Evidence map›Paper›PMID 27399084›Full record

ArticleMedicine2016

A nomogram for predicting survival of nasopharyngeal carcinoma patients with metachronous metastasis.

Zixun Zeng, Lujun Shen, Yue Wang, Feng Shi, Chen Chen, Ming Wu, Yutong Bai, Changchuan Pan, Yunfei Xia, Peihong Wu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  8. Prognostic factors in metastatic nasopharyngeal carcinoma.Brazilian journal of otorhinolaryngology
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Zixun ZengZhong Shan Medical School, Sun Yat-sen University Department of Medical Imaging and Interventional Radiology, Sun Yat-sen University Cancer Center Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Department of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou Department of Medical Oncology, Sichuan Cancer Hospital and Institute, Chengdu, People's Republic of China.
Lujun Shen
Yue Wang
Feng Shi
Chen Chen
Ming Wu
Yutong Bai
Changchuan Pan
Yunfei Xia
Peihong Wu
Wang Li
Sun Yat-sen University · CNSun Yat-sen University Cancer Center · CNSichuan Cancer Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with metachronous metastatic nasopharyngeal carcinoma (NPC) differ significantly in survival outcomes. The aim of this study is to build a clinically practical nomogram incorporating known tumor prognostic factors to predict survival for metastatic NPC patients in epidemic areas.A total of 860 patients with metachronous metastatic nasopharyngeal carcinoma were analyzed retrospectively. Variables assessed were age, gender, body mass index, Karnofsky Performance Status (KPS), Union for International Cancer Control (UICC) T and N stages, World Health Organization (WHO) histology type, serum lactate dehydrogenase (sLDH) level, serum Epstein-Barr virus (EBV) level, treatment modality, specific metastatic location (lung/liver/bone), number of metastatic location(s) (isolated vs multiple), and number of metastatic lesion(s) in metastatic location(s) (single vs multiple). The independent prognostic factors for overall survival (OS) by Cox-regression model were utilized to build the nomogram.Independent prognostic factors for OS of metastatic NPC patients included age, UICC N stage, KPS, sLDH, number of metastatic locations, number of metastatic lesions, involvement of liver metastasis, and involvement of bone metastasis. Calibration of the final model suggested a c-index of 0.68 (95% confidence interval [CI], 0.65-0.69). Based on the total point (TP) by nomogram, we further subdivided the study cohort into 4 groups. Group 1 (TP < 320, 208 patients) had the lowest risk of dying. Discrimination was visualized by the differences in survival between these 4 groups (group 2/group 1: hazard ratio [HR] = 1.61, 95%CI: 1.24-2.09; group 3/group 1: HR = 2.20, 95%CI: 1.69-2.86; and group 4/group 1: HR = 3.66, 95%CI: 2.82-4.75).The developed nomogram can help guide the prognostication of patients with metachronous metastatic NPC in epidemic areas.

Indexed as

NomogramsAdolescentAdultAgedAged, 80 and overAge FactorsBone NeoplasmsCarcinomaChildChinaHumansLiver NeoplasmsMiddle AgedNasopharyngeal CarcinomaNasopharyngeal NeoplasmsNeoplasm Staging

Identifiers

PMID27399084
PMCPMC5058813
OpenAlexW2471439746

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.