An Algorithm for Creating Prognostic Systems for Cancer.

The TNM staging system is universally used for classification of cancer. This system is limited since it uses only three factors (tumor size, extent of spread to lymph nodes, and status of distant metastasis) to generate stage groups. To provide a more accurate description of cancer and thus better...

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Publicado en:Journal of Medical Systems Vol. 40; no. 7; pp. 1 - 11
Autores principales: Chen, Dechang, Wang, Huan, Sheng, Li, Hueman, Matthew, Henson, Donald, Schwartz, Arnold, Patel, Jigar
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Jul2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2016
      vid: 40
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-016-0518-1
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        atl: An Algorithm for Creating Prognostic Systems for Cancer.
      aug:
        au:
          Chen, Dechang
          Wang, Huan
          Sheng, Li
          Hueman, Matthew
          Henson, Donald
          Schwartz, Arnold
          Patel, Jigar
        affil: Department of Preventive Medicine and Biostatistics, The Uniformed Services University of the Health Sciences, Bethesda 20814 USA
      sug:
        subj:
          Breast Neoplasms Prognosis
          Algorithms
          Human
          Female
          Neoplasm Grading
          Neoplasm Staging
          Kaplan-Meier Estimator
          Descriptive Statistics
          Funding Source
          Female
      ab: The TNM staging system is universally used for classification of cancer. This system is limited since it uses only three factors (tumor size, extent of spread to lymph nodes, and status of distant metastasis) to generate stage groups. To provide a more accurate description of cancer and thus better patient care, additional factors or variables should be used to classify cancer. In this paper we propose a hierarchical clustering algorithm to develop prognostic systems that classify cancer according to multiple prognostic factors. This algorithm has many potential applications in augmenting the data currently obtained in a staging system by allowing more prognostic factors to be incorporated. The algorithm clusters combinations of prognostic factors that are formed using categories of factors. The dissimilarity between two combinations is determined by the area between two corresponding survival curves. Groups from cutting the dendrogram and survival curves of the individual groups define our prognostic systems that classify patients using survival outcomes. A demonstration of the proposed algorithm is given for patients with breast cancer from the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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