Evidence map›Paper›PMID 41037765›Full record

ArticleJCO precision oncology2025

Interactive Use of Cox Model-Predicted Survival Curves: An Application Using ACS10 Score and Age to Personalize Treatment of Pediatric AML.

Subodh Selukar, Harrison Clement, Yonghui Ni, Huiyun Wu, Tushar Patni, Anna Eames Seffernick, Hiroto Inaba, Raul Ribeiro, Jatinder Lamba, Yimei Li and 1 more

Abstract read
In one paragraph

Article in JCO precision oncology, 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. Comprehensive genomics and functional analyses identifyTranslational cancer research · 2026
    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

11 authors.

Subodh SelukarDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-3802-488X
Harrison ClementDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, TN.
Yonghui NiDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-1127-1004
Huiyun WuDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, TN.
Tushar PatniDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-1605-7207
Anna Eames SeffernickDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, TN.
Hiroto InabaDepartment of Oncology, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-0605-7342
Raul RibeiroDepartment of Oncology, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-9956-5647
Jatinder LambaDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL.ORCID 0000-0003-0411-0007
Yimei LiDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, TN.
Stanley PoundsDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, TN.

Funding

Pharmacogenomics of Ara-C in AMLR01CA132946 · NCI · UNIVERSITY OF MINNESOTA · PI LAMBA, JATINDER K., POUNDS, STANLEY BARRETT · 2008 to 2025
$5.3M
NCI NIH HHS R01 CA132946
6 · The paper itself

Abstract

purposeAnalyses in oncology frequently include Cox proportional hazards models for survival outcomes, but reported results typically only include hazard ratios and respective inference. Cox model predictions of survival functions may help to provide a greater clinical meaning from fitted Cox models for precision oncology research. PATIENTS AND

methodsWe created a publicly available software library, shinyCox, that can generate user-friendly interactive applications to visualize survival outcome predictions of fitted Cox models. To illustrate the benefits of this software, we analyzed data from AML02 and AML08, randomized clinical trials for pediatric patients with AML. Building on a recent article, we assessed how baseline factors and a pharmacogenomics score (ACS10) can affect the predicted overall survival (OS) and event-free survival (EFS) between patients assigned to induction regimens of clofarabine plus cytarabine or daunorubicin and etoposide combined with low-dose cytarabine or high-dose cytarabine.

resultsOur model outcome prediction visualization application highlights previously reported associations of ACS10 with EFS and OS, while also providing a better understanding of how other prognostic factors amplify or mitigate prognostic implications of ACS10. It is informative to better understand the practical clinical outcomes in terms of predicted survival probabilities to complement the insights gained from hazard ratio tables.

conclusionUsing shinyCox, we generated visualization applications that let us identify complex relationships between the ACS10 score, age, and the predicted OS and EFS probabilities after AML therapy. This article shows how shinyCox will facilitate model interpretation and accelerate the development of personalized therapies in oncology.

Indexed as

Leukemia, Myeloid, AcutePrecision MedicineAdolescentAge FactorsAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolCytarabineDaunorubicinFemaleHumansMaleProportional Hazards ModelsSoftwareCytarabineDaunorubicin

Identifiers

PMID41037765
PMCPMC12506686

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Registered trials

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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.