Evidence map›Paper›PMID 31657530›Full record

ArticleCancer medicine2019

Predictive value of a nomogram for melanomas with brain metastases at initial diagnosis.

Hong Liu, Yan-Bo Xu, Cheng-Cheng Guo, Ming-Xin Li, Jia-Li Ji, Rong-Rong Dong, Ling-Ling Zhang, Xue-Xin He

Abstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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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

8 authors.

Hong LiuDepartment of Medical Oncology, The Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China.ORCID 0000-0002-9305-4889
Yan-Bo XuDepartment of Surgical Oncology, The Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China.ORCID 0000-0003-4129-7376
Cheng-Cheng GuoState Key Laboratory of Oncology in South China, Department of Neurosurgical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, Guangdong, China.
Ming-Xin LiCollege of Medicine, Upstate Medical University, New York, NY, USA.ORCID 0000-0003-2397-8792
Jia-Li JiDepartment of Oncology, Affiliated Cancer Hospital of Nantong University, Nantong, Jiangsu, China.
Rong-Rong DongDepartment of Internal Medicine, The Children's Hospital of Zhejiang University, Hangzhou, Zhejiang, China.
Ling-Ling ZhangDepartment of Oncology, International Hospital of Peking University, Beijing, China.
Xue-Xin HeDepartment of Medical Oncology, The Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEstimation of incidence and prognosis of melanomas with brain metastases (MBM) at initial diagnosis based on a large cohort is lacking in current research. This study aims to construct an effective prognostic nomogram for newly diagnosed MBM. MATERIALS AND

methodsPatients diagnosed with melanomas from Surveillance, Epidemiology, and End Results program between 2010 and 2014 were enrolled in our study. Risk factors predicting brain metastases (BM) were identified using logistic regression analysis. Cox regression analysis was performed to identify prognostic factors of overall survival (OS). Nomogram for estimating 6-, 9-, and 12-month OS was established based on Cox regression analysis. The discriminative ability and calibration of the nomogram were tested using C statistics, calibration plots, and Kaplan-Meier curves.

resultsSixty-two thousand three hundred and sixty-nine melanoma patients were enrolled, including 928 with BM. Sex, marital status, insurance status, subsite, surgery of primary sites, radiation, chemotherapy, bone metastases, liver metastases, and lung metastases were associated with MBM at initial diagnosis. On multivariable Cox regression, the following eight variables were incorporated in the prediction of OS: age, unmarried status, absence of surgery to primary sites or unknown, absence of radiation or unknown, absence of chemotherapy or unknown, with bone metastases, with liver metastases, and with lung metastases. The nomogram showed good predictive ability as indicated by discriminative ability and calibration, with the C statistics of 0.716 (95% CI, 0.695-0.737).

conclusionsThe incidence and prognosis of MBM patients were well estimated in this study based on a large cohort. The nomogram performed well and could be a useful tool to predict prognosis.

Indexed as

AgedBrain NeoplasmsDisease ManagementFemaleHumansIncidenceKaplan-Meier EstimateMaleMelanomaMiddle AgedNomogramsOdds RatioPrognosisProportional Hazards ModelsReproducibility of ResultsSEER Programmelanomamelanoma brain metastasesnomogramprognosis

Identifiers

PMID31657530
PMCPMC6912053

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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.