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Prediction model of liver metastasis risk in patients with gastric cancer: A population-based study

Liver was the most common site of distant metastasis in patients with gastric cancer (GC). The prediction model of the risk of liver metastasis was rarely proposed. Therefore, we aimed to establish a prediction model for liver metastasis in patients with GC. In this retrospective cohort study, we ex...

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Autores principales: Huang, Fang, Fang, Meihua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545098/
https://www.ncbi.nlm.nih.gov/pubmed/37773864
http://dx.doi.org/10.1097/MD.0000000000034702
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author Huang, Fang
Fang, Meihua
author_facet Huang, Fang
Fang, Meihua
author_sort Huang, Fang
collection PubMed
description Liver was the most common site of distant metastasis in patients with gastric cancer (GC). The prediction model of the risk of liver metastasis was rarely proposed. Therefore, we aimed to establish a prediction model for liver metastasis in patients with GC. In this retrospective cohort study, we extracted demographic and clinical data of all the GC patients from the Surveillance, Epidemiology, and End Results registration database from 2010 to 2015. Patients were divided into training set (n = 1691) for model development and testing set (n = 3943) for validation. Univariable and multivariable logistic regression analyses were carried out on the training set to screen potential predictors of liver metastasis and constructed a prediction model. The receiver operator characteristics curves with the area under curve values were used to assess the predictive performance of the liver metastasis prediction model. And a nomogram of the prediction model was also constructed. Of the total 5634 GC patients, 444 (7.88%) had liver metastasis. Variables including age, gender, N stage, T stage, Lauren classification, tumor size, histological type, and surgery were included in the liver metastasis prediction model. The study results indicated that the model had excellent discriminative ability with an area under curve of 0.851 (95% confidence interval: 0.829–0.873) in the training set, and that of 0.849 (95% confidence interval: 0.813–0.885) in the testing set. We have developed an effective prediction model with 8 easily acquired predictors of liver metastasis. The prediction model could predict the risk of liver metastasis in GC patients and performed well, which would assist clinicians to make individualized prediction of liver metastasis in GC patients and adjust treatment strategies in time to improve the prognosis.
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spelling pubmed-105450982023-10-03 Prediction model of liver metastasis risk in patients with gastric cancer: A population-based study Huang, Fang Fang, Meihua Medicine (Baltimore) 3700 Liver was the most common site of distant metastasis in patients with gastric cancer (GC). The prediction model of the risk of liver metastasis was rarely proposed. Therefore, we aimed to establish a prediction model for liver metastasis in patients with GC. In this retrospective cohort study, we extracted demographic and clinical data of all the GC patients from the Surveillance, Epidemiology, and End Results registration database from 2010 to 2015. Patients were divided into training set (n = 1691) for model development and testing set (n = 3943) for validation. Univariable and multivariable logistic regression analyses were carried out on the training set to screen potential predictors of liver metastasis and constructed a prediction model. The receiver operator characteristics curves with the area under curve values were used to assess the predictive performance of the liver metastasis prediction model. And a nomogram of the prediction model was also constructed. Of the total 5634 GC patients, 444 (7.88%) had liver metastasis. Variables including age, gender, N stage, T stage, Lauren classification, tumor size, histological type, and surgery were included in the liver metastasis prediction model. The study results indicated that the model had excellent discriminative ability with an area under curve of 0.851 (95% confidence interval: 0.829–0.873) in the training set, and that of 0.849 (95% confidence interval: 0.813–0.885) in the testing set. We have developed an effective prediction model with 8 easily acquired predictors of liver metastasis. The prediction model could predict the risk of liver metastasis in GC patients and performed well, which would assist clinicians to make individualized prediction of liver metastasis in GC patients and adjust treatment strategies in time to improve the prognosis. Lippincott Williams & Wilkins 2023-09-29 /pmc/articles/PMC10545098/ /pubmed/37773864 http://dx.doi.org/10.1097/MD.0000000000034702 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 3700
Huang, Fang
Fang, Meihua
Prediction model of liver metastasis risk in patients with gastric cancer: A population-based study
title Prediction model of liver metastasis risk in patients with gastric cancer: A population-based study
title_full Prediction model of liver metastasis risk in patients with gastric cancer: A population-based study
title_fullStr Prediction model of liver metastasis risk in patients with gastric cancer: A population-based study
title_full_unstemmed Prediction model of liver metastasis risk in patients with gastric cancer: A population-based study
title_short Prediction model of liver metastasis risk in patients with gastric cancer: A population-based study
title_sort prediction model of liver metastasis risk in patients with gastric cancer: a population-based study
topic 3700
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545098/
https://www.ncbi.nlm.nih.gov/pubmed/37773864
http://dx.doi.org/10.1097/MD.0000000000034702
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