Evidence map›Paper›PMID 34364382›Full record

Trial reportWorld journal of surgical oncology2021

Development and validation of prognostic nomograms for patients with colon neuroendocrine neoplasms.

Ruitong Xu, Bingrong Zhou, Ping Hu, Bingyan Xue, Danyang Gu, Xiaolin Li, Qiyun Tang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in World journal of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% of its field
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Ruitong XuDepartment of Geriatric Gastroenterology, the First Affiliated Hospital of Nanjing Medical University, Gulou District, No. 300, Guangzhou Road, Nanjing, 210029, China.
Bingrong ZhouDepartment of Dermatology, the First Affiliated Hospital of Nanjing Medical University, Gulou District, No. 300, Guangzhou Road, Nanjing, 210029, China.
Ping HuDepartment of Geriatric Gastroenterology, the First Affiliated Hospital of Nanjing Medical University, Gulou District, No. 300, Guangzhou Road, Nanjing, 210029, China.
Bingyan XueDepartment of Geriatric Gastroenterology, the First Affiliated Hospital of Nanjing Medical University, Gulou District, No. 300, Guangzhou Road, Nanjing, 210029, China.
Danyang GuDepartment of Geriatric Gastroenterology, the First Affiliated Hospital of Nanjing Medical University, Gulou District, No. 300, Guangzhou Road, Nanjing, 210029, China.
Xiaolin LiDepartment of Geriatric Gastroenterology, the First Affiliated Hospital of Nanjing Medical University, Gulou District, No. 300, Guangzhou Road, Nanjing, 210029, China.
Qiyun TangDepartment of Geriatric Gastroenterology, the First Affiliated Hospital of Nanjing Medical University, Gulou District, No. 300, Guangzhou Road, Nanjing, 210029, China. tqy831@163.com.
Jiangsu Province Hospital · CNNanjing Medical University · CN

Funding

333 Project of Jiangsu Province BRA2017535the Medical Key Talents Project of Jiangsu Province ZDRCA2016008
6 · The paper itself

Abstract

backgroundColon neuroendocrine neoplasms (NENs) have one of the poorest median overall survival (OS) rates among all NENs. The American Joint Committee on Cancer (AJCC) tumor-node-metastasis (TNM) staging system-currently the most commonly used prediction model-has limited prediction accuracy because it does not include parameters such as age, sex, and treatment. The aim of this study was to construct nomograms containing various clinically important parameters to predict the prognosis of patients with colon NENs more accurately.

methodsUsing the Surveillance, Epidemiology, and End Results (SEER) database, we performed a retrospective analysis of colon NENs diagnosed from 1975 to 2016. Data were collected from 1196 patients; almost half were female (617/1196, 51.6%), and the average age was 61.94 ± 13.05 years. Based on the age triple cut-off values, there were 396 (33.1%), 408 (34.1%), and 392 (32.8%) patients in age groups 0-55 years, 55-67 years, and ≥ 68 years, respectively. Patients were randomized into training and validation cohorts (3:1). Independent prognostic factors were used for construction of nomograms to precisely predict OS and cancer-specific survival (CSS) in patients with colon NENs.

resultsMultivariate analysis showed that age ≥ 68 years, sex, tumor size, grade, chemotherapy, N stage, and M stage were independent predictors of OS. In the validation cohort, the Concordance index (C-index) values of the OS and CSS nomograms were 0.8345 (95% confidence interval [CI], 0.8044-0.8646) and 0.8209 (95% CI, 0.7808-0.861), respectively. C-index also indicated superior performance of both nomograms (C-index 0.8347 for OS and 0.8668 for CSS) compared with the AJCC TNM classification (C-index 0.7159 for OS and 0.7366 for CSS).

conclusionsWe established and validated new nomograms for more precise prediction of OS and CSS in patients with colon NENs to facilitate individualized clinical decisions.

Indexed as

Neuroendocrine TumorsNomogramsAdolescentAdultAgedChildChild, PreschoolColonFemaleHumansInfantInfant, NewbornMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesColon neuroendocrine neoplasmNomogramPrognosisSurvival

Identifiers

PMID34364382
PMCPMC8349494
OpenAlexW3190425581

What OpenQuestion holds

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LicenceCC BY
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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.