Evidence map›Paper›PMID 40340933›Full record

ArticleBMC gastroenterology2025

Predicting the risk of lymph node metastasis in colon cancer: development and validation of an online dynamic nomogram based on multiple preoperative data.

Longlian Deng, Lemuge Che, Haibin Sun, Riletu En, Bowen Ha, Tao Liu, Tengqi Wang, Qiang Xu

Abstract readValidation Study
In one paragraph

Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Beyond the biopsy: the new era of non-invasive staging and biomarkers in colorectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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

8 authors.

Longlian Deng *Department of Abdominal Oncology, the Second People's Hospital of Neijiang, Neijiang, 641000, China.
Lemuge Che *Baotou Medical College, Baotou, 014000, China.
Haibin SunDepartment of Gastrointestinal Surgery, Inner Mongolia Bayannur Hospital, Bayannur, 015000, China.
Riletu EnDepartment of Gastrointestinal Surgery, Inner Mongolia Bayannur Hospital, Bayannur, 015000, China.
Bowen HaDepartment of Gastrointestinal Surgery, Inner Mongolia Bayannur Hospital, Bayannur, 015000, China.
Tao LiuDepartment of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Tengqi WangCancer Center, Inner Mongolia Bayannur Hospital, Bayannur, 015000, China. 780720880@qq.com.
Qiang XuDepartment of Abdominal Oncology, the Second People's Hospital of Neijiang, Neijiang, 641000, China. xuqiang6778@163.com.

Funding

Bayannur Science and Technology Innovation Driving Joint Project KY202156Inner Mongolia Autonomous Region Applied Technology Research and Development Project 2019GG040Inner Mongolia Autonomous Region Medical and Health Science and Technology Plan Project 202202405
6 · The paper itself

Abstract

backgroundPredicting lymph node metastasis (LNM) in colon cancer (CC) is crucial to treatment decision-making and prognosis. This study aimed to develop and validate a nomogram that estimates the risk of LNM in patients with CC using multiple clinical data from patients before surgery.

methodsClinicopathological data were collected from 412 CC patients who underwent Radical resection of CC. The training cohort consisted of 300 cases, and the external validation cohort consisted of 112 cases. The LASSO and multivariate logistic regression were used to select the predictors and construct the nomogram. The discrimination and calibration of the nomogram were evaluated by the ROC curve and calibration curve, respectively. The clinical application of the nomogram was assessed by decision curve analysis(DCA) and clinical impact curves(CIC).

resultsEight independent factors associated with LNM were identified by multivariate logistic analysis: LN status on CT, tumor diameter on CT, differentiation, ulcer, intestinal obstruction, anemia, blood type, and neutrophil percentage. The online dynamic nomogram model constructed by independent factors has good discrimination and consistency. The AUC of 0.834(95% CI: 0.755-0.855) in the training cohort, 0.872(95%CI: 0.807-0.937) in the external validation cohort, and Internal validation showed that the corrected C statistic was 0.810. The calibration curve of both the training set and the external validation set indicated that the predicted outcome of the nomogram was highly consistent with the actual outcome. The DCA and CIC indicate that the model has clinical practical value.

conclusionBased on various simple parameters collected preoperatively, the online dynamic nomogram can accurately predict LNM risk in CC patients. The high discriminative ability and significant improvement of NRI and IDI indicate that the model has potential clinical application value.

Indexed as

Colonic NeoplasmsLymphatic MetastasisNomogramsAdultAgedFemaleHumansLogistic ModelsMaleMiddle AgedRisk AssessmentRisk FactorsROC CurveBiomarkersColonic neoplasmsLymph node metastasisNomogramsProbabilistic prediction model

Identifiers

PMID40340933
PMCPMC12063464

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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.