Evidence map›Paper›PMID 41220721›Full record

ArticleJournal of gastrointestinal oncology2025

Construction of conditional survival nomograms for metastatic early onset colon cancer patients.

Jue Luo, Lei Zhao, Shuyi Zhang, Renjie Wang, Y Nancy You, Jaganmurugan Ramamurthy, Jie Ju, Tingting Shi, Liwen Bu, Yan Ding

Abstract read
In one paragraph

Article in Journal of gastrointestinal 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Jue Luo *Department of Nursing Administration, Fudan University Shanghai Cancer Center, Shanghai, China.
Lei Zhao *Department of Nursing Administration, Fudan University Shanghai Cancer Center, Shanghai, China.
Shuyi Zhang *Department of Nursing Administration, Fudan University Shanghai Cancer Center, Shanghai, China.
Renjie WangDepartment of Nursing Administration, Fudan University Shanghai Cancer Center, Shanghai, China.
Y Nancy YouDepartment of Colon and Rectal Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jaganmurugan RamamurthyDepartment of Colon and Rectal Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jie JuDepartment of Nursing Administration, Fudan University Shanghai Cancer Center, Shanghai, China.
Tingting ShiDepartment of Nursing Administration, Fudan University Shanghai Cancer Center, Shanghai, China.
Liwen BuDepartment of Nursing Administration, Fudan University Shanghai Cancer Center, Shanghai, China.
Yan DingDepartment of Nursing Administration, Fudan University Shanghai Cancer Center, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Conditional survival (CS), which factors in the postoperative survival duration of the patient, provides supplementary prognostic insights. The principal objectives of this study were to evaluate CS in metastatic early onset colon cancer (mEO-CC) patients and to construct innovative nomograms designed to predict the probability of CS, thus advancing the precision of prognostic modeling in this distinct clinical context. However, CS tools tailored to mEO-CC remain limited. Methods: The data of patients diagnosed with mEO-CC between 2010 and 2019 from the Surveillance, Epidemiology, and End Results (SEER) database were included in our study. CS was defined as the probability of surviving for an additional number of years after already surviving for a specific number of years since diagnosis. Nomograms were constructed to predict the probability of conditional overall survival (OS) and cancer-specific survival (CSS) respectively. Results: A total of 1,988 patients with mEO-CC were included in this study. The 5-year OS and CSS after surgery increased gradually with additional survival time. The univariate and multivariate Cox regression analyses identified a right-colon tumor, poorly differentiated tumor, mucinous/signet ring tumors, a late tumor stage, a high lymph node ratio (LNR), an elevated carcinoembryonic antigen (CEA) level, perineural invasion, and bone, liver or lung metastasis as independent risk factors for OS and CSS. Two nomograms with considerable predictive ability were successfully established for the prediction of conditional 5-year OS [area under the curve (AUC) =0.765] and CSS (AUC =0.761). Conclusions: The probability of achieving 5-year OS and 5-year CSS in mEO-CC patients increased based on the years already survived. Nomograms that consider survival time are more reliable and informative in terms of prognosis prediction in patients with mEO-CC. These time-adjusted estimates may facilitate risk communication and follow-up planning.

Indexed as

conditional survival (CS)Early onset colon cancer (EO-CC)metastasisnomogramSurveillance, Epidemiology, and End Results (SEER)

Identifiers

PMID41220721
PMCPMC12598339

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