Title Nomograms for predicting long-term overall survival and cancer-specific survival in patients with major salivary gland cancer: a population-based study
Authors Li, Yun
Ju, Jun
Liu, Xiaoxiao
Gao, Tao
Wang, Zhidong
Ni, Qianwei
Ma, Chao
Zhao, Zhenyan
Ren, Yixiong
Sun, Moyi
Affiliation Fourth Mil Med Univ, State Key Lab Mil Stomatol, Natl Clin Res Ctr Oral Dis,Sch Stomatol, Shaanxi Clin Res Ctr Oral Dis,Dept Oral & Maxillo, Xian, Peoples R China.
Navy Gen Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China.
Peking Univ, Hosp 1, Fengtai Hosp, Dept Stomatol, Beijing, Peoples R China.
First Hosp Yu Lin, Dept Stomatol, Yulin, Shaanxi, Peoples R China.
Fourth Mil Med Univ, Sch Prevent Med, Dept Hlth Stat, Xian, Peoples R China.
Keywords nomograms
major salivary gland cancer
overall survival
cancer-specific survival
head and neck
SQUAMOUS-CELL CARCINOMA
RADIATION-THERAPY
COMPETING RISK
PROGNOSTIC-FACTORS
TUMORS
MANAGEMENT
MALIGNANCIES
OUTCOMES
SURGERY
HEAD
Issue Date 2017
Publisher ONCOTARGET
Citation ONCOTARGET.2017,8(15),24469-24482.
Abstract In this study, we aimed to develop and validate nomograms for predicting long-term overall survival (OS) and cancer-specific survival (CSS) in major salivary gland cancer (MSGC) patients. These nomograms were developed using a retrospective cohort (N=4218) from the Surveillance, Epidemiology, and End Results (SEER) database, and externally validated using an independent data cohort (N=244). We used univariate, and multivariate analyses, and cumulative incidence function to select the independent prognostic factors of OS and CSS. Index of concordance (c-index) and calibration plots were used to estimate the nomograms' predictive accuracy. The median follow-up period was 34 months (1-119 months). Of 4218 MSGC patients, 1320 (31.3%) died by the end of the follow-up; of these 1320 patients, 883 (20.9%) died of MSGC. The OS nomogram, which had a c-index of 0.817, was based on nine variables: age, sex, tumor site, tumor grade, surgery performed, radiation therapy and TNM classifications. The CSS nomogram, which had a c-index of 0.829, was based on the same nine variables plus race. External validation c-indexes were 0.829 and 0.807 for OS and CSS, respectively. Based on SEER database, we have developed nomograms predicting five- and eight-years OS and CSS for MSGC patients with perfect accuracy. These nomograms will help clinicians customize treatment and monitoring strategies in MSGC patients.
URI http://hdl.handle.net/20.500.11897/474033
ISSN 1949-2553
DOI 10.18632/oncotarget.14905
Indexed SCI(E)
Appears in Collections: 第一医院

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