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Performance of prediction models on survival outcomes of colorectal cancer with surgical resection: A systematic review and meta-analysis.

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机构: [a]Centre for Global Health Research, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK [b]Colon Cancer Genetics Group, Medical Research Council Human Genetics Unit, Medical Research Council Institute of Genetics & Molecular Medicine, Western General Hospital, The University of Edinburgh, Edinburgh, UK [c]Western General Hospital, Edinburgh, UK [d]Edinburgh Cancer Research Centre, Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK [e]Edinburgh Cancer Centre NHS Lothian, Edinburgh, UK [f]Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, 610041, PR China
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关键词: Colorectal cancer Survival Surgery Prediction model Systematic review

摘要:
Prediction models allow accurate estimate of individualized prognosis. Increasing numbers of models on survival of CRC patients with surgical resection are being published. However, their performance and potential clinical utility have been unclear. A systematic search in MEDLINE and Embase databases (until 9th April 2018) was performed. Original model development studies and external validation studies predicting any survival outcomes from CRC (follow-up ≥1 year after surgery) were included. We conducted random-effects meta-analyses in external validation studies to estimate the performance of each model. A total of 83 original prediction models and 52 separate external validation studies were identified. We identified five models (Basingstoke score, Fong score, Nordinger score, Peritoneal Surface Disease Severity Score and Valentini nomogram) that were validated in at least two external datasets with a median summarized C-statistic of 0.67 (range: 0.57-0.74). These models can potentially assist clinical decision-making. Besides developing new models, future research should also focus on validating existing prediction models and investigating their real-word impact and cost-effectiveness for CRC prognosis in clinical practice. Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.

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出版当年[2019]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学 3 区 外科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学 4 区 外科
第一作者:
第一作者机构: [a]Centre for Global Health Research, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK [b]Colon Cancer Genetics Group, Medical Research Council Human Genetics Unit, Medical Research Council Institute of Genetics & Molecular Medicine, Western General Hospital, The University of Edinburgh, Edinburgh, UK
通讯作者:
通讯机构: [a]Centre for Global Health Research, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK [d]Edinburgh Cancer Research Centre, Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK [*1]Centre for Global Health Research, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, United Kingdom.
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