Evidence map›Paper›PMID 34331414›Full record

ArticleCancer medicine2021

A clinical variable-based nomogram could predict the survival for advanced NSCLC patients receiving second-line atezolizumab.

Xiaoling Shang, Jianxiang Shi, Xiaohui Wang, Chenglong Zhao, Haining Yu, Haiyong Wang

Abstract readValidation Study
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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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.

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xiaoling ShangDepartment of Clinical Laboratory, Shandong University, Jinan, China.ORCID 0000-0001-7031-6113
Jianxiang ShiHenan Academy of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, China.ORCID 0000-0002-4346-3895
Xiaohui WangResearch Service Office, Shandong Liaocheng People's Hospital, Liaocheng, China.
Chenglong ZhaoDepartment of Pathology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Haining YuPersonnel Division, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Haiyong WangDepartment of Internal Medicine-Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0000-0002-0658-4479

Funding

Academic promotion program of Shandong First Medical University 2019RC004Special Funds for Taishan Scholars Project tsqn201812149
6 · The paper itself

Abstract

objectiveA nomogram model based on clinical variables was conducted to predict the survival in patients with non-small cell lung cancer (NSCLC) receiving second-line atezolizumab.

methodsFour hundred and twenty-four patients with NSCLC receiving atezolizumab from OAK study were regarded as the training cohort. Next, a nomogram model based on clinical variables in the training cohort was established to predict the survival of patients receiving atezolizumab. The concordance index, area under curve (AUC), and calibration plots were used to assess the performance of the nomogram model. In addition, 144 patients with NSCLC receiving atezolizumab from POPLAR study were regarded as the test cohort to validate the nomogram model. Using Kaplan-Meier and log-rank test, we compared the survival difference between the high- and low-risk groups, atezolizumab and docetaxel treatment groups, respectively.

resultsWe successfully constructed a nomogram model based on different variable scores for predicting the survival in NSCLC patients receiving atezolizumab using the training cohort. According to risk score, patients receiving atezolizumab were divided into the high- and low-risk groups. Importantly, in the training cohort, patients had worse overall survival (OS) in high-risk group compared with the low-risk group (median survival: 252.3 vs. 556.9 days; p < 0.0001). As expected, in the test cohort, the high-risk patients also showed a worse OS (median survival: 288.8 vs. 529.3 days, p = 0.0003). In addition, all the patients from the training and test cohorts could be found the OS benefit from atezolizumab compared with docetaxel (all, p < 0.05).

conclusionsThe clinical variable-based nomogram model could predict the survival benefit for NSCLC patients receiving second-line atezolizumab.

Indexed as

NomogramsAgedAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungDocetaxelFeasibility StudiesFemaleHumansKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedNeoplasm StagingProgression-Free SurvivalRisk AssessmentAntibodies, Monoclonal, HumanizedatezolizumabDocetaxelatezolizumabdocetaxelnomogramNSCLCoverall survival

Identifiers

PMID34331414
PMCPMC8446569

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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.