Evidence map›Paper›PMID 39696042›Full record

ArticleBMC cancer2024

Combined inflammation-related biomarkers and clinicopathological features for the prognosis of stage II/III colorectal cancer by machine learning.

Lei Liang, Ning Xu, Lanfei Ding, Xin Li, Chengxun Jiang, Jianhua Zhang, Jun Yang

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Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Lei LiangDepartment of Surgical Oncology, The First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China.
Ning XuDepartment of Surgical Oncology, The First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China.
Lanfei DingDepartment of Emergency, The Second People's Hospital of Honghe Prefecture, Jianshui, 654300, China.
Xin LiDepartment of Surgical Oncology, The First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China.
Chengxun JiangDepartment of General Surgery, The Third People's Hospital of Honghe Prefecture, Gejiu, 661000, China.
Jianhua Zhang *Department of General Surgery, The Third People's Hospital of Honghe Prefecture, Gejiu, 661000, China. 894904062@qq.com.
Jun Yang *Department of Surgical Oncology, The First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China. yangjun6@kmmu.edu.cn.

Funding

535 Talent Project of First Affiliated Hospital of Kunming Medical University No. 2022535D07National Natural Science Foundation of China No. 82160533Yunnan Revitalization Talent Support Program No. RLQB20200004
6 · The paper itself

Abstract

backgroundInflammation-related biomarkers, such as systemic inflammation score (SIS) and neutrophil-lymphocyte ratio (NLR), are associated with colorectal cancer prognosis. However, the combined role of SIS, NLR, and clinicopathological factors in stage II/III colorectal cancer remains unclear. This study developed a nomogram to predict long-term prognosis for these patients.

methodsThis retrospective study included 1540 patients (training set) from the First Affiliated Hospital of Kunming Medical University and 152 patients (testing set) from The Honghe Third People's Hospital. Cox regression identified independent prognostic factors, and machine learning established predictive models. Model performance was evaluated by the C-index, area under the curve (AUC), and decision curve analysis (DCA).

resultsIn the training set, a total of 1540 patients with stage II/III colorectal cancer were included. More than 70 years old (HR = 1.830, p = 0.000); SIS = 2 (HR = 1.693, p = 0.002); Preoperative CEA more than 5 ng/mL (HR = 1.614, p = 0.000); and Moderately differentiated (HR = 1.438, p = 0.011); or Low/undifferentiated (HR = 2.126, p = 0.000); The pN1 (HR = 2.040, p = 0.000) and pN2 (HR = 3.297, p = 0.000) stages were considered independent prognostic risk factors of stage II/III colorectal cancer. Negative perineural invasion (HR = 0.733, p = 0.014) and NLR less than 4 (HR = 0.696, p = 0.022) were considered independent prognostic protective factors of stage II/III colorectal cancer. A nomogram was established based on SIS, NLR, and the clinicopathological results for predicting and validating the overall survival in the training and testing sets. The C-index of the training set was 0.746, and the C-index of the testing set was 0.708, indicating the high prediction efficiency of the nomogram.

conclusionsA nomogram combining SIS, NLR, and clinicopathological factors provides an effective, cost-efficient tool for predicting the prognosis of stage II/III colorectal cancer. Future studies will validate its long-term predictive performance in larger, multicenter cohorts.

Indexed as

Biomarkers, TumorColorectal NeoplasmsInflammationMachine LearningNeoplasm StagingNeutrophilsNomogramsAgedFemaleHumansLymphocyte CountLymphocytesMaleMiddle AgedPrognosisRetrospective StudiesBiomarkers, TumorCliniopathological factorsColorectal cancerNLRNomogramSIS

Identifiers

PMID39696042
PMCPMC11656819

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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.