Evidence map›Paper›PMID 33665831›Full record

ArticleActa obstetricia et gynecologica Scandinavica2021

A prognostic system for epithelial ovarian carcinomas using machine learning.

Philip M Grimley, Zhenqiu Liu, Kathleen M Darcy, Matthew T Hueman, Huan Wang, Li Sheng, Donald E Henson, Dechang Chen

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2021. 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
–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

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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.

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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.

Philip M GrimleyDepartment of Pathology, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Zhenqiu LiuDepartment of Public Health Sciences, Penn State Cancer Institute, Hershey, PA, USA.
Kathleen M DarcyDepartment of Obstetrics & Gynecology, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Matthew T HuemanDepartment of Surgical Oncology, John P. Murtha Cancer Center, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Huan WangDepartment of Biostatistics, George Washington University, Washington, DC, USA.
Li ShengDepartment of Mathematics, Drexel University, Philadelphia, PA, USA.
Donald E HensonDepartment of Preventive Medicine & Biostatistics, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Dechang ChenDepartment of Preventive Medicine & Biostatistics, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.ORCID https://orcid.org/0000-0001-5787-3441

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntegrating additional factors into the International Federation of Gynecology and Obstetrics (FIGO) staging system is needed for accurate patient classification and survival prediction. In this study, we tested machine learning as a novel tool for incorporating additional prognostic parameters into the conventional FIGO staging system for stratifying patients with epithelial ovarian carcinomas and evaluating their survival. MATERIAL AND

methodsCancer-specific survival data for epithelial ovarian carcinomas were extracted from the Surveillance, Epidemiology, and End Results (SEER) program. Two datasets were constructed based upon the year of diagnosis. Dataset 1 (39 514 cases) was limited to primary tumor (T), regional lymph nodes (N) and distant metastasis (M). Dataset 2 (25 291 cases) included additional parameters of age at diagnosis (A) and histologic type and grade (H). The Ensemble Algorithm for Clustering Cancer Data (EACCD) was applied to generate prognostic groups with depiction in dendrograms. C-indices provided dendrogram cutoffs and comparisons of prediction accuracy.

resultsDataset 1 was stratified into nine epithelial ovarian carcinoma prognostic groups, contrasting with 10 groups from FIGO methodology. The EACCD grouping had a slightly higher accuracy in survival prediction than FIGO staging (C-index = 0.7391 vs 0.7371, increase in C-index = 0.0020, 95% confidence interval [CI] 0.0012-0.0027, p = 1.8 × 10

conclusionsEACCD was successfully applied to integrate A and H with T, N and M for stratification and survival prediction of epithelial ovarian carcinoma patients. Additional factors could be advantageously incorporated to test the prognostic impact of emerging diagnostic or therapeutic advances.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Ovarian EpithelialDatabases, FactualFemaleHumansKaplan-Meier EstimateLymphatic MetastasisMachine LearningMiddle AgedNeoplasm StagingOvarian NeoplasmsPrognosisSEER ProgramUnited StatesC-indexdendrogrammachine learningovarian carcinomastagingsurvival

Identifiers

PMID33665831
PMCPMC8360140

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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.