A molecular and staging model predicts survival in patients with resected non-small cell lung cancer

分子和分期模型可预测切除后非小细胞肺癌患者的生存率

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作者:Lei Liu, Minxin Shi, Zhiwei Wang, Haimin Lu, Chang Li, Yu Tao, Xiaoyan Chen, Jun Zhao

Background

The current TNM staging system is far from perfect in predicting the survival of individual non-small cell lung cancer (NSCLC) patients. In this study, we

Conclusions

We developed a novel prognostic model which can accurately predict outcomes for patients with NSCLC after surgery.

Methods

Candidate molecular biomarkers were extracted from the Gene Expression Omnibus (GEO), and Cox regression analysis was performed to determine significant prognostic factors. The survival prediction model was constructed based on multivariable Cox regression analysis in a cohort of 152 NSCLC patients. The predictive performance of the model was assessed by the Area under the Receiver Operating Characteristic Curve (AUC) and Kaplan-Meier survival analysis.

Results

The survival prediction model consisting of two genes (TPX2 and MMP12) and two clinicopathological factors (tumor stage and grade) was developed. The patients could be divided into either high-risk group or low-risk group. Both disease-free survival and overall survival were significantly different among the diverse groups (P < 0.05). The AUC of the prognostic model was higher than that of the TNM staging system for predicting survival. Conclusions: We developed a novel prognostic model which can accurately predict outcomes for patients with NSCLC after surgery.

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