Development and validation of a prognostic nomogram for ovarian clear cell carcinoma: a study based on the SEER database and a Chinese cohort.

IF 2.9 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Discover. Oncology Pub Date : 2025-04-07 DOI:10.1007/s12672-025-02272-1
Yao Shen, Fei Xi, Pingge Zhao, Yuhang Zhang, Guanlin Guo, Xueyuan Jia, Jie Wu, Ye Kuang
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Abstract

Background: The clinical prognostic factors for ovarian clear cell carcinoma (OCCC) are limited, and we aim to construct a model to predict the survival of OCCC patients.

Methods: Data were extracted from the SEER database for patients diagnosed with OCCC. Cox regression analyses were used to identify independent risk factors for OCCC. Two nomograms were developed, and the results were evaluated comprehensively by C-index, ROC curve, calibration curve, and DCA curve. Patients diagnosed with OCCC were used as the validation set to verify the model.

Results: A total of 1855 OCCC patients from the SEER database were used as the training set, and 101 patients from our hospital were used as the validation set. Cox regression analysis of the independent risk factors affecting the prognosis of OCCC was used to construct nomograms. The C-index of the training set OS was 0.76, and the validation set OS was 0.75. The AUC of the training set OS is 0.803, 0.794, and 0.802 for 1, 3, and 5 years, and 0.774, 0.800, and 0.923 for the validation set. The calibration curve and DCA curve also showed that OS and CSS have good predictive power.

Conclusions: A nomogram based on 8 prognostic factors analyzed by Cox regression can predict the prognosis of OCCC patients effectively.

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卵巢透明细胞癌预后图的开发和验证:基于SEER数据库和中国队列的研究。
背景:卵巢透明细胞癌(OCCC)的临床预后因素有限,我们旨在建立一个预测OCCC患者生存的模型。方法:从诊断为OCCC的患者的SEER数据库中提取数据。采用Cox回归分析确定OCCC的独立危险因素。制作2个模态图,并通过c指数、ROC曲线、校准曲线和DCA曲线对结果进行综合评价。将诊断为OCCC的患者作为验证集对模型进行验证。结果:以SEER数据库中1855例OCCC患者为训练集,以我院101例OCCC患者为验证集。对影响OCCC预后的独立危险因素进行Cox回归分析,构建nomogram。训练集OS的c指数为0.76,验证集OS为0.75。1年、3年和5年的训练集OS的AUC分别为0.803、0.794和0.802,验证集的AUC分别为0.774、0.800和0.923。标定曲线和DCA曲线也表明OS和CSS具有良好的预测能力。结论:Cox回归分析8个预后因素的nomogram可有效预测OCCC患者的预后。
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来源期刊
Discover. Oncology
Discover. Oncology Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
2.40
自引率
9.10%
发文量
122
审稿时长
5 weeks
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