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预测手术切除腹膜后脂肪肉瘤无复发生存率的列线图的建立和验证
Authors Zhuang A, Wu Q, Tong H, Zhang Y, Lu W
Received 25 May 2021
Accepted for publication 18 August 2021
Published 24 August 2021 Volume 2021:13 Pages 6633—6639
DOI https://doi.org/10.2147/CMAR.S321324
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Chien-Feng Li
Background and Objectives: Surgical treatment is still the mainstay of curative therapy for retroperitoneal liposarcoma (RLPS), but often recurs after surgical resection. We aimed to establish a nomogram for postoperative recurrence of RLPS based on the Asian population.
Methods: Patients after surgical resection at the South Hospital of Zhongshan Hospital/Shanghai Public Health Clinical Center between August 2011 and December 2020 were included. The enrolled patients are randomly divided into training set and test set according to the ratio of 7:3. Prognostic factors were chosen based on Akaike Information Criterion, and the nomogram was built based on Cox regression and then internally validated through calibration plots and concordance index (C-index).
Results: A total of 447 patients were included. Gender, age, presentation status, organ invasion and FNCLCC grade were used to build nomogram. The calibration plots showed that RFS predicted probabilities are identical to the actual RFS rates. The C-index of the nomogram was 0.703 (95% CI 0.623– 0.783) in the training set and 0.695 (95% CI 0.565– 0.825) in test set.
Conclusion: The nomogram we established can accurately predict postoperative recurrence of RLPS patients for Asian population.
Keywords: retroperitoneal soft tissue sarcoma, liposarcoma, recurrence, nomogram, surgery