Huang et al reported a prognostic model for evaluating a patient with a pancreatic duct adenocarcinoma. The authors are from multiple institutions in Europe.
Patient selection: pancreatic adenocarcinoma
Parameters:
(1) sex
(2) age in years
(3) T stage
(4) N stage
(5) differentiation
points for age from 25 to 55 =
= (0.0095238 * ((age)^2)) - (2.2048 * (age)) + 91.571
points for age from 55 to 100 =
= (0.019091 * ((age)^2)) - (0.70455 * (age)) - 19.6
Parameter |
Finding |
Points |
sex |
female |
0 |
|
male |
18 |
T stage |
T1 |
0 |
|
T2 |
53 |
|
T3 |
78 |
N stage |
N0 |
0 |
|
N1 |
82 |
differentiation |
well |
0 |
|
moderately |
47 |
|
poorly or undifferentiated |
97 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 375
Total Score |
Median Survival in Months |
0 to 64 |
(0.0032244 * ((score)^2)) - (0.83431 * (score)) + 90.116 |
64 to 251 |
(-0.0000028123 * ((score)^3)) + (0.0019885 * ((score)^2)) - (0.55295 * (score)) + 77.981 |
> 251 |
< 20 months |
Total Score |
2-Year Survival |
< 29 |
> 75% |
29 to 358 |
(-0.000001144 * ((score)^2)) - (0.0012712 * (score)) + 0.79341 |
> 358 |
< 20% |
Total Score |
5-Year Survival |
< 15 |
> 55% |
15 to 323 |
(0.000001623 * ((score)^2)) - (0.0022301 * (score)) + 0.59232 |
> 323 |
< 5% |
Performance:
• The area under the ROC curve is around 0.60.
Specialty: Hematology Oncology