Evidence map›Paper›PMID 42870791›Full record

ArticleTranslational cancer research2026

A nomogram for suicide-specific mortality risk stratification in patients with tongue cancer: a Surveillance, Epidemiology, and End Results (SEER)-based study, 2004-2017.

Sha-Sha Du, Hai-Ping You, Yu-Ling Zhang, Nan-Jun Chen, Chen Ren, Heng-Wen Sun, Fei Xu, Xin Hua

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Article in Translational cancer research, 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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5 · Who and what money

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8 authors.

Sha-Sha DuDepartment of Radiation Oncology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Hai-Ping YouDepartment of Radiation Oncology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Yu-Ling ZhangDepartment of Endocrinology, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China.
Nan-Jun ChenDepartment of Radiation Oncology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Chen RenDepartment of Radiation Oncology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Heng-Wen SunDepartment of Radiation Oncology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Fei XuDepartment of Radiation Oncology, Shanghai Jiao Tong University Medical School Affiliated Ruijin Hospital, Shanghai, China.
Xin HuaDepartment of Radiation Oncology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although suicide represents an important cause of mortality among cancer patients, prediction models specifically developed for tongue cancer patients remain unavailable. This study aimed to identify suicide-related risk factors and develop an individualized risk stratification model for tongue cancer patients. This study aimed to identify factors associated with suicide-specific mortality and develop an internally validated risk stratification model for patients with tongue cancer. Methods: Patients diagnosed with tongue cancer between 2004 and 2017 were identified from the Surveillance, Epidemiology, and End Results (SEER) database. Eligible patients were randomly allocated to training and validation cohorts at a ratio of 7:3. Cox proportional hazards regression was used to identify potential predictors and construct a nomogram. Model discrimination was evaluated using the concordance index (C-index) and time-dependent receiver operating characteristic (ROC) curves with corresponding area under the curve (AUC) values. Calibration was assessed by comparing predicted and observed suicide-specific mortality. Results: Among the 25,024 eligible tongue cancer patients, 96 suicide-related deaths were identified during follow-up, corresponding to a cumulative suicide mortality rate of 0.38%. Multivariate Cox regression analysis revealed that sex and age (P<0.001) were independent predictors, and race, tumor (T) stage, and income (P≤0.2) were potential significant factors for suicide in tongue cancer patients. The nomogram had a good performance for the prediction of suicide-specific mortality both in the training {C-index =0.762 [95% confidence interval (CI): 0.710-0.815]} and validation sets [C-index =0.761 (95% CI: 0.673-0.849)]. ROC curve demonstrated acceptable performance in both the training and validation sets, with 3-year AUCs of 0.784 and 0.774, 5-year AUCs of 0.762 and 0.788, and 10-year AUCs of 0.729 and 0.783, respectively. Moreover, the calibration plot indicated moderate accuracy of the nomogram in both datasets. Conclusions: Overall, this study successfully identified risk factors for suicide among tongue cancer patients and developed a nomogram to offer risk assessment to mitigate the risk of suicide in this patient population.

Indexed as

nomogramrisk factorssuicideSurveillance, Epidemiology, and End Results (SEER)Tongue cancer

Identifiers

PMID42870791
PMCPMC13657840

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