Evidence map›Paper›PMID 42339890›Full record

ArticleBiomolecules & biomedicine2026

LODDS-based nomogram for breast cancer-specific survival in surgically treated breast cancer in young patients.

Ziqiang Wang, Zhenlin Yang, Haojie Zhang

Abstract read
In one paragraph

Article in Biomolecules & biomedicine, 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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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

3 authors.

Ziqiang WangDepartment of Breast Surgery, Shandong Medical and Pharmaceutical University Hospital, Binzhou, Shandong, China; Shandong Medical and Pharmaceutical University, Binzhou, Shandong, China.
Zhenlin YangDepartment of Thyroid Surgery, Shandong Medical and Pharmaceutical University Hospital, Binzhou, Shandong, China.
Haojie ZhangDepartment of Thyroid Surgery, Shandong Medical and Pharmaceutical University Hospital, Binzhou, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traditional tumor staging relies on absolute lymph node counts, making it susceptible to stage migration, particularly in young breast cancer (YBC) patients with aggressive disease. This study assessed the prognostic value of the continuous log odds of positive lymph nodes (LODDS) for breast cancer-specific survival (BCSS) and developed a predictive nomogram utilizing data from 9,989 surgically treated YBC patients (aged 20-39) sourced from the Surveillance, Epidemiology, and End Results (SEER) database (2010-2015). A multivariable Cox proportional hazards model, adjusted to account for non-proportional hazards, established continuous LODDS as an independent risk factor for poorer BCSS (hazard ratio [HR] = 1.60, 95% confidence interval [CI]: 1.45-1.77, p < 0.001), without relying on data-driven dichotomization. We constructed a nomogram that integrates continuous LODDS with clinicopathological features selected via least absolute shrinkage and selection operator (LASSO). Under a 1,000-resample bootstrap optimism-correction, the nomogram exhibited strong discriminatory power (corrected concordance index [C-index] = 0.777), surpassing the traditional tumor-node-metastasis (TNM) staging model (C-index = 0.736). Moreover, the continuous LODDS-integrated model improved 5-year mortality risk reclassification (continuous net reclassification improvement [NRI] = 0.278, integrated discrimination improvement [IDI] = 0.034; both p < 0.001). The model also demonstrated high calibration accuracy (5-year Brier score = 0.0757) and presented a greater estimated net benefit in Decision Curve Analysis (DCA). In conclusion, continuous LODDS offers critical incremental prognostic information beyond traditional staging. The proposed nomogram serves as an internally validated prediction model for risk stratification in YBC patients.

Indexed as

Breast NeoplasmsLymph NodesNomogramsAdultFemaleHumansLymphatic MetastasisNeoplasm StagingPrognosisProportional Hazards ModelsRisk FactorsSEER ProgramYoung Adult

Identifiers

PMID42339890
PMCPMC13667997

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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.