Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2009-2-9
pubmed:abstractText
Hormone therapy with tamoxifen has long been the established adjuvant treatment for node-positive, estrogen-receptor-positive breast cancer in postmenopausal women. Since 30-40% of these patients fail to respond, reliableoutcome prediction is necessary for successful treatment allocation. Using pathobiological variables (available in mostclinical records: tumor size, nodal involvement, estrogen and progesterone receptor content) from 596 patients recruitedat a comprehensive cancer center, we developed a prediction model which we validated in an independent cohort of 175patients recruited at a general hospital. Calculated at 3 and 4 years of follow-up, the discrimination indices were 0.716[confidence limits (CL) 0.641, 0.752] and 0.714 (CL 0.650, 0.750) for the training data, and 0.726 (CL 0.591, 0.769) and0.677 (CL 0.580, 0.745) for the testing data. Waiting for more effective approaches from genomic and proteomic studies, amodel based on consolidated pathobiological variables routinely assessed at relatively low costs may be considered as thereference for assessing the gain of new markers over traditional ones, thus substantially improving the conventional use ofprognostic criteria.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0393-6155
pubmed:author
pubmed:issnType
Print
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
199-206
pubmed:meshHeading
pubmed-meshheading:19199266-Adult, pubmed-meshheading:19199266-Aged, pubmed-meshheading:19199266-Aged, 80 and over, pubmed-meshheading:19199266-Antineoplastic Agents, Hormonal, pubmed-meshheading:19199266-Breast Neoplasms, pubmed-meshheading:19199266-Chemotherapy, Adjuvant, pubmed-meshheading:19199266-Cohort Studies, pubmed-meshheading:19199266-Female, pubmed-meshheading:19199266-Humans, pubmed-meshheading:19199266-Middle Aged, pubmed-meshheading:19199266-Models, Statistical, pubmed-meshheading:19199266-Neoplasm Recurrence, Local, pubmed-meshheading:19199266-Nomograms, pubmed-meshheading:19199266-Postmenopause, pubmed-meshheading:19199266-Predictive Value of Tests, pubmed-meshheading:19199266-Receptors, Estrogen, pubmed-meshheading:19199266-Receptors, Progesterone, pubmed-meshheading:19199266-Tamoxifen, pubmed-meshheading:19199266-Tumor Markers, Biological
pubmed:articleTitle
A prediction model for breast cancer recurrence after adjuvant hormone therapy.
pubmed:affiliation
Istituto di Statistica Medica e Biometria, Universita' degli Studi di Milano, Milan, Italy. elia.biganzoli@istitutotumori.mi.it
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't