Evidence map›Paper›PMID 30208904›Full record

ArticleWorld journal of surgical oncology2018

Introducing novel and comprehensive models for predicting recurrence in breast cancer using the group LASSO approach: are estimates of early and late recurrence different?

Majid Akrami, Peyman Arasteh, Tannaz Eghbali, Hadi Raeisi Shahraki, Sedigheh Tahmasebi, Vahid Zangouri, Abbas Rezaianzadeh, Abdolrasoul Talei

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Article in World journal of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Majid AkramiBreast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Peyman ArastehBreast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Tannaz EghbaliBreast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Steghbali@gmail.com.ORCID http://orcid.org/0000-0003-4484-2317
Hadi Raeisi ShahrakiDepartment of Biostatistics and Epidemiology, Faculty of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Sedigheh TahmasebiBreast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Vahid ZangouriSurgical Oncology Division, General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran.
Abbas RezaianzadehBreast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Abdolrasoul TaleiBreast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

Shiraz Transplant Research Center, Shiraz University of Medical Sciences 95-01-01-12906
6 · The paper itself

Abstract

backgroundIn here, we constructed personalized models for predicting breast cancer (BC) recurrence according to timing of recurrence (as early and late recurrence).

methodsAn efficient algorithm called group LASSO was used for simultaneous variable selection and risk factor prediction in a logistic regression model.

resultsFor recurrence < 5 years, age (OR 0.96, 95% CI = 0.95-0.97), number of pregnancies (OR 0.94, 95% CI = 0.89-0.99), family history of other cancers (OR 0.73, 95% CI = 0.60-0.89), hormone therapy (OR 0.76, 95% CI = 0.61-0.96), dissected lymph nodes (OR 0.98, 95% CI = 0.97-0.99), right-sided BC (OR 0.87, 95% CI = 0.77-0.99), diabetes (OR 0.77, 95% CI = 0.60-0.98), history of breast operations (OR 0.38, 95% CI = 0.17-0.88), smoking (OR 5.72, 95% CI = 2.11-15.55), history of breast disease (OR 3.32, 95% CI = 1.92-5.76), in situ component (OR 1.58, 95% CI = 1.35-1.84), tumor necrosis (OR 1.87, 95% CI = 1.57-2.22), sentinel lymph node biopsy (SLNB) (OR 2.90, 95% CI = 2.05-4.11) and SLNB+axillary node dissection (OR 3.50, 95% CI = 2.26-5.42), grade 3 (OR 1.79, 95% CI = 1.46-2.21), stage 2 (OR 2.71, 95% CI = 2.18-3.35), stages 3 and 4 (OR 5.01, 95% CI = 3.52-7.13), and mastectomy+radiotherapy (OR 2.97, 95% CI = 2.39-3.68) were predictors of recurrence < 5 years. Moreover, relative to mastectomy without radiotherapy (as reference for comparison), quadrantectomy without radiotherapy had a noticeably higher odds ratio compared to quadranectomy with radiotherapy for recurrence < 5 years. (OR 17.58, 95% CI = 6.70-46.10 vs. OR: 2.50, 95% CI = 2-3.12). Accuracy, sensitivity, and specificity of the model were 82%, 75.6%, and 74.9%, respectively. For recurrence > 5 years, stage 2 cancer (OR 1.67, 95% CI = 1.31-2.14) and radiotherapy+mastectomy (OR 2.45, 95% CI = 1.81-3.32) were significant predictors; furthermore, relative to mastectomy without radiotherapy (as reference for comparison), quadranectomy without radiotherapy had a noticeably higher odds ratio compared to quadranectomy with radiotherapy for recurrence > 5 years (OR 7.62, 95% CI = 1.52-38.15 vs. OR 1.75, 95% CI = 1.32-2.32). Accuracy, sensitivity, and specificity of the model were 71%, 78.8%, and 55.8%, respectively.

conclusionFor the first time, we constructed models for estimating recurrence based on timing of recurrence which are among the most applicable models with excellent accuracy (> 80%).

Indexed as

Models, BiologicalAdultAgedAlgorithmsBreast NeoplasmsFemaleHumansLogistic ModelsMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingPatient-Specific ModelingPrognosisRegistriesRisk AssessmentRisk FactorsBreast cancerEarlyLateModelPredictionRecurrence

Identifiers

PMID30208904
PMCPMC6136222

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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.