Objective To determine the factors that contribute to the survival of elderly individuals diagnosed with brain glioma and develop a prognostic nomogram.Methods Data from elderly individuals(age≥65 years)histologicall...Objective To determine the factors that contribute to the survival of elderly individuals diagnosed with brain glioma and develop a prognostic nomogram.Methods Data from elderly individuals(age≥65 years)histologically diagnosed with brain glioma were sourced from the Surveillance,Epidemiology,and End Results(SEER)database.The dataset was randomly divided into a training cohort and an internal validation cohort at a 6:4 ratio.Additionally,data obtained from Tangdu Hospital constituted an external validation cohort for the study.The identification of independent prognostic factors was achieved through the least absolute shrinkage and selection operator(LASSO)and multivariate Cox regression analysis,enabling the construction of a nomogram.Model performance was evaluated using C-index,ROC curves,calibration plot and decision curve analysis(DCA).Results A cohort of 20483 elderly glioma patients was selected from the SEER database.Five prognostic factors(age,marital status,histological type,stage,and treatment)were found to significantly impact overall survival(OS)and cancer-specific survival(CSS),with tumor location emerging as a sixth variable independently linked to CSS.Subsequently,nomogram models were developed to predict the probabilities of survival at 6,12,and 24 months.The assessment findings from the validation queue indicate a that the model exhibited strong performance.Conclusion Our nomograms serve as valuable prognostic tools for assessing the survival probability of elderly glioma patients.They can potentially assist in risk stratification and clinical decision-making.展开更多
引文起飞是文献被广泛采纳的重要信号,引文起飞的分布规律研究对解释引文动态进程具有重要意义,为文献科学评价提供新视角。本研究以中国社会科学引文索引(Chinese Social Sciences Citation Index,CSSCI)数据库1998—2018年的引文数据...引文起飞是文献被广泛采纳的重要信号,引文起飞的分布规律研究对解释引文动态进程具有重要意义,为文献科学评价提供新视角。本研究以中国社会科学引文索引(Chinese Social Sciences Citation Index,CSSCI)数据库1998—2018年的引文数据为研究对象,在对引文起飞识别基础上进行统计分析、对比分析及分布模型拟合,较为全面地揭示了引文起飞分布规律。本研究发现,我国人文社会科学文献大多仅存在一次起飞现象,主要分布在发表后的0~3年,且首次被引往往伴随着引文起飞;引文起飞论文数比例分布符合指数分布规律,拟合系数β可以判断文献引文起飞分布的集中离散情况;不同学科引文起飞分布存在差异,不同被引频次的引文起飞指数分布模型进一步解释了文献被引的内在机制。引文起飞学科分布差异可为知识分类提供参考,本研究的相关结论也可为建立新的科学评价指标提供思路。展开更多
基金supported by the Fund for Distinguished Young Scientists of the Department of Science and Technology of Shaanxi Province(No.2023-JC-JQ-68).
文摘Objective To determine the factors that contribute to the survival of elderly individuals diagnosed with brain glioma and develop a prognostic nomogram.Methods Data from elderly individuals(age≥65 years)histologically diagnosed with brain glioma were sourced from the Surveillance,Epidemiology,and End Results(SEER)database.The dataset was randomly divided into a training cohort and an internal validation cohort at a 6:4 ratio.Additionally,data obtained from Tangdu Hospital constituted an external validation cohort for the study.The identification of independent prognostic factors was achieved through the least absolute shrinkage and selection operator(LASSO)and multivariate Cox regression analysis,enabling the construction of a nomogram.Model performance was evaluated using C-index,ROC curves,calibration plot and decision curve analysis(DCA).Results A cohort of 20483 elderly glioma patients was selected from the SEER database.Five prognostic factors(age,marital status,histological type,stage,and treatment)were found to significantly impact overall survival(OS)and cancer-specific survival(CSS),with tumor location emerging as a sixth variable independently linked to CSS.Subsequently,nomogram models were developed to predict the probabilities of survival at 6,12,and 24 months.The assessment findings from the validation queue indicate a that the model exhibited strong performance.Conclusion Our nomograms serve as valuable prognostic tools for assessing the survival probability of elderly glioma patients.They can potentially assist in risk stratification and clinical decision-making.
文摘引文起飞是文献被广泛采纳的重要信号,引文起飞的分布规律研究对解释引文动态进程具有重要意义,为文献科学评价提供新视角。本研究以中国社会科学引文索引(Chinese Social Sciences Citation Index,CSSCI)数据库1998—2018年的引文数据为研究对象,在对引文起飞识别基础上进行统计分析、对比分析及分布模型拟合,较为全面地揭示了引文起飞分布规律。本研究发现,我国人文社会科学文献大多仅存在一次起飞现象,主要分布在发表后的0~3年,且首次被引往往伴随着引文起飞;引文起飞论文数比例分布符合指数分布规律,拟合系数β可以判断文献引文起飞分布的集中离散情况;不同学科引文起飞分布存在差异,不同被引频次的引文起飞指数分布模型进一步解释了文献被引的内在机制。引文起飞学科分布差异可为知识分类提供参考,本研究的相关结论也可为建立新的科学评价指标提供思路。