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Development and validation of a nomogram to predict anastomotic leakage after esophagectomy for esophageal carcinoma
BACKGROUND: This study aimed to identify variables associated with anastomotic leakage after esophagectomy and established a tool for anastomotic leakage prediction. METHODS: Twenty-six preoperative and postoperative variables were retrospectively collected from esophageal cancer patients who were t...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8264723/ https://www.ncbi.nlm.nih.gov/pubmed/34277050 http://dx.doi.org/10.21037/jtd-21-209 |
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author | Yu, Wen-Quan Gao, Hui-Jiang Shi, Guo-Dong Tang, Jia-Yu Wang, Hua-Feng Hu, Shi-Yu Wei, Yu-Cheng |
author_facet | Yu, Wen-Quan Gao, Hui-Jiang Shi, Guo-Dong Tang, Jia-Yu Wang, Hua-Feng Hu, Shi-Yu Wei, Yu-Cheng |
author_sort | Yu, Wen-Quan |
collection | PubMed |
description | BACKGROUND: This study aimed to identify variables associated with anastomotic leakage after esophagectomy and established a tool for anastomotic leakage prediction. METHODS: Twenty-six preoperative and postoperative variables were retrospectively collected from esophageal cancer patients who were treated with radical esophagectomy from January 2018 to June 2020 in the Affiliated Hospital of Qingdao University. SPSS Version 23.0 and Empower Stats software were used for establishing a nomogram after screening relevant variables by univariate and multivariate Logistic regression analyses. The established nomogram was identified by depicting the receiver operating characteristic (ROC) curves and calibration curve, which was verified by 1,000 bootstrap resamples method. RESULTS: A total of 604 eligible esophageal cancer patients were included, of which 51 (8.4%) patients had anastomotic leakage. Multivariate Logistic regression analysis showed that smoking, anastomotic location, anastomotic technique, prognostic nutritional index (PNI) and ASA score were independent risks of anastomotic leakage. The area under curve (AUC) of ROC in the established nomogram was 0.764 (95% CI, 0.69–0.83). The internal validation confirmed that the nomogram had a great discrimination ability (AUC =0.766). Depicted calibration curve demonstrated a well-fitted prediction and observation probability. In addition, the decision curve analysis concluded that the newly established nomogram is significant for clinical decision-making. CONCLUSIONS: This nomogram provided the individual prediction of anastomotic leakage for esophageal cancer patients after surgery, which might benefit treatment results for patients and clinicians, as well as pre-and postoperative intervention strategy-making. |
format | Online Article Text |
id | pubmed-8264723 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-82647232021-07-16 Development and validation of a nomogram to predict anastomotic leakage after esophagectomy for esophageal carcinoma Yu, Wen-Quan Gao, Hui-Jiang Shi, Guo-Dong Tang, Jia-Yu Wang, Hua-Feng Hu, Shi-Yu Wei, Yu-Cheng J Thorac Dis Original Article BACKGROUND: This study aimed to identify variables associated with anastomotic leakage after esophagectomy and established a tool for anastomotic leakage prediction. METHODS: Twenty-six preoperative and postoperative variables were retrospectively collected from esophageal cancer patients who were treated with radical esophagectomy from January 2018 to June 2020 in the Affiliated Hospital of Qingdao University. SPSS Version 23.0 and Empower Stats software were used for establishing a nomogram after screening relevant variables by univariate and multivariate Logistic regression analyses. The established nomogram was identified by depicting the receiver operating characteristic (ROC) curves and calibration curve, which was verified by 1,000 bootstrap resamples method. RESULTS: A total of 604 eligible esophageal cancer patients were included, of which 51 (8.4%) patients had anastomotic leakage. Multivariate Logistic regression analysis showed that smoking, anastomotic location, anastomotic technique, prognostic nutritional index (PNI) and ASA score were independent risks of anastomotic leakage. The area under curve (AUC) of ROC in the established nomogram was 0.764 (95% CI, 0.69–0.83). The internal validation confirmed that the nomogram had a great discrimination ability (AUC =0.766). Depicted calibration curve demonstrated a well-fitted prediction and observation probability. In addition, the decision curve analysis concluded that the newly established nomogram is significant for clinical decision-making. CONCLUSIONS: This nomogram provided the individual prediction of anastomotic leakage for esophageal cancer patients after surgery, which might benefit treatment results for patients and clinicians, as well as pre-and postoperative intervention strategy-making. AME Publishing Company 2021-06 /pmc/articles/PMC8264723/ /pubmed/34277050 http://dx.doi.org/10.21037/jtd-21-209 Text en 2021 Journal of Thoracic Disease. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Original Article Yu, Wen-Quan Gao, Hui-Jiang Shi, Guo-Dong Tang, Jia-Yu Wang, Hua-Feng Hu, Shi-Yu Wei, Yu-Cheng Development and validation of a nomogram to predict anastomotic leakage after esophagectomy for esophageal carcinoma |
title | Development and validation of a nomogram to predict anastomotic leakage after esophagectomy for esophageal carcinoma |
title_full | Development and validation of a nomogram to predict anastomotic leakage after esophagectomy for esophageal carcinoma |
title_fullStr | Development and validation of a nomogram to predict anastomotic leakage after esophagectomy for esophageal carcinoma |
title_full_unstemmed | Development and validation of a nomogram to predict anastomotic leakage after esophagectomy for esophageal carcinoma |
title_short | Development and validation of a nomogram to predict anastomotic leakage after esophagectomy for esophageal carcinoma |
title_sort | development and validation of a nomogram to predict anastomotic leakage after esophagectomy for esophageal carcinoma |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8264723/ https://www.ncbi.nlm.nih.gov/pubmed/34277050 http://dx.doi.org/10.21037/jtd-21-209 |
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