Evidence map›Paper›PMID 39407221›Full record

ArticleWorld journal of surgical oncology2024

Construction and interpretation of machine learning-based prognostic models for survival prediction among intestinal-type and diffuse-type gastric cancer patients.

Kunxiang Ji, Lei Shi, Yan Feng, Linna Wang, HuanNan Guo, Hui Li, Jiacheng Xing, Siyu Xia, Boran Xu, Eryu Liu and 3 more

Abstract read
In one paragraph

Article in World journal of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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

13 authors.

Kunxiang Ji *Department of Oncology IV, Beidahuang Industry Group General Hospital, Harbin, China.
Lei Shi *Department of Oncology IV, Beidahuang Industry Group General Hospital, Harbin, China.
Yan FengDepartment of Oncology IV, Beidahuang Industry Group General Hospital, Harbin, China.
Linna WangDepartment of Oncology IV, Beidahuang Industry Group General Hospital, Harbin, China.
HuanNan GuoDepartment of Oncology IV, Beidahuang Industry Group General Hospital, Harbin, China.
Hui LiDepartment of Oncology IV, Beidahuang Industry Group General Hospital, Harbin, China.
Jiacheng XingDepartment of Oncology IV, Beidahuang Industry Group General Hospital, Harbin, China.
Siyu XiaDepartment of Oncology IV, Beidahuang Industry Group General Hospital, Harbin, China.
Boran XuDepartment of Oncology III, Beidahuang Industry Group General Hospital, Harbin, China.
Eryu LiuDepartment of Oncology III, Beidahuang Industry Group General Hospital, Harbin, China.
YanDan ZhengDepartment of Oncology, Anda City Hospital, Anda, China.
Chunfeng LiDepartment of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin, China. lichunfeng007@hrbmu.edu.cn.
Mingyang LiuDepartment of Oncology IV, Beidahuang Industry Group General Hospital, Harbin, China. redrumff@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastric cancer is one of the most common malignant tumors worldwide, with high incidence and mortality rates, and it has a complex etiology and complex pathological features. Depending on the tumor type, gastric cancer can be classified as intestinal-type and diffuse-type gastric cancer, each with distinct pathogenic mechanisms and clinical presentations. In recent years, machine learning techniques have been widely applied in the medical field, offering new perspectives for the diagnosis, treatment, and prognosis of gastric cancer patients.

methodsThis study recruited 2158 gastric cancer patients and constructed prognostic prediction models for both intestinal-type and diffuse-type gastric cancer. Clinical pathological data were collected from patients, and machine learning algorithms were used for feature selection and model construction. The performance of the models was validated with training and testing datasets. The Shapley additive explanations (SHAP) values were used to interpret the model predictions and identify the main factors that influence patient survival.

resultsIn the prognostic model for intestinal-type gastric cancer, the gradient boosting decision tree (GBDT) model demonstrated the best performance, with key features including pTNM, CA125, tumor size, CA199, and PALB. Similarly, in the prognostic model for diffuse-type gastric cancer, the GBDT model was utilized, with key features comprising pTNM, Borrmann type IV disease, lymphocyte (LYM), lactate dehydrogenase (LDH), potassium (K), perineural invasion (PNI), tumor size, and whole stomach location. Risk stratification analysis revealed that the prognosis of high-risk patients was significantly worse than that of low-risk patients.

conclusionMachine learning shows great potential in predicting survival outcomes of gastric cancer patients, providing strong support for the development of personalized treatment plans.

Indexed as

Machine LearningStomach NeoplasmsAgedAlgorithmsFemaleFollow-Up StudiesHumansIntestinal NeoplasmsMaleMiddle AgedPrognosisSurvival RateDiffuse-typeGastric cancerIntestinal-typeMachine learningPrognosis

Identifiers

PMID39407221
PMCPMC11481450

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.