Evidence map›Paper›PMID 42028023›Full record

ArticleiScience2026

Integrating nonlinear modeling with pT stage and nodal variables: A multi-center Con-pTN model for prognosis prediction in gastric cancer (pT2-4b).

Weiwei Zhu, Can Hu, Yanqiang Zhang, Ruolan Zhang, Qing Yang, Yizhou Wei, Mengya Zhou, Ruixin Xu, Jintao He, Ke Shen and 4 more

Abstract read
In one paragraph

Article in iScience, 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Weiwei ZhuDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Can HuDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Yanqiang ZhangSecond Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053, China.
Ruolan ZhangDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Qing YangDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Yizhou WeiDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Mengya ZhouDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Ruixin XuDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Jintao HeDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Ke ShenDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Xiangdong ChengDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Zaisheng YeDepartment of Gastrointestinal Surgical Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, Fujian, China.
Zhiyuan XuDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.
Siwei PanDepartment of Gastric Surgery, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institutes of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310022, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lymph node metastasis critically determines prognosis in gastric cancer (GC), yet conventional staging inadequately captures interactions between tumor invasion depth and nodal burden. In this retrospective multi-center study, we analyzed 2,370 patients (pT2-4b) undergoing curative gastrectomy and 724 patients with SEER to develop a contour-like pTN (Con-pTN) model using a Gaussian process-augmented Cox framework that integrates pT stage, retrieved lymph nodes, and positive lymph nodes as continuous variables. Con-pTN showed robust discrimination, with area under the curves (AUCs) of 0.797 (training), 0.804 (internal validation), 0.748 (external validation cohort 1), and 0.813 (external validation cohort 2). Calibration and decision curve analyses demonstrated good agreement with observed outcomes and favorable clinical utility. Compared with pTNM, rN, and LODDS, Con-pTN provided significantly improved prognostic stratification, particularly among high-risk patients. These findings support Con-pTN as a biologically informed, clinically applicable approach for postoperative risk assessment in GC.

Indexed as

Oncology

Identifiers

PMID42028023
PMCPMC13099517

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