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Establishment and Verification of Synchronous Metastatic Nomogram for Gastrointestinal Stromal Tumors (GISTs): A Population-Based Analysis.

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机构: [1]Department of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China [2]Department of General Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany [3]State Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macao, China [4]Department of Rheumatology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences,Guangzhou, China [5]Department of Thoracic Surgery, Fujian Provincial Hospital, Fuzhou, China [6]Key Laboratory of Protein Chemistry and Developmental Biology of Ministry of Education, College of Life Sciences,Hunan Normal University, Changsha, China [7]Department of Neurosurgery, Second Affiliated Hospital of Hunan Normal University, Changsha, China [8]Hunan Provincial Key Laboratory of Neurorestoration, Changsha, China
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Assess the risk of synchronous metastasis and establish a nomogram in patients with GISTs. Surveillance, Epidemiology and End Results database (2004-2014) was accessed. With the logistic regression model as the basis, a nomogram was constructed. 7,256 target patients were contained in our study. The nomogram discrimination for mGIST prediction revealed that tumor size contributed most to synchronous metastasis, followed by lymph nodes, extension, pathologic grade, tumor location, and mitotic count. C-index values of predictions were 0.821 (95% CI, 0.805-0.836) and 0.815 (95% CI, 0.800-0.831), and Brier score were 0.109 and 0.112 in training and validation group, respectively. The value of area under the ROCs were 0.813 (p < 0.001) in the primary cohort and 0.819 (p < 0.001) in the validation cohort. Through the calibration curves (as seen in the figures), nomogram prediction proved to have excellent agreement with actual metastatic diseases. A new nomogram was created that can evaluate synchronous metastatic diseases in patients with GISTs. Copyright © 2020 Yuqiang Li et al.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 胃肠肝病学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 胃肠肝病学
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出版当年[2018]版:
Q4 GASTROENTEROLOGY & HEPATOLOGY
最新[2023]版:
Q3 GASTROENTEROLOGY & HEPATOLOGY

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第一作者机构: [1]Department of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China [2]Department of General Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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通讯机构: [6]Key Laboratory of Protein Chemistry and Developmental Biology of Ministry of Education, College of Life Sciences,Hunan Normal University, Changsha, China [7]Department of Neurosurgery, Second Affiliated Hospital of Hunan Normal University, Changsha, China [8]Hunan Provincial Key Laboratory of Neurorestoration, Changsha, China
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