Evidence map›Paper›PMID 35784233›Full record

ArticleFrontiers in public health2022

Analysis of Prognostic Factors of Rectal Cancer and Construction of a Prognostic Prediction Model Based on Bayesian Network.

Ruikai Li, Chi Zhang, Kunli Du, Hanjun Dan, Ruxin Ding, Zhiqiang Cai, Lili Duan, Zhenyu Xie, Gaozan Zheng, Hongze Wu and 4 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

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

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.

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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

14 authors.

Ruikai LiDepartment of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Chi ZhangDepartment of Industrial Engineering, School of Mechantronics, Northwestern Polytechnical University, Xi'an, China.
Kunli DuDepartment of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Hanjun DanDepartment of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Ruxin DingDepartment of Cell Biology and Genetics, Medical College of Yan'an University, Yan'an, China.
Zhiqiang CaiDepartment of Industrial Engineering, School of Mechantronics, Northwestern Polytechnical University, Xi'an, China.
Lili DuanDepartment of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Zhenyu XieDepartment of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Gaozan ZhengDepartment of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Hongze WuDepartment of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Guangming RenGraduate Work Department, Xi'an Medical University, Xi'an, China.
Xinyu DouGraduate Work Department, Xi'an Medical University, Xi'an, China.
Fan FengDepartment of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Jianyong ZhengDepartment of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The existing prognostic models of rectal cancer after radical resection ignored the relationships among prognostic factors and their mutual effects on prognosis. Thus, a new modeling method is required to remedy this defect. The present study aimed to construct a new prognostic prediction model based on the Bayesian network (BN), a machine learning tool for data mining, clinical decision-making, and prognostic prediction. Methods: From January 2015 to December 2017, the clinical data of 705 patients with rectal cancer who underwent radical resection were analyzed. The entire cohort was divided into training and testing datasets. A new prognostic prediction model based on BN was constructed and compared with a nomogram. Results: A univariate analysis showed that age, Carcinoembryonic antigen (CEA), Carbohydrate antigen19-9 (CA19-9), Carbohydrate antigen 125 (CA125), preoperative chemotherapy, macropathology type, tumor size, differentiation status, T stage, N stage, vascular invasion, KRAS mutation, and postoperative chemotherapy were associated with overall survival (OS) of the training dataset. Based on the above-mentioned variables, a 3-year OS prognostic prediction BN model of the training dataset was constructed using the Tree Augmented Naïve Bayes method. In addition, age, CEA, CA19-9, CA125, differentiation status, T stage, N stage, KRAS mutation, and postoperative chemotherapy were identified as independent prognostic factors of the training dataset through multivariate Cox regression and were used to construct a nomogram. Then, based on the testing dataset, the two models were evaluated using the receiver operating characteristic (ROC) curve. The results showed that the area under the curve (AUC) of ROC of the BN model and nomogram was 80.11 and 74.23%, respectively. Conclusion: The present study established a BN model for prognostic prediction of rectal cancer for the first time, which was demonstrated to be more accurate than a nomogram.

Indexed as

Carcinoembryonic AntigenRectal NeoplasmsBayes TheoremCA-19-9 AntigenCarbohydratesHumansPrognosisProto-Oncogene Proteins p21(ras)CA-19-9 AntigenCarbohydratesCarcinoembryonic AntigenProto-Oncogene Proteins p21(ras)Bayesian networkclinicopathological factorprediction modelprognosisrectal cancer

Identifiers

PMID35784233
PMCPMC9247333

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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.