Evidence map›Paper›PMID 41642438›Full record

ArticleDiscover oncology2026

Log odds of positive lymph nodes predict surgical prognosis in intrahepatic cholangiocarcinoma based on SEER cohort and nomogram model.

Shan Li, Guoxia Jia, Fan Luo, Jiaxin Yin, Shaochong Deng, Jianfu Zhao, Huizhong Wang

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Article in Discover oncology, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shan Li *Research Center of Cancer Diagnosis and Therapy, Department of Oncology, The First Affiliated Hospital of Jinan University, No. 613 Huangpu Avenue West, Guangzhou, 510630, China.
Guoxia Jia *Research Center of Cancer Diagnosis and Therapy, Department of Oncology, The First Affiliated Hospital of Jinan University, No. 613 Huangpu Avenue West, Guangzhou, 510630, China.
Fan LuoResearch Center of Cancer Diagnosis and Therapy, Department of Oncology, The First Affiliated Hospital of Jinan University, No. 613 Huangpu Avenue West, Guangzhou, 510630, China.
Jiaxin YinResearch Center of Cancer Diagnosis and Therapy, Department of Oncology, The First Affiliated Hospital of Jinan University, No. 613 Huangpu Avenue West, Guangzhou, 510630, China.
Shaochong DengDivision of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Guangzhou Road 300, Nanjing, 210029, China.
Jianfu ZhaoResearch Center of Cancer Diagnosis and Therapy, Department of Oncology, The First Affiliated Hospital of Jinan University, No. 613 Huangpu Avenue West, Guangzhou, 510630, China. zhaojianfu@jnu.edu.cn.
Huizhong WangResearch Center of Cancer Diagnosis and Therapy, Department of Oncology, The First Affiliated Hospital of Jinan University, No. 613 Huangpu Avenue West, Guangzhou, 510630, China. w.hz168@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntrahepatic cholangiocarcinoma (ICC) has a high postoperative recurrence rate, but quantitative assessment of lymph node metastasis (LNM) by AJCC staging remains inadequate. The log odds of positive lymph nodes (LODDS) have prognostic value in digestive system tumors, but its application in ICC has yet to be studied.

methodBased on the SEER database (2010–2017), 593 ICC patients after hepatectomy or choledochotomy surgery, Cox regression was applied to analyze the association between LODDS and the risk of all-cause mortality (ACM) and cancer-specific mortality (CSM), and risk thresholds were determined by restricted cubic spline (RCS), and a nomogram predictive model was constructed based on variables screened by Boruta’s algorithm. Patients were stratified by optimal nomogram cutoff, and survival was compared via Kaplan-Meier curves.

resultsLODDS was positively linear correlated with ACM (HR = 2.062, 95% CI: 1.683, 2.527, P < 0.001) and CSM (HR = 2.068, 95% CI: 1.632, 2.622, P < 0.001), with the optimal cutoff value of -0.63. The risk of death was increased 1.7 times in the high LODDS group (>− 0.477) compared with the baseline group. The nomogram integrating variables such as LODDS, T-staging, and tumor size had a C-index of 0.711, which had a good predictive performance. Survival differences were statistically significant for both LODDS-based stratification and nomogram-based risk groups.

conclusionLODDS is an independent prognostic factor for post-operative ICC survival, enabling optimized risk stratification and personalized follow-up strategies.

Indexed as

Clinical predictive modelIntrahepatic cholangiocarcinomaLog odds of positive lymph nodes (LODDS)NomogramSEER database

Identifiers

PMID41642438
PMCPMC12876526

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