Evidence map›Paper›PMID 39995566›Full record

ArticleWorld journal of clinical oncology2025

Nomogram for overall survival in ampullary adenocarcinoma using the surveillance, epidemiology, and end results database and external validation.

Jia Yang, Zi-Yi Wang, Jing Chen, Yao Zhang, Lei Chen

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Article in World journal of clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Jia YangDepartment of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China.
Zi-Yi WangDepartment of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China.
Jing ChenDepartment of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China.
Yao ZhangDepartment of Epidemiology, College of Preventive Medicine, Army Medical University, Chongqing 400038, China.
Lei ChenDepartment of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China. chenlei_1977603@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmpullary adenocarcinoma is a rare malignant tumor of the gastrointestinal tract. Currently, only a few cases have been reported, resulting in limited information on survival.

aimTo develop a dynamic nomogram using internal and external validation to predict survival in patients with ampullary adenocarcinoma.

methodsData were sourced from the surveillance, epidemiology, and end results stat database. The patients in the database were randomized in a 7:3 ratio into training and validation groups. Using Cox regression univariate and multivariate analyses in the training group, we identified independent risk factors for overall survival and cancer-specific survival to develop the nomogram. The nomogram was validated with a cohort of patients from the First Affiliated Hospital of the Army Medical University.

resultsFor overall and cancer-specific survival, 12 (sex, age, race, lymph node ratio, tumor size, chemotherapy, surgical modality, T stage, tumor differentiation, brain metastasis, lung metastasis, and extension) and 6 (age; surveillance, epidemiology, and end results stage; lymph node ratio; chemotherapy; surgical modality; and tumor differentiation) independent risk factors, respectively, were incorporated into the nomogram. The area under the curve values at 1, 3, and 5 years, respectively, were 0.807, 0.842, and 0.826 for overall survival and 0.816, 0.835, and 0.841 for cancer-specific survival. The internal and external validation cohorts indicated good consistency of the nomogram.

conclusionThe dynamic nomogram offers robust predictive efficacy for the overall and cancer-specific survival of ampullary adenocarcinoma.

Indexed as

Ampullary adenocarcinomaDynamic nomogramEnd results databaseEpidemiologyGastrointestinal tractSurveillanceSurvival rate

Identifiers

PMID39995566
PMCPMC11686567

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