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An immune scores-based nomogram for predicting overall survival in patients with clear cell renal cell carcinoma.

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机构: [1]The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, Guangdong, China. [2]Department of Oncology and Haematology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, Guangdong, China. [3]Department of Science and Education, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, Guangdong, China.
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关键词: clear cell renal cell carcinoma immune scores nomogram prognosis

摘要:
The role of immune cell infiltration in the prognosis of clear cell renal cell carcinoma (ccRCC) has received increasing attention. However, immune scores have not yet been introduced into routine clinical practice of ccRCC patients. The principal objective of our research was to study the correlation between immune scores and overall survival (OS) of ccRCC.In this study, Cox regression analyses were used to identify risk factors associated with OS of ccRCC based on the Cancer Genome Atlas datasets. Furthermore, an integrated nomogram combining immune scores and clinicopathologic factors was built for predicting 3- and 5-year OS of ccRCC patients. The receiver operating characteristic curve, concordance index, and calibration curves were used for the evaluation of our nomogram. Also, Kaplan-Meier (KM) survival analysis of immune scores, stromal scores, and different clinicopathological factors was performed.A total of 514 patients were divided into the low- or high-immune scores group. KM and multivariate Cox regression analyses demonstrated that ccRCC patients with high-immune scores had significantly poor OS compared with those with low-immune scores. Calibration curves showed good consistency between the predicted OS and the actual OS probability. Areas under the receiver operating characteristic curves for 3- and 5-year OS were 0.816 and 0.769, and the concordance index was 0.775, indicating that our nomogram had good accuracy for predicting OS of ccRCC patients. Additionally, KM analysis showed that older age, later T stage, distant metastasis, advanced tumor lymph node metastasis stage, higher tumor grade, left site, and low stromal scores were associated with worse OS in ccRCC patients.High-immune scores show a significant correlation with unsatisfactory prognosis in ccRCC patients. Furthermore, the immune scores-based nomogram may be helpful in predicting ccRCC prognosis.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 3 区 医学:内科
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
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出版当年[2018]版:
Q2 MEDICINE, GENERAL & INTERNAL
最新[2023]版:
Q2 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

第一作者:
第一作者机构: [1]The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, Guangdong, China. [2]Department of Oncology and Haematology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, Guangdong, China.
通讯作者:
通讯机构: [3]Department of Science and Education, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, Guangdong, China. [*1]Department of Science and education,Shenzhen Traditional Chinese Medicine Hospital, No.1 Fuhua Road, Shenzhen,Guangdong 518033, China
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