Dong et al reported a model for predicting the overall survival for a patient with a typical lung carcinoid tumor. This can help to identify a patient who may require more aggressive management. The authors are from Qingdao University and Peking University International Hospital in China.
Patient selection: typical lung carcinoid tumor
Parameters:
(1) bone metastases
(2) age in years
(3) sex
(4) T stage
(5) N stage
Parameter
Finding
Points
bone metastases
no
0
yes
38
age in years
< 62 years
0
62 to 77 years
44.3
> 77 years
100
sex
female
0
male
21.7
T stage
TX
51.6
T1
0
T2
20.2
T3
21.1
T4
24.4
N stage
N0
0
N1
32.6
N2
71
N3
81.3
NX
49.8
where:
• The nomogram shows a couple inconsistencies in the data on T stage. The point assignment above is based on the relative status of the hazard ratios shown in Figure 1.
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 270.9
• The higher the score the worse the overall survival.
