Evidence map›Paper›PMID 30857319›Full record

ArticleInternational journal of molecular sciences2019

A Prediction Model for Preoperative Risk Assessment in Endometrial Cancer Utilizing Clinical and Molecular Variables.

Erin A Salinas, Marina D Miller, Andreea M Newtson, Deepti Sharma, Megan E McDonald, Matthew E Keeney, Brian J Smith, David P Bender, Michael J Goodheart, Kristina W Thiel and 3 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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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

13 authors.

Erin A SalinasCompass Oncology, Portland, OR 97227, USA. Erin.Salinas@compassoncology.com.
Marina D MillerDepartment of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. marina-miller@uiowa.edu.
Andreea M NewtsonDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. andreea-newtson@uiowa.edu.
Deepti SharmaDepartment of Obstetrics and Gynecology, University of Kentucky, Lexington, KY 52242, USA. dsh274@uky.edu.
Megan E McDonaldDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. megan-e-mcdonald@uiowa.edu.
Matthew E KeeneyWinfield Pathology Consultants, Central DuPage Hospital, Winfield, IL 60190, USA. mekeeney@llu.edu.
Brian J SmithDepartment of Biostatistics, University of Iowa College of Public Health, Iowa City, IA 52242, USA. brian-j-smith@uiowa.edu.
David P BenderDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. david-bender@uiowa.edu.
Michael J GoodheartDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. michael-goodheart@uiowa.edu.
Kristina W ThielDepartment of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. kristina-thiel@uiowa.edu.
Eric J DevorDepartment of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. eric-devor@uiowa.edu.
Kimberly K LeslieDepartment of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. kimberly-leslie@uiowa.edu.
Jesus Gonzalez BosquetDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. jesus-gonzalezbosquet@uiowa.edu.ORCID 0000-0002-2079-4528

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
MTDH regulates Fanconi anemia repair pathway to mediate drug resistanceR01CA184101 · NCI · UNIVERSITY OF IOWA · PI LESLIE, KIMBERLY K., MENG, XIANGBING · 2014 to 2018
$1.6M
Department of Obstetrics & Gynecology at the University of Iowa Basic research fundNIH HHS P30CA086862NIH HHS R01CA184101NIH HHS R01CA99908
6 · The paper itself

Abstract

The utility of comprehensive surgical staging in patients with low risk disease has been questioned. Thus, a reliable means of determining risk would be quite useful. The aim of our study was to create the best performing prediction model to classify endometrioid endometrial cancer (EEC) patients into low or high risk using a combination of molecular and clinical-pathological variables. We then validated these models with publicly available datasets. Analyses between low and high risk EEC were performed using clinical and pathological data, gene and miRNA expression data, gene copy number variation and somatic mutation data. Variables were selected to be included in the prediction model of risk using cross-validation analysis; prediction models were then constructed using these variables. Model performance was assessed by area under the curve (AUC). Prediction models were validated using appropriate datasets in The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases. A prediction model with only clinical variables performed at 88%. Integrating clinical and molecular data improved prediction performance up to 97%. The best prediction models included clinical, miRNA expression and/or somatic mutation data, and stratified pre-operative risk in EEC patients. Integrating molecular and clinical data improved the performance of prediction models to over 95%, resulting in potentially useful clinical tests.

Indexed as

Preoperative PeriodDNA Copy Number VariationsEndometrial NeoplasmsFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHumansMicroRNAsMiddle AgedMutationNeoplasm InvasivenessPrognosisRisk AssessmentMicroRNAsclinical outcomesendometrial cancerhigh riskintegration of dataprediction models

Identifiers

PMID30857319
PMCPMC6429416

What OpenQuestion holds

Textmetadata
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.