Evidence map›Paper›PMID 28949958›Full record

ArticleBritish journal of cancer2017

Nomogram individually predicts the overall survival of patients with gastroenteropancreatic neuroendocrine neoplasms.

Cheng Fang, Wei Wang, Xingyu Feng, Jian Sun, Yu Zhang, Yujie Zeng, Junjiang Wang, Huishan Chen, Muyan Cai, Junzhong Lin and 6 more

Abstract read
In one paragraph

Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

68 citing papers in PubMed, 1 synthesis or guideline pooled it.

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8 more citing papers are in PubMed but not listed here.

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

16 authors.

Cheng FangDepartment of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.
Wei WangDepartment of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.
Xingyu FengDepartment of General Surgery, Guangdong General Hospital, Guangzhou, People's Republic of China.
Jian SunDepartment of Biliopancreatic Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Yu ZhangDepartment of Gastroenterology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Yujie ZengDepartment of Gastrointestinal Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Junjiang WangDepartment of General Surgery, Guangdong General Hospital, Guangzhou, People's Republic of China.
Huishan ChenDepartment of Gastroenterology, Nanfang Hospital of Southern Medical University, Guangzhou, People's Republic of China.
Muyan CaiState Key Laboratory of Oncology in South China, Guangzhou, People's Republic of China.
Junzhong LinState Key Laboratory of Oncology in South China, Guangzhou, People's Republic of China.
Minhu ChenDepartment of Gastroenterology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Ye ChenDepartment of Gastroenterology, Nanfang Hospital of Southern Medical University, Guangzhou, People's Republic of China.
Yong LiDepartment of General Surgery, Guangdong General Hospital, Guangzhou, People's Republic of China.
Shengping LiState Key Laboratory of Oncology in South China, Guangzhou, People's Republic of China.
Jie ChenDepartment of Gastroenterology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Zhiwei ZhouDepartment of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current study aimed to establish a novel nomogram to predict the overall survival of individual Chinese patients with gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs). Furthermore, this study sought to externally validate this nomogram using the Surveillance, Epidemiology, and End Results (SEER) database.

methodsThe records of 1183 patients with GEP-NENs treated at five high-capacity institutions in China between 2005 and 2015 were retrospectively analysed. In addition, 10 236 GEP-NEN cases from the SEER database were included as an external validation set.

resultsA multivariate analysis using Cox proportional hazards (PHs) regression was performed, and a nomogram was constructed. Discrimination, calibration, and external validation were performed using the SEER data set. The multivariate Cox model indicated that age, tumour size, differentiation, lymph node metastases, and distant metastases were independent covariates associated with survival. With respect to the training set, the nomogram exhibited better discrimination power than TNM classification (Harrell's concordance index (C-index): 0.837 vs 0.784, P=0.006). Discrimination was also excellent and superior to that of TNM classification for the SEER-based validation set (C-index: 0.808 vs 0.717, P<0.001). The calibrated nomogram predicted a survival rate that closely corresponded to the actual survival rate.

conclusionsWe developed a nomogram that predicted the 3- and 5-year overall survival rates of patients with GEP-NENs. Validation revealed excellent discrimination and calibration for this nomogram, suggesting that it exhibits satisfactory clinical utility that might improve individualised predictions of survival risks and lead to the creation of additional clinical therapies.

Indexed as

NomogramsAdultAgedArea Under CurveChinaFemaleHumansIntestinal NeoplasmsKaplan-Meier EstimateMaleMiddle AgedNeuroendocrine TumorsPancreatic NeoplasmsProportional Hazards ModelsRetrospective StudiesROC Curve

Identifiers

PMID28949958
PMCPMC5680463

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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.