Predictive Model of Chemotherapy-Induced Myelosuppression for Patients with Esophageal Cancer

Background The influential factors of chemotherapy-induced myelosuppression in esophageal cancer in central China are unclear. This study aimed to develop a model for prediction of incidence of myelosuppression during chemotherapy among patients with esophageal cancer. Methods In this retrospective...

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Main Authors: Ziming Zheng, Qilin Zhang, Yong Han, Tingting Wu, Yu Zhang
Format: Article
Language:English
Published: SAGE Publishing 2022-09-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/10732748221126929
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author Ziming Zheng
Qilin Zhang
Yong Han
Tingting Wu
Yu Zhang
author_facet Ziming Zheng
Qilin Zhang
Yong Han
Tingting Wu
Yu Zhang
author_sort Ziming Zheng
collection DOAJ
description Background The influential factors of chemotherapy-induced myelosuppression in esophageal cancer in central China are unclear. This study aimed to develop a model for prediction of incidence of myelosuppression during chemotherapy among patients with esophageal cancer. Methods In this retrospective study, a total of 1446 patients with esophageal cancer who underwent five different chemotherapy regimens between 2013 and 2020 at our institute were randomly assigned in a 7:3 ratio to training and validation data sets. Clinical and drug-related variables were used to develop the prediction model from the training data set by the machine learning method of random forest. Finally, this model were tested in the validation data set. Results The prediction model were established with 16 indispensable variables selected from 46 variables. The model obtained an area under the receiver-operating characteristic curve of .883 and accompanied by prediction accuracy of 80.0%, sensitivity of 77.8% and specificity of 81.8%. Conclusion This new prediction model showed excellent predictive ability of incidence of myelosuppression in turn providing preventative measures for patients with esophageal cancer during chemotherapy.
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spelling doaj.art-eebdebed98984c50abfcba091617022a2022-12-22T03:17:36ZengSAGE PublishingCancer Control1073-27482022-09-012910.1177/10732748221126929Predictive Model of Chemotherapy-Induced Myelosuppression for Patients with Esophageal CancerZiming ZhengQilin ZhangYong HanTingting WuYu ZhangBackground The influential factors of chemotherapy-induced myelosuppression in esophageal cancer in central China are unclear. This study aimed to develop a model for prediction of incidence of myelosuppression during chemotherapy among patients with esophageal cancer. Methods In this retrospective study, a total of 1446 patients with esophageal cancer who underwent five different chemotherapy regimens between 2013 and 2020 at our institute were randomly assigned in a 7:3 ratio to training and validation data sets. Clinical and drug-related variables were used to develop the prediction model from the training data set by the machine learning method of random forest. Finally, this model were tested in the validation data set. Results The prediction model were established with 16 indispensable variables selected from 46 variables. The model obtained an area under the receiver-operating characteristic curve of .883 and accompanied by prediction accuracy of 80.0%, sensitivity of 77.8% and specificity of 81.8%. Conclusion This new prediction model showed excellent predictive ability of incidence of myelosuppression in turn providing preventative measures for patients with esophageal cancer during chemotherapy.https://doi.org/10.1177/10732748221126929
spellingShingle Ziming Zheng
Qilin Zhang
Yong Han
Tingting Wu
Yu Zhang
Predictive Model of Chemotherapy-Induced Myelosuppression for Patients with Esophageal Cancer
Cancer Control
title Predictive Model of Chemotherapy-Induced Myelosuppression for Patients with Esophageal Cancer
title_full Predictive Model of Chemotherapy-Induced Myelosuppression for Patients with Esophageal Cancer
title_fullStr Predictive Model of Chemotherapy-Induced Myelosuppression for Patients with Esophageal Cancer
title_full_unstemmed Predictive Model of Chemotherapy-Induced Myelosuppression for Patients with Esophageal Cancer
title_short Predictive Model of Chemotherapy-Induced Myelosuppression for Patients with Esophageal Cancer
title_sort predictive model of chemotherapy induced myelosuppression for patients with esophageal cancer
url https://doi.org/10.1177/10732748221126929
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