Description

Wang et al reported nomograms for predicting outcomes for patients with cancer of the buccal mucosa. These can help to identify a patient who may require more aggressive management. The authors are from Tianjin Medical University, Guangzhou Medical University, and Sun Yat-sen University in China.


Patient selection: cancer of the buccal mucosa

 

Parameters:

(1) age at diagnosis

(2) marital status

(3) histological grade

(4) histological type

(5) SEER stage

(6) tumor diameter in mm

(7) surgery

 

Parameter

Finding

Points

age at diagnosis

<= 70 years

0

 

> 70 years

5.9

marital status

married

0

 

unmarried

2.7

histologic grade

low

0

 

high

2.2

histological type

squamous cell carcinoma

10

 

other

0

SEER stage

localized

0

 

regional

6

 

distant

10

diameter

<= 40 mm

0

 

> 40 mm

3.4

surgery

no

5.5

 

yes

0

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 39.7

 

value of X =

= (-0.00374 * ((score)^2)) - (0.07855 * (score)) + 2.59

 

probability of 5-year overall survival =

= 1 / (1 + EXP((-1) * X))

 

Performance:

• The area under the ROC curve is 0.78.


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