Evidence map›Paper›PMID 41961887›Full record

ArticlePloS one2026

Unveiling the Multifaceted Dynamics of Breast Cancer: A Copula Regression Approach to Modeling and Predicting Outcomes.

Huma Rani, Tahir Mehmood, Muhammad Aslam, Laila A Al-Essa

Abstract read
In one paragraph

Article in PloS one, 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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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Huma RaniDepartment of Mathematics and Statistics, Riphah International University, Islamabad, Pakistan.ORCID https://orcid.org/0009-0004-5854-0904
Tahir MehmoodSchool of Natural Sciences (SNS), National University of Sciences and Technology (NUST), Islamabad, Pakistan.
Muhammad AslamDepartment of Mathematics and Statistics, Riphah International University, Islamabad, Pakistan.
Laila A Al-EssaDepartment of Mathematical Sciences, College of Science, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study examines the application of flexible copula regression models to analyze the complex interdependencies among clinical variables in breast cancer data. As the most commonly diagnosed cancer and the second leading cause of cancer-related deaths among women worldwide, breast cancer presents both clinical and analytical challenges. Unlike traditional multivariate approaches, copulas offer greater flexibility in capturing complex, nonlinear, and asymmetric dependencies between mixed-type outcomes. The present study examines copula-based regression models to investigate the joint behavior of clinical variables in patients with breast cancer. We explored multiple copula families to jointly model overall survival (binary) and age at diagnosis (continuous) in the METABRIC dataset. Goodness-of-fit metrics guide model comparison and selection, with the Gumbel copula demonstrating superior performance in capturing the upper tail dependence associated with favorable outcomes, such as younger age and improved survival. Formal model comparison against an independent margins baseline confirmed that accounting for dependence via a copula significantly improves model fit (likelihood ratio test: [Formula: see text], df = 1, p < 0.0001), and PIT diagnostics validated the adequacy of both marginal specifications. The findings support the integration of copula models into clinical research, facilitating a more nuanced understanding of cancer progression and enabling more accurate risk assessment and data-driven decision-making in oncology.

Indexed as

Breast NeoplasmsFemaleHumansModels, StatisticalPrediction AlgorithmsPrognosisRegression Analysis

Identifiers

PMID41961887
PMCPMC13068339

What OpenQuestion holds

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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.