract Objective The primary aim of this study was to assess the cumulative incidence of cause-specific mortality (CSM) and other cause-specific mortality (OCSM) for patients with advanced gallbladder cancer (GBC), and then to develop a nomogram based on competing-risk analysis to forecast CSM. Me...

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Veröffentlicht in:Japanese journal of clinical oncology 2022-04, Vol.52 (4), p.353-361
Hauptverfasser: Wang, Jian, Yang, Yi, Pan, Junjie, Qiu, Yiwen, Shen, Shu, Wang, Wentao
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container_end_page 361
container_issue 4
container_start_page 353
container_title Japanese journal of clinical oncology
container_volume 52
creator Wang, Jian
Yang, Yi
Pan, Junjie
Qiu, Yiwen
Shen, Shu
Wang, Wentao
description Abstract Objective The primary aim of this study was to assess the cumulative incidence of cause-specific mortality (CSM) and other cause-specific mortality (OCSM) for patients with advanced gallbladder cancer (GBC), and then to develop a nomogram based on competing-risk analysis to forecast CSM. Methods We identified the patients with GBC with specific screening criteria and from the Surveillance Epidemiology and End Results (SEER) database. We calculated the cumulative incidence function for CSM and OCSM, and constructed a competing-risk nomogram based on the Fine and Gray’s proportional subdistribution hazard regression model to forecast the probability of CSM of these patients. In addition, the concordance index and calibration plot were performed to validate the novel established model. Results A total of 1411 patients were included in this study. The 1-, 2-, and 3-year overall cumulative mortalities were 46.2, 62.2, and 69.6% for CSM, respectively, while they were 6.2, 8.7, and 10.4% for OCSM. Additionally, the 1-, 2-, and 3-year estimates of overall survival were 47.6, 29.1, and 19.9% for above these patients, respectively. We also developed a competing-risk nomogram to estimate the CSM. The concordance index was 0.775 (95% confidence interval (CI): 0.750–0.800) in the training set and that was 0.765 (95% CI: 0.730–0.800) in the internal validation set, which suggests the robustness of the novel established model. Furthermore, the calibration curves and concordance index demonstrated that the nomogram was well-calibrated and demonstrated good discriminative ability. Conclusions The ample sample allowed us to develop a reliable model which demonstrated better calibration and discrimination for predicting the probability of CSM of patients with advanced GBC. The patients extracted from the Surveillance, Epidemiology and End Results database have contributed to constructing a competing-risk nomogram for a better understanding of the long-term prognosis of advanced (stage III/IV) gallbladder cancer.
doi_str_mv 10.1093/jjco/hyab212
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Methods We identified the patients with GBC with specific screening criteria and from the Surveillance Epidemiology and End Results (SEER) database. We calculated the cumulative incidence function for CSM and OCSM, and constructed a competing-risk nomogram based on the Fine and Gray’s proportional subdistribution hazard regression model to forecast the probability of CSM of these patients. In addition, the concordance index and calibration plot were performed to validate the novel established model. Results A total of 1411 patients were included in this study. The 1-, 2-, and 3-year overall cumulative mortalities were 46.2, 62.2, and 69.6% for CSM, respectively, while they were 6.2, 8.7, and 10.4% for OCSM. Additionally, the 1-, 2-, and 3-year estimates of overall survival were 47.6, 29.1, and 19.9% for above these patients, respectively. We also developed a competing-risk nomogram to estimate the CSM. The concordance index was 0.775 (95% confidence interval (CI): 0.750–0.800) in the training set and that was 0.765 (95% CI: 0.730–0.800) in the internal validation set, which suggests the robustness of the novel established model. Furthermore, the calibration curves and concordance index demonstrated that the nomogram was well-calibrated and demonstrated good discriminative ability. Conclusions The ample sample allowed us to develop a reliable model which demonstrated better calibration and discrimination for predicting the probability of CSM of patients with advanced GBC. The patients extracted from the Surveillance, Epidemiology and End Results database have contributed to constructing a competing-risk nomogram for a better understanding of the long-term prognosis of advanced (stage III/IV) gallbladder cancer.</description><identifier>ISSN: 1465-3621</identifier><identifier>EISSN: 1465-3621</identifier><identifier>DOI: 10.1093/jjco/hyab212</identifier><identifier>PMID: 35137118</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Carcinoma in Situ ; Gallbladder Neoplasms ; Humans ; Incidence ; Nomograms ; Prognosis ; SEER Program</subject><ispartof>Japanese journal of clinical oncology, 2022-04, Vol.52 (4), p.353-361</ispartof><rights>The Author(s) 2022. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2022</rights><rights>The Author(s) 2022. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-5248b8853f4dfda38f91b0c3687cc6c5ccd1330b7c434b39c529c11fb4d6792e3</citedby><cites>FETCH-LOGICAL-c347t-5248b8853f4dfda38f91b0c3687cc6c5ccd1330b7c434b39c529c11fb4d6792e3</cites><orcidid>0000-0001-7280-0566</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,1585,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35137118$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Jian</creatorcontrib><creatorcontrib>Yang, Yi</creatorcontrib><creatorcontrib>Pan, Junjie</creatorcontrib><creatorcontrib>Qiu, Yiwen</creatorcontrib><creatorcontrib>Shen, Shu</creatorcontrib><creatorcontrib>Wang, Wentao</creatorcontrib><title>Competing-risk nomogram for predicting survival in patients with advanced (stage III/IV) gallbladder cancer: A SEER population-based study</title><title>Japanese journal of clinical oncology</title><addtitle>Jpn J Clin Oncol</addtitle><description>Abstract Objective The primary aim of this study was to assess the cumulative incidence of cause-specific mortality (CSM) and other cause-specific mortality (OCSM) for patients with advanced gallbladder cancer (GBC), and then to develop a nomogram based on competing-risk analysis to forecast CSM. Methods We identified the patients with GBC with specific screening criteria and from the Surveillance Epidemiology and End Results (SEER) database. We calculated the cumulative incidence function for CSM and OCSM, and constructed a competing-risk nomogram based on the Fine and Gray’s proportional subdistribution hazard regression model to forecast the probability of CSM of these patients. In addition, the concordance index and calibration plot were performed to validate the novel established model. Results A total of 1411 patients were included in this study. The 1-, 2-, and 3-year overall cumulative mortalities were 46.2, 62.2, and 69.6% for CSM, respectively, while they were 6.2, 8.7, and 10.4% for OCSM. Additionally, the 1-, 2-, and 3-year estimates of overall survival were 47.6, 29.1, and 19.9% for above these patients, respectively. We also developed a competing-risk nomogram to estimate the CSM. The concordance index was 0.775 (95% confidence interval (CI): 0.750–0.800) in the training set and that was 0.765 (95% CI: 0.730–0.800) in the internal validation set, which suggests the robustness of the novel established model. Furthermore, the calibration curves and concordance index demonstrated that the nomogram was well-calibrated and demonstrated good discriminative ability. Conclusions The ample sample allowed us to develop a reliable model which demonstrated better calibration and discrimination for predicting the probability of CSM of patients with advanced GBC. The patients extracted from the Surveillance, Epidemiology and End Results database have contributed to constructing a competing-risk nomogram for a better understanding of the long-term prognosis of advanced (stage III/IV) gallbladder cancer.</description><subject>Carcinoma in Situ</subject><subject>Gallbladder Neoplasms</subject><subject>Humans</subject><subject>Incidence</subject><subject>Nomograms</subject><subject>Prognosis</subject><subject>SEER Program</subject><issn>1465-3621</issn><issn>1465-3621</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKw0AUQAdRbK3uXMvsrGDsTCbJJO5KqRooCL62YV5ppyaZOJNU-gt-tQmt4srVvXDPPYsDwDlGNxglZLJeCzNZbRn3sX8AhjiIQo9EPj78sw_AiXNrhFAYB_QYDEiICcU4HoKvmSlr1ehq6Vnt3mFlSrO0rIS5sbC2SmrRH6Fr7UZvWAF1BWvWaFU1Dn7qZgWZ3LBKKAnHrmFLBdM0naRvV3DJioIXTEploegJewun8Hk-f4K1qduik5jK48x1r65p5fYUHOWscOpsP0fg9W7-MnvwFo_36Wy68AQJaOOFfhDzOA5JHshcMhLnCeZIkCimQkQiFEJiQhCnIiABJ4kI_URgnPNARjTxFRmB8c5bW_PRKtdkpXZCFQWrlGld5kc-7Qw4ph16vUOFNc5ZlWe11SWz2wyjrK-f9fWzff0Ov9ibW14q-Qv_5O6Ayx1g2vp_1Tc3pZB_</recordid><startdate>20220406</startdate><enddate>20220406</enddate><creator>Wang, Jian</creator><creator>Yang, Yi</creator><creator>Pan, Junjie</creator><creator>Qiu, Yiwen</creator><creator>Shen, Shu</creator><creator>Wang, Wentao</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7280-0566</orcidid></search><sort><creationdate>20220406</creationdate><title>Competing-risk nomogram for predicting survival in patients with advanced (stage III/IV) gallbladder cancer: A SEER population-based study</title><author>Wang, Jian ; Yang, Yi ; Pan, Junjie ; Qiu, Yiwen ; Shen, Shu ; Wang, Wentao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-5248b8853f4dfda38f91b0c3687cc6c5ccd1330b7c434b39c529c11fb4d6792e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Carcinoma in Situ</topic><topic>Gallbladder Neoplasms</topic><topic>Humans</topic><topic>Incidence</topic><topic>Nomograms</topic><topic>Prognosis</topic><topic>SEER Program</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Jian</creatorcontrib><creatorcontrib>Yang, Yi</creatorcontrib><creatorcontrib>Pan, Junjie</creatorcontrib><creatorcontrib>Qiu, Yiwen</creatorcontrib><creatorcontrib>Shen, Shu</creatorcontrib><creatorcontrib>Wang, Wentao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Jian</au><au>Yang, Yi</au><au>Pan, Junjie</au><au>Qiu, Yiwen</au><au>Shen, Shu</au><au>Wang, Wentao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Competing-risk nomogram for predicting survival in patients with advanced (stage III/IV) gallbladder cancer: A SEER population-based study</atitle><jtitle>Japanese journal of clinical oncology</jtitle><addtitle>Jpn J Clin Oncol</addtitle><date>2022-04-06</date><risdate>2022</risdate><volume>52</volume><issue>4</issue><spage>353</spage><epage>361</epage><pages>353-361</pages><issn>1465-3621</issn><eissn>1465-3621</eissn><abstract>Abstract Objective The primary aim of this study was to assess the cumulative incidence of cause-specific mortality (CSM) and other cause-specific mortality (OCSM) for patients with advanced gallbladder cancer (GBC), and then to develop a nomogram based on competing-risk analysis to forecast CSM. Methods We identified the patients with GBC with specific screening criteria and from the Surveillance Epidemiology and End Results (SEER) database. We calculated the cumulative incidence function for CSM and OCSM, and constructed a competing-risk nomogram based on the Fine and Gray’s proportional subdistribution hazard regression model to forecast the probability of CSM of these patients. In addition, the concordance index and calibration plot were performed to validate the novel established model. Results A total of 1411 patients were included in this study. The 1-, 2-, and 3-year overall cumulative mortalities were 46.2, 62.2, and 69.6% for CSM, respectively, while they were 6.2, 8.7, and 10.4% for OCSM. Additionally, the 1-, 2-, and 3-year estimates of overall survival were 47.6, 29.1, and 19.9% for above these patients, respectively. We also developed a competing-risk nomogram to estimate the CSM. The concordance index was 0.775 (95% confidence interval (CI): 0.750–0.800) in the training set and that was 0.765 (95% CI: 0.730–0.800) in the internal validation set, which suggests the robustness of the novel established model. Furthermore, the calibration curves and concordance index demonstrated that the nomogram was well-calibrated and demonstrated good discriminative ability. Conclusions The ample sample allowed us to develop a reliable model which demonstrated better calibration and discrimination for predicting the probability of CSM of patients with advanced GBC. The patients extracted from the Surveillance, Epidemiology and End Results database have contributed to constructing a competing-risk nomogram for a better understanding of the long-term prognosis of advanced (stage III/IV) gallbladder cancer.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>35137118</pmid><doi>10.1093/jjco/hyab212</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7280-0566</orcidid></addata></record>
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subjects Carcinoma in Situ
Gallbladder Neoplasms
Humans
Incidence
Nomograms
Prognosis
SEER Program
title Competing-risk nomogram for predicting survival in patients with advanced (stage III/IV) gallbladder cancer: A SEER population-based study
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