Development and validation of a predictive model for penile cancer based on the surveillance, epidemiology, and end results database and multi-center cases

Purpose Penile cancer (PC) is a great impact on the quality of life and psychological status of patients. This study aimed to construct nomograms using data from the Surveillance, Epidemiology, and End Results (SEER) database to predict overall survival (OS) and cancer-specific survival (CSS) in pat...

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Veröffentlicht in:Journal of cancer research and clinical oncology 2023-11, Vol.149 (15), p.13665-13676
Hauptverfasser: Yang, Shujun, Chang, Wei, Zhang, Bin, Hou, Qian, Zhang, Biao, Kang, Yindong, Yin, Yongsheng, Wan, Jianghou, Shang, Panfeng
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container_end_page 13676
container_issue 15
container_start_page 13665
container_title Journal of cancer research and clinical oncology
container_volume 149
creator Yang, Shujun
Chang, Wei
Zhang, Bin
Hou, Qian
Zhang, Biao
Kang, Yindong
Yin, Yongsheng
Wan, Jianghou
Shang, Panfeng
description Purpose Penile cancer (PC) is a great impact on the quality of life and psychological status of patients. This study aimed to construct nomograms using data from the Surveillance, Epidemiology, and End Results (SEER) database to predict overall survival (OS) and cancer-specific survival (CSS) in patients with penile cancer (PC). Methods Patients were divided into a training cohort (n = 634) and a validation cohort (n = 272) in a 7:3 ratio. Independent risk factors influencing the prognosis of PC were screened using univariate and multivariate Cox analyses, and models for predicting PC were developed. Data from 203 patients with PC in four tertiary hospitals in Gansu Province from 2012 to 2021 were externally validated. Results Univariate analysis and multivariate analysis showed revealed that the OS-related factors were age, grade, T stage, N stage, M stage and tumor size ( p  
doi_str_mv 10.1007/s00432-023-04784-1
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This study aimed to construct nomograms using data from the Surveillance, Epidemiology, and End Results (SEER) database to predict overall survival (OS) and cancer-specific survival (CSS) in patients with penile cancer (PC). Methods Patients were divided into a training cohort (n = 634) and a validation cohort (n = 272) in a 7:3 ratio. Independent risk factors influencing the prognosis of PC were screened using univariate and multivariate Cox analyses, and models for predicting PC were developed. Data from 203 patients with PC in four tertiary hospitals in Gansu Province from 2012 to 2021 were externally validated. Results Univariate analysis and multivariate analysis showed revealed that the OS-related factors were age, grade, T stage, N stage, M stage and tumor size ( p  &lt; 0.05); the CSS-related factors were age, mode of surgery, T stage, N stage, M stage and tumor size ( p  &lt; 0.05). The C-indices of the OS and CSS nomograms in the training cohort were 0.743 [95% confidence interval (CI) (0.714–0.772)] and 0.797 (0.762–0.832), respectively. The C-indices of the OS and CSS nomograms in the internal validation cohort were 0.735 (0.686–0.784) and 0.755 (0.688–0.822), respectively, and those in the external validation cohort were 0.801 (0.746–0.856) and 0.863 (0.812–0.914), respectively. Receiver operating characteristic (ROC) curves, calibration curves, and survival curves all demonstrated good predictive performance of the nomograms. Conclusion The nomograms for PC were developed using the SEER database. The accuracy and clinical usefulness of the model were validated through a combination of internal and external validations.</description><identifier>ISSN: 0171-5216</identifier><identifier>EISSN: 1432-1335</identifier><identifier>DOI: 10.1007/s00432-023-04784-1</identifier><identifier>PMID: 37522926</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cancer ; Cancer Research ; Epidemiology ; Genital cancers ; Hematology ; Internal Medicine ; Medical prognosis ; Medicine ; Medicine &amp; Public Health ; Multivariate analysis ; Nomograms ; Oncology ; Patients ; Penis ; Prediction models ; Quality of life ; Risk factors ; Surveillance ; Survival ; Tumors</subject><ispartof>Journal of cancer research and clinical oncology, 2023-11, Vol.149 (15), p.13665-13676</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-9335d93b762bcc6a4924d62957a4161031a467e210792c019895144295065c813</citedby><cites>FETCH-LOGICAL-c375t-9335d93b762bcc6a4924d62957a4161031a467e210792c019895144295065c813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00432-023-04784-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00432-023-04784-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37522926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Shujun</creatorcontrib><creatorcontrib>Chang, Wei</creatorcontrib><creatorcontrib>Zhang, Bin</creatorcontrib><creatorcontrib>Hou, Qian</creatorcontrib><creatorcontrib>Zhang, Biao</creatorcontrib><creatorcontrib>Kang, Yindong</creatorcontrib><creatorcontrib>Yin, Yongsheng</creatorcontrib><creatorcontrib>Wan, Jianghou</creatorcontrib><creatorcontrib>Shang, Panfeng</creatorcontrib><title>Development and validation of a predictive model for penile cancer based on the surveillance, epidemiology, and end results database and multi-center cases</title><title>Journal of cancer research and clinical oncology</title><addtitle>J Cancer Res Clin Oncol</addtitle><addtitle>J Cancer Res Clin Oncol</addtitle><description>Purpose Penile cancer (PC) is a great impact on the quality of life and psychological status of patients. This study aimed to construct nomograms using data from the Surveillance, Epidemiology, and End Results (SEER) database to predict overall survival (OS) and cancer-specific survival (CSS) in patients with penile cancer (PC). Methods Patients were divided into a training cohort (n = 634) and a validation cohort (n = 272) in a 7:3 ratio. Independent risk factors influencing the prognosis of PC were screened using univariate and multivariate Cox analyses, and models for predicting PC were developed. Data from 203 patients with PC in four tertiary hospitals in Gansu Province from 2012 to 2021 were externally validated. Results Univariate analysis and multivariate analysis showed revealed that the OS-related factors were age, grade, T stage, N stage, M stage and tumor size ( p  &lt; 0.05); the CSS-related factors were age, mode of surgery, T stage, N stage, M stage and tumor size ( p  &lt; 0.05). The C-indices of the OS and CSS nomograms in the training cohort were 0.743 [95% confidence interval (CI) (0.714–0.772)] and 0.797 (0.762–0.832), respectively. The C-indices of the OS and CSS nomograms in the internal validation cohort were 0.735 (0.686–0.784) and 0.755 (0.688–0.822), respectively, and those in the external validation cohort were 0.801 (0.746–0.856) and 0.863 (0.812–0.914), respectively. Receiver operating characteristic (ROC) curves, calibration curves, and survival curves all demonstrated good predictive performance of the nomograms. Conclusion The nomograms for PC were developed using the SEER database. 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This study aimed to construct nomograms using data from the Surveillance, Epidemiology, and End Results (SEER) database to predict overall survival (OS) and cancer-specific survival (CSS) in patients with penile cancer (PC). Methods Patients were divided into a training cohort (n = 634) and a validation cohort (n = 272) in a 7:3 ratio. Independent risk factors influencing the prognosis of PC were screened using univariate and multivariate Cox analyses, and models for predicting PC were developed. Data from 203 patients with PC in four tertiary hospitals in Gansu Province from 2012 to 2021 were externally validated. Results Univariate analysis and multivariate analysis showed revealed that the OS-related factors were age, grade, T stage, N stage, M stage and tumor size ( p  &lt; 0.05); the CSS-related factors were age, mode of surgery, T stage, N stage, M stage and tumor size ( p  &lt; 0.05). The C-indices of the OS and CSS nomograms in the training cohort were 0.743 [95% confidence interval (CI) (0.714–0.772)] and 0.797 (0.762–0.832), respectively. The C-indices of the OS and CSS nomograms in the internal validation cohort were 0.735 (0.686–0.784) and 0.755 (0.688–0.822), respectively, and those in the external validation cohort were 0.801 (0.746–0.856) and 0.863 (0.812–0.914), respectively. Receiver operating characteristic (ROC) curves, calibration curves, and survival curves all demonstrated good predictive performance of the nomograms. Conclusion The nomograms for PC were developed using the SEER database. The accuracy and clinical usefulness of the model were validated through a combination of internal and external validations.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37522926</pmid><doi>10.1007/s00432-023-04784-1</doi><tpages>12</tpages></addata></record>
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subjects Cancer
Cancer Research
Epidemiology
Genital cancers
Hematology
Internal Medicine
Medical prognosis
Medicine
Medicine & Public Health
Multivariate analysis
Nomograms
Oncology
Patients
Penis
Prediction models
Quality of life
Risk factors
Surveillance
Survival
Tumors
title Development and validation of a predictive model for penile cancer based on the surveillance, epidemiology, and end results database and multi-center cases
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