A Model Predicting Lymph Node Status for Patients with Clinical Stage T1aN0-2M0 Nonsmall Cell Lung Cancer / 中华医学杂志(英文版)
Chinese Medical Journal
;
(24): 398-403, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-303140
ABSTRACT
<p><b>BACKGROUND</b>Lymph node status of patients with early-stage nonsmall cell lung cancer has an influence on the choice of surgery. To assess the lymph node status more correspondingly and accurately, we evaluated the relationship between the preoperative clinical variables and lymph node status and developed one model for predicting lymph node involvement.</p><p><b>METHODS</b>We collected clinical and dissected lymph node information of 474 patients with clinical stage T1aN0-2M0 nonsmall cell lung cancer (NSCLC). Logistic regression analysis of clinical characteristics was used to estimate independent predictors of lymph node metastasis. The prediction model was validated by another group.</p><p><b>RESULTS</b>Eighty-two patients were diagnosed with positive lymph nodes (17.3%), and four independent predictors of lymph node disease were identified larger consolidation size (odds ratio [OR] = 2.356, 95% confidence interval [CI] 1.517-3.658, P < 0.001,), central tumor location (OR = 2.810, 95% CI 1.545-5.109, P = 0.001), abnormal status of tumor marker (OR = 3.190, 95% CI 1.797-5.661, P < 0.001), and clinical N1-N2 stage (OR = 6.518, 95% CI 3.242-11.697, P < 0.001). The model showed good calibration (Hosmer-Lemeshow goodness-of-fit, P < 0.766) with an area under the receiver operating characteristics curve (AUC) of 0.842 (95% [CI] 0.797-0.886). For the validation group, the AUC was 0.810 (95% CI 0.731-0.889).</p><p><b>CONCLUSIONS</b>The model can assess the lymph node status of patients with clinical stage T1aN0-2M0 NSCLC, enable surgeons perform an individualized prediction preoperatively, and assist the clinical decision-making procedure.</p>
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Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Patologia
/
Cirurgia Geral
/
Análise Multivariada
/
Estudos Retrospectivos
/
Carcinoma Pulmonar de Células não Pequenas
/
Diagnóstico
/
Neoplasias Pulmonares
/
Excisão de Linfonodo
/
Metástase Linfática
/
Métodos
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Chinese Medical Journal
Ano de publicação:
2017
Tipo de documento:
Artigo
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