Evidence map›Paper›PMID 35360729›Full record

ArticleFrontiers in medicine2022

Postoperative Adjuvant Imatinib Therapy-Associated Nomogram to Predict Overall Survival of Gastrointestinal Stromal Tumor.

Xuechao Liu, Enyu Lin, Yuqi Sun, Xiaodong Liu, Zequn Li, Xuelong Jiao, Yi Li, Dong Guo, Peng Zhang, Xingyu Feng and 5 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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

15 authors.

Xuechao LiuDepartment of General Surgery, Affiliated Hospital of Qingdao University, Qingdao, China.
Enyu LinDepartment of Urology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Yuqi SunDepartment of General Surgery, Affiliated Hospital of Qingdao University, Qingdao, China.
Xiaodong LiuDepartment of General Surgery, Affiliated Hospital of Qingdao University, Qingdao, China.
Zequn LiDepartment of General Surgery, Affiliated Hospital of Qingdao University, Qingdao, China.
Xuelong JiaoDepartment of General Surgery, Affiliated Hospital of Qingdao University, Qingdao, China.
Yi LiDepartment of General Surgery, Affiliated Hospital of Qingdao University, Qingdao, China.
Dong GuoDepartment of General Surgery, Affiliated Hospital of Qingdao University, Qingdao, China.
Peng ZhangDepartment of General Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xingyu FengDepartment of General Surgery, Guangdong General Hospital, Guangzhou, China.
Tao ChenDepartment of General Surgery, Southern Medical University Nanfang Hospital, Guangzhou, China.
Zhaojian NiuDepartment of General Surgery, Affiliated Hospital of Qingdao University, Qingdao, China.
Zhiwei ZhouDepartment of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Haibo QiuDepartment of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yanbing ZhouDepartment of General Surgery, Affiliated Hospital of Qingdao University, Qingdao, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adjuvant imatinib therapy has been shown to improve overall survival (OS) of gastrointestinal stromal tumor (GIST) significantly. Few nomograms combining the use of adjuvant imatinib and clinicopathological characteristics estimate the outcome of patients. We aimed to establish a more comprehensive nomogram for predicting OS in patients with GIST. Methods: In total, 1310 GIST patients undergoing curative resection at four high-volume medical centers between 2001 and 2015 were enrolled. Independent prognostic factors were identified by multivariate Cox analysis. Eligible patients were randomly assigned in a ratio of 7:3 into a training set (916 cases) and a validation set (394 cases). A nomogram was established by R software and its predictive power compared with that of the modified National Institutes of Health (NIH) classification using time-dependent receiver operating characteristic (ROC) curves and calibration plot. Results: Age, tumor site, tumor size, mitotic index, postoperative imatinib and diagnostic delay were identified as independent prognostic parameters and used to construct a nomogram. Of note, diagnostic delay was for the first time included in a prognostic model for GIST. The calibrated nomogram resulted in predicted survival rates consistent with observed ones. And the decision curve analysis suggested that the nomogram prognostic model was clinically useful. Furthermore, time-dependent ROC curves showed the nomogram exhibited greater discrimination power than the modified NIH classification in 3- and 5-year survival predictions for both training and validation sets (all Conclusions: Postoperative adjuvant imatinib therapy improved the survival of GIST patients. We developed and validated a more comprehensive prognostic nomogram for GIST patients, and it could have important clinical utility in improving individualized predictions of survival risks and treatment decision-making.

Indexed as

diagnostic delaygastrointestinal stromal tumorimatinibnomogramprognosis

Identifiers

PMID35360729
PMCPMC8960199

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