Evidence map›Paper›PMID 41249681›Full record

ArticleDiscover oncology2025

Designing a web-based platform for dynamic estimation of individualized conditional survival in grade 3 gliomas.

Zhihao Yang, Regina Chizi Tunje, Jiajie Xia, Chenjun Sun

Abstract read
In one paragraph

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

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Zhihao Yang *The Central Hospital of Shaoxing University, Shaoxing City, Zhejiang Province, China.
Regina Chizi Tunje *Moi County Referral Hospital, Voi Kikambala, Kilifi, Kenya.
Jiajie XiaThe Central Hospital of Shaoxing University, Shaoxing City, Zhejiang Province, China.
Chenjun SunThe Central Hospital of Shaoxing University, Shaoxing City, Zhejiang Province, China. 18758503849@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGrade 3 gliomas, including anaplastic astrocytoma and anaplastic oligodendroglioma, are aggressive brain tumors with heterogeneous prognoses. Existing survival models often fail to account for time-dependent changes in risk, limiting their utility in long-term survivorship planning. This study aimed to characterize dynamic survival trends and construct a conditional survival (CS)-based nomogram to facilitate individualized risk prediction.

methodsData from 7278 patients with histologically confirmed grade 3 glioma were extracted from the SEER database (2000-2021). CS and annual hazard rate analyses were conducted to assess time-varying survival probabilities. Prognostic variables were selected using best subset regression (BSR), least absolute shrinkage and selection operator (LASSO), and stepwise regression methods. A multivariable Cox model incorporating key predictors was used to construct a CS-nomogram, which was validated using calibration curves, time-dependent ROC analysis, and decision curve analysis (DCA). A risk stratification system was developed, and an interactive web-based survival calculator was created for clinical application.

resultsCS analysis revealed that 10-year survival probability increased from 29% at diagnosis to 67% after surviving 5 years. The annual hazard rate declined from 29.06% in the first year to 1.8% by the tenth year. Seven independent prognostic factors-age, tumor site, histology, tumor stage, surgery, radiotherapy, and chemotherapy-were incorporated into the final CS-nomogram, which demonstrated strong discrimination (AUCs for 3-, 5-, and 10-year survival > 0.75) and excellent calibration. Risk scores derived from the model effectively stratified patients into high- and low-risk groups with significantly different survival outcomes (P < 0.001). An online calculator was developed to enable real-time, patient-specific survival prediction.

conclusionThis study provided a comprehensive assessment of dynamic survival patterns in grade 3 glioma and introduced a validated CS-based nomogram and web-based tool for personalized prognostic evaluation. These resources offer valuable guidance for treatment planning and long-term follow-up in clinical practice.

Indexed as

Annual hazard rate analysisConditional survivalGrade 3 gliomaNomogramSurvival prediction

Identifiers

PMID41249681
PMCPMC12623597

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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.