A Nomogram for Predicting Cancer-Specific Survival in Children With Wilms Tumor: A Study Based on SEER Database and External Validation in China

作者全名："Tan, Xiaojun; Wang, Jinkui; Tang, Jie; Tian, Xiaomao; Jin, Liming; Li, Mujie; Zhang, Zhaoxia; He, Dawei"

作者地址："[Tan, Xiaojun; Wang, Jinkui; Tian, Xiaomao; Jin, Liming; Li, Mujie; Zhang, Zhaoxia; He, Dawei] Chongqing Med Univ, Childrens Hosp, Dept Urol, Chongqing, Peoples R China; [Tan, Xiaojun] North Sichuan Med Univ, Nanchong Cent Hosp, Clin Med Coll 2, Dept Urol, Nanchong, Peoples R China; [Tan, Xiaojun; Wang, Jinkui; Tian, Xiaomao; Jin, Liming; Li, Mujie; Zhang, Zhaoxia; He, Dawei] Chongqing Key Lab Children Urogenital Dev & Tissue, Chongqing, Peoples R China; [Tan, Xiaojun; Wang, Jinkui; Tian, Xiaomao; Jin, Liming; Li, Mujie; Zhang, Zhaoxia; He, Dawei] Chongqing Key Lab Pediat, Chongqing, Peoples R China; [Tan, Xiaojun; Wang, Jinkui; Tian, Xiaomao; Jin, Liming; Li, Mujie; Zhang, Zhaoxia; He, Dawei] Minist Educ, Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Tan, Xiaojun; Wang, Jinkui; Tian, Xiaomao; Jin, Liming; Li, Mujie; Zhang, Zhaoxia; He, Dawei] Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China; [Tan, Xiaojun; Wang, Jinkui; Tian, Xiaomao; Jin, Liming; Li, Mujie; Zhang, Zhaoxia; He, Dawei] China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China; [Tang, Jie] Shenyang Med Coll, Publ Hlth Sch, Dept Epidemiol, Shenyang, Peoples R China"

通信作者："He, DW (通讯作者)，Chongqing Med Univ, Childrens Hosp, Dept Urol, Chongqing, Peoples R China.; He, DW (通讯作者)，Chongqing Key Lab Children Urogenital Dev & Tissue, Chongqing, Peoples R China.; He, DW (通讯作者)，Chongqing Key Lab Pediat, Chongqing, Peoples R China.; He, DW (通讯作者)，Minist Educ, Key Lab Child Dev & Disorders, Chongqing, Peoples R China.; He, DW (通讯作者)，Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China.; He, DW (通讯作者)，China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:000790469000001

JCR分区：Q1

影响因子：5.2

年份：2022

卷号：10

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：nomogram; cancer-specific survival; Wilms tumor; children; SEER

摘要："BackgroundWilms tumor (WT) is the most common tumor in children. We aim to construct a nomogram to predict the cancer-specific survival (CSS) of WT in children and externally validate in China. MethodsWe downloaded the clinicopathological data of children with WT from 2004 to 2018 in the SEER database. At the same time, we used the clinicopathological data collected previously for all children with WT between 2013 and 2018 at Children's Hospital of Chongqing Medical University (Chongqing, China). We analyzed the difference in survival between the patients in the SEER database and our hospital. Cox regression analysis was used to screen for significant risk factors. Based on these factors, a nomogram was constructed to predict the CSS of children with WT. Calibration curve, concordance index (C-index), the area under the receiver operating curve (AUC) and decision curve analysis (DCA) was used to evaluate the accuracy and reliability of the model. ResultsWe included 1,045 children with WT in the SEER database. At the same time, we collected 112 children with WT in our hospital. The Kaplan-Meier curve suggested that children in China with WT had a higher mortality rate than those in the United States. Cox regression analysis revealed that age, lymph node density (LND), and tumor stage were significant prognostic factors for the patients in the SEER database. However, the patients in our hospital only confirmed that the tumor stage and the number of positive regional lymph nodes were significant factors. The prediction model established by the SEER database had been validated internally and externally to prove that it had good accuracy and reliability. ConclusionWe have constructed a survival prognosis prediction model for children with WT, which has been validated internally and externally to prove accuracy and reliability."

基金机构：Special Key Project of Chongqing Technology Innovation and Application Development [Cstc2019jscx-tjsbX0003]

基金资助正文：Funding This research was funded by the Special Key Project of Chongqing Technology Innovation and Application Development (No. Cstc2019jscx-tjsbX0003).