E-ISSN: 1019-5157 ISSN: 2651-5024
A Nomogram Model for Predicting Prognosis of Patients with Medulloblastoma
Page : 38-45

AIM: To identify the prognostic factors associated with cancer-specific survival in medulloblastoma (MB), and to use them for establishing a nomogram model to predict cancer-specific survival.

MATERIAL and METHODS: In total, 268 patients with MB were included; they were rigorously respectively screened from the Surveillance, Epidemiology, and End Results database from 1988 to 2015 and statistically analyzed in R language. This study focused on cancer-specific death and used the cox regression analysis for variable filtering. The model was calibrated using C-index, area under the curve (AUC), and calibration curve.

RESULTS: As per our findings, it was determined that extension (localized: hazard ratio [HR]=0.5899, p=0.00963; further extension: indicator) and treatment modality (radiation after surgery chemotherapy sequence unknown: HR=0.3646, p=0.00192; no surgery: indicator) were statistically significant in the prognosis of MB and were finally utilized to construct a nomogram model for predicting the condition. The AUC values were 0.649, 0.629, and 0.64 at 2, 3, and 5 years, respectively.

CONCLUSION: Tumor extension and treatment modality were independent prognostic factors for MB.

Keywords : medulloblastoma nomogram prognostic factors concordance index (C-index) time-dependent receiver operating characteristic (ROC)
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