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Establishment of a Pretreatment Nomogram to Predict the 6-Month Mortality Rate of Patients with Advanced Biliary Tract Cancers Undergoing Gemcitabine-Based Chemotherapy
- Source :
- Cancers, Volume 13, Issue 13, Cancers, Vol 13, Iss 3139, p 3139 (2021)
- Publication Year :
- 2021
-
Abstract
- Background: The estimation of mortality risk among patients diagnosed with advanced cancer provides important information for clinicians and patients in clinical practice. Currently, gemcitabine-based chemotherapy regimens are the standard treatment for patients with advanced biliary tract cancer (BTC). We aimed to develop a nomogram to predict the 6-month mortality rate among patients with advanced BTC to help physicians evaluate treatment options and outcomes. Patients: We conducted a retrospective analysis to evaluate the 6-month mortality rate among patients with advanced BTC who underwent gemcitabine-based chemotherapy from 2012 to 2018. Data regarding pretreatment factors and the clinical response to treatment were collected. Univariate and multivariate analyses were performed to identify independent factors for nomogram creation. Results: A total of 202 advanced BTC patients who were treated with gemcitabine-based chemotherapy were included in this analysis. No difference in survival was identified between patients undergoing gemcitabine monotherapy and those treated with gemcitabine combined with other cytotoxic agents. The univariate analysis revealed 10 significant factors, while the multivariate analysis identified four independent factors, including gender, monocyte to lymphocyte ratio (MLR), alkaline phosphatase (ALP), and liver metastasis, which were used to establish the nomogram. The performance of this nomogram for the prediction of 6-month mortality risk was found to be promising and feasible based on logistic regression. Conclusion: A nomogram based on four independent pretreatment factors, including gender, MLR, ALP, and liver metastasis, was established to predict the 6-month mortality risk in patients with advanced BTC<br />it can provide clinicians and patients with additional information when evaluating treatment outcomes.
- Subjects :
- 0301 basic medicine
Oncology
Cancer Research
medicine.medical_specialty
Multivariate analysis
medicine.medical_treatment
chemotherapy
Article
Metastasis
nomogram
03 medical and health sciences
0302 clinical medicine
Internal medicine
biliary tract cancer
medicine
RC254-282
Univariate analysis
Chemotherapy
business.industry
Mortality rate
Standard treatment
gemcitabine
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
prognostic factors
Nomogram
medicine.disease
Gemcitabine
030104 developmental biology
030220 oncology & carcinogenesis
business
medicine.drug
Subjects
Details
- ISSN :
- 20726694
- Volume :
- 13
- Issue :
- 13
- Database :
- OpenAIRE
- Journal :
- Cancers
- Accession number :
- edsair.doi.dedup.....ac2cfcb190b90fe2af6b65ebfc1702f8