Background: Recently, the 8th edition of the TNM classification of esophageal cancer has come up. The present study aims to compare the 7th and the proposed 8th edition of the AJCC/UICC TNM staging system for esophageal squamous cell carcinoma (ESCC). Methods: A total of 1872 ESCC patients who underwent radical surgery with curative intent were analyzed retrospectively. Survival was analyzed using the Kaplan Meier method, and values were compared using the log-rank test. Multivariate analysis was performed using the Cox proportional hazard model. The Akaike information criterion (AIC) and the concordance index (c-index) were applied to compare the two prognostic systems. Results: On univariate analysis, the 7th staging system, the proposed 8th staging system, gender, age as well as adjuvant treatment were found to have significant association with overall survival (OS). In both the current staging system and the modified version, age and gender were independent prognostic factors in a multivariate analysis. The AIC value for the proposed 8th version was smaller than that for the 7th staging system; the c-index value for the proposed 8th version was larger than that for the 7th staging system. Subgroup analysis in patients with/without nodal metastasis obtained consistent results. Conclusion: Based on the data from our single center, the proposed 8th AJCC staging system seems to be superior to the 7th AJCC staging system in terms of OS for patients with thoracic ESCC who underwent radical surgery. (C) 2017 Elsevier Ltd, BASO similar to The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
基金:
Natural Science Foundation of ChinaNational Natural Science Foundation of China [81201969]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2017]版:
大类|3 区医学
小类|2 区外科3 区肿瘤学
最新[2023]版:
大类|2 区医学
小类|2 区肿瘤学2 区外科
第一作者:
第一作者机构:[1]Fujian Med Univ, Canc Hosp, Dept Thorac Oncol, Fuzhou, Fujian, Peoples R China;
通讯作者:
通讯机构:[1]Fujian Med Univ, Canc Hosp, Dept Thorac Oncol, Fuzhou, Fujian, Peoples R China;[5]Fujian Prov Canc Hosp, Dept Thorac Oncol, 420 Fuma Rd, Fuzhou 350014, Fujian, Peoples R China;[6]Fujian Med Univ, Canc Hosp, 420 Fuma Rd, Fuzhou 350014, Fujian, Peoples R China
推荐引用方式(GB/T 7714):
Zhang D.,Zheng Y.,Wang Z.,et al.Comparison of the 7th and proposed 8th editions of the AJCC/UICC TNM staging system for esophageal squamous cell carcinoma underwent radical surgery[J].EJSO.2017,43(10):1949-1955.doi:10.1016/j.ejso.2017.06.005.
APA:
Zhang, D.,Zheng, Y.,Wang, Z.,Huang, Q.,Cao, X....&Liu, S..(2017).Comparison of the 7th and proposed 8th editions of the AJCC/UICC TNM staging system for esophageal squamous cell carcinoma underwent radical surgery.EJSO,43,(10)
MLA:
Zhang, D.,et al."Comparison of the 7th and proposed 8th editions of the AJCC/UICC TNM staging system for esophageal squamous cell carcinoma underwent radical surgery".EJSO 43..10(2017):1949-1955