首页|膀胱原位癌预后的危险因素分析及列线图构建

膀胱原位癌预后的危险因素分析及列线图构建

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目的 探讨影响膀胱原位癌(CIS)患者预后可靠的危险因素,并建立列线图直观地预测膀胱CIS患者的预后情况。方法 收集监测、流行病学和最终结果数据库2010-2015年的数据,筛选出832例膀胱CIS患者的临床资料。应用单因素和多因素Cox比例风险模型分析影响膀胱CIS患者肿瘤特异性生存期和总生存期的独立危险因素,采用R语言绘制列线图实现对生存模型的可视化,最后通过一致性指数(C-index)和校准曲线验证模型的准确性。结果 影响膀胱CIS患者肿瘤特异性生存期的独立危险因素包括年龄和肿瘤分级(P<0。05)。影响膀胱CIS患者总生存期的独立危险因素包括年龄、肿瘤分级、原发灶数(P<0。05)。二者的C-index分别为0。745和0。709。结论 年龄、肿瘤分级、原发灶数在膀胱CIS患者预后中具有重要的预测价值,通过列线图的构建可更好地为膀胱CIS患者制定临床决策。
Analysis of risk factors for prognosis of bladder carcinoma in situ and construction of nomogram
Objective To explore the risk factors affecting the prognosis of patients with bladder carci-noma in situ(CIS),and to establish a nomogram to intuitively predict the prognosis of patients with bladder CIS.Methods The clinical data of 832 patients with bladder CIS were selected from the database of surveil-1ance,epidemiology and final results from 2010 to 2015.Univariate and multivariate Cox proportional hazard models were used to analyze the independent risk factors affecting tumor-specific survival and overall survival in patients with bladder CIS.The nomogram was drawn by R language to visualize the survival model.Finally,the accuracy of the model was verified by consistency index and calibration curve.Results The independent risk factors affecting the tumor-specific survival of patients with bladder CIS included age and tumor grade(P<0.05).The independent risk factors affecting the overall survival of patients with bladder CIS include age,tumor grade,and number of primary tumors(P<0.05).The consistency indexes of the two were 0.745 and 0.709,respectively.Conclusion Age,tumor grade and number of primary tumors have important predic-tive value in the prognosis of patients with bladder CIS.The construction of nomogram can better make clini-cal decisions for patients with bladder CIS.

Bladder carcinoma in situPrognosisRisk factorsNomogram

张子威、杨帅、陈健友

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海军军医大学附属长海医院泌尿外科,上海 200433

蚌埠医学院第一附属医院泌尿外科,安徽蚌埠 233000

达州市中西医结合医院泌尿外科,四川 达州 635000

膀胱原位癌 预后 危险因素 列线图

四川省达州市科技局重点研发计划项目

21ZDYF0028

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(5)
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