Evidence map›Paper›PMID 36536344›Full record

Trial reportBMC cancer2022

Predictive nomogram based on serum tumor markers and clinicopathological features for stratifying lymph node metastasis in breast cancer.

Sheng-Kai Geng, Shao-Mei Fu, Hong-Wei Zhang, Yi-Peng Fu

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 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

4 authors at 3 institutions in 1 country.

Sheng-Kai Geng *Department of Breast Surgery, The Obstetrics and Gynecology Hospital of Fudan University, 200011, Shanghai, People's Republic of China.
Shao-Mei Fu *Department of Breast Surgery, The Obstetrics and Gynecology Hospital of Fudan University, 200011, Shanghai, People's Republic of China.
Hong-Wei ZhangDepartment of General Surgery, Zhongshan Hospital, Fudan University, 200032, Shanghai, People's Republic of China. zhang.hongwei@zs-hospital.sh.cn.
Yi-Peng FuDepartment of Breast Surgery, The Obstetrics and Gynecology Hospital of Fudan University, 200011, Shanghai, People's Republic of China. fyp0076@163.com.
Obstetrics and Gynecology Hospital of Fudan University · CNFudan University · CNThe First Affiliated Hospital, Sun Yat-sen University · CN

Funding

National Natural Science Foundation of China 81902993Shanghai Municipal Health Commission 20214Y0389
6 · The paper itself

Abstract

backgroundThis study was aimed to establish the nomogram to predict patients' axillary node status by using patients' clinicopathological and tumor characteristic factors.

methodsA total of 705 patients with breast cancer were enrolled in this study. All patients were randomly divided into a training group and a validation group. Univariate and multivariate ordered logistic regression were used to determine the predictive ability of each variable. A nomogram was performed based on the factors selected from logistic regression results. Receiver operating characteristic curve (ROC) analysis, calibration plots and decision curve analysis (DCA) were used to evaluate the discriminative ability and accuracy of the models.

resultsLogistic regression analysis demonstrated that CEA, CA125, CA153, tumor size, vascular-invasion, calcification, and tumor grade were independent prognostic factors for positive ALNs. Integrating all the predictive factors, a nomogram was successfully developed and validated. The C-indexes of the nomogram for prediction of no ALN metastasis, positive ALN, and four and more ALN metastasis were 0.826, 0.706, and 0.855 in training group and 0.836, 0.731, and 0.897 in validation group. Furthermore, calibration plots and DCA demonstrated a satisfactory performance of our nomogram.

conclusionWe successfully construct and validate the nomogram to predict patients' axillary node status by using patients' clinicopathological and tumor characteristic factors.

Indexed as

Breast NeoplasmsLymphatic MetastasisNeoplasms, Second PrimaryBiomarkers, TumorFemaleHumansLymph NodesNomogramsRetrospective StudiesBiomarkers, TumorBreast cancerClinicopathological featuresLymph node metastasisPrognostic nomogramSerum tumor markers

Identifiers

PMID36536344
PMCPMC9764558
OpenAlexW4312095393

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.