Evidence map›Paper›PMID 39568567›Full record

ArticleFrontiers in oncology2024

A new nomogram for predicting extraurothelial recurrence in patients with upper urinary tract urothelial carcinoma following radical nephroureterectomy.

Hao Wu, Dan Jia, Xianyu Dai, Hongliang Cao, Fulin Wang, Tong Yang, Lei Wang, Tao Xu, Baoshan Gao

Abstract read
In one paragraph

Article in Frontiers in oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Hao WuDepartment of Urology II, The First Hospital of Jilin University, Changchun, China.
Dan JiaDepartment of Urology II, The First Hospital of Jilin University, Changchun, China.
Xianyu DaiDepartment of Urology II, The First Hospital of Jilin University, Changchun, China.
Hongliang CaoDepartment of Urology II, The First Hospital of Jilin University, Changchun, China.
Fulin WangDepartment of Urology II, The First Hospital of Jilin University, Changchun, China.
Tong YangDepartment of Urology II, The First Hospital of Jilin University, Changchun, China.
Lei WangDepartment of Urology II, The First Hospital of Jilin University, Changchun, China.
Tao XuDepartment of Urology II, The First Hospital of Jilin University, Changchun, China.
Baoshan GaoDepartment of Urology II, The First Hospital of Jilin University, Changchun, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: We sought to develop and validate a nomogram for predicting extra-urinary recurrence (EUR) following radical nephroureterectomy (RNU) in patients with upper urinary tract urothelial carcinoma (UTUC). Methods: Data from 556 UTUC patients post-RNU at the First Hospital of Jilin University were retrospectively analyzed. These patients were categorized into a training group (n=389) and a validation group (n=167). Variables significantly associated with prognosis were identified using univariate Cox regression and most minor absolute shrinkage and selection operator (LASSO) analysis. These independent predictors were incorporated into the nomogram to estimate extra-urinary recurrence-free survival (EURFS). Validation of the nomogram involved ROC curves, calibration plots, and decision curve analysis (DCA). Patients were stratified into two risk categories based on their nomogram scores to compare EURFS using the Kaplan-Meier method. Results: Eight predictors were identified: T-stage, N-stage, tumor grade, local and nerve invasion, preoperative hemoglobin level, neutrophil-to-lymphocyte ratio (NLR), and creatinine, all proving to be independent predictors of EUR. A nomogram was created based on these eight factors, and using the ROC, calibration curves, and DCA, good prediction results were shown in both the training and validation groups. The training and validation groups also showed reliable predictive performance. In particular, there was a significant difference in survival between the high-risk and low-risk groups (P<0.0001). We have also built a network calculator that calculates patient survival time. The URL is https://haowu24.shinyapps.io/dynnomapp. Conclusion: A nomogram for predicting distant metastases in UTUC patients was successfully developed, and its accuracy, reliability, and clinical value were demonstrated. This new tool helps to improve the clinical management of UTUC cases.

Indexed as

extra-urinary recurrenceonline network calculatorprediction modelradical nephroureterectomyupper urinary tract urothelial carcinoma

Identifiers

PMID39568567
PMCPMC11576284

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