Survival Prediction of Patients with Breast Cancer: Comparisons of Decision Tree and Logistic Regression Analysis.

Background: Breast cancer is the first cause of cancer-related deaths among women in Iran. Objectives: The aim of the present study was to compare the traditional statistical analysis and data mining technique as the research methods for identifying the prognostic factors regarding the survival time...

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Published in:International Journal of Cancer Management Vol. 11; no. 7; pp. 1 - 9
Main Authors: Momenyan, Somayeh, Baghestani, Ahmad Reza, Momenyan, Narges, Naseri, Parisa, Akbari, Mohammad Esmaeil
Format: research tables/charts Journal Article
Published: Medical Journals Commission of the Ministry of Health & Medical Education Jul2018
Online Access:View this record in EBSCOhost
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      dt: Jul2018
      vid: 11
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      pub: Medical Journals Commission of the Ministry of Health & Medical Education
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        atl: Survival Prediction of Patients with Breast Cancer: Comparisons of Decision Tree and Logistic Regression Analysis.
      aug:
        au:
          Momenyan, Somayeh
          Baghestani, Ahmad Reza
          Momenyan, Narges
          Naseri, Parisa
          Akbari, Mohammad Esmaeil
        affil: PhD Candidate in Biostatistics, Department of Biostatistics, Paramedical Sciences Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Breast Neoplasms Prognosis
          Survival Analysis
          Human
          Cancer Survivors
          Decision Trees
          Multiple Logistic Regression
          Data Analysis, Statistical
          Data Mining
          Algorithms
          Chi Square Test
          Academic Medical Centers
          Office Visits
          Age Factors
          Breast Neoplasms Diagnosis
          Histological Techniques Methods
          Neoplasm Grading
          Lymph Nodes Pathology
          Breast Neoplasms Surgery
          Breast Neoplasms Mortality
          Breast Neoplasms Pathology
          Menarche
          Hormone Therapy
          Iran
      ab: Background: Breast cancer is the first cause of cancer-related deaths among women in Iran. Objectives: The aim of the present study was to compare the traditional statistical analysis and data mining technique as the research methods for identifying the prognostic factors regarding the survival time of patients with breast cancer. Decision tree method is one of the predictive models that used in the medical field. The most used algorithms are classification and regression trees (CART), the quick, unbiased, efficient statistical tree (QUEST), Chi-square automatic interaction detector (CHAIDs) algorithm, and the C5.0 algorithm. Methods: We used data for 438 patients, who were referred to cancer research center in Shahid Beheshti University of Medical Sciences. The patients were visited and treated during 1992 to 2012 and followed up until October 2014. The data were analyzed by regression logistic and decision tree method. Six measures for evaluation of predictive performance of different models were used. Results: The C5.0 algorithm performed better than CHAID, QUEST, CART algorithms, and the logistic regression in predicting breast cancer survival. The multiple logistic regression results indicated that the factors of age at diagnosis, histologic grade, axillary lymph node status, and type of surgery were statistically significant with regard to the probability of death in patients with breast cancer. Moreover, based on C4.5 they reported that tumor size, age of menarche, hormonal therapy, axillary nodal status, and histological grade are the most prominent variables. Conclusions: The more precise methods can identify the more accurate predictors. The decision tree method was able to predict the probability of death more accurately compared with the conventional logistic regression. Some improvements for classical classification tree such as boosting and bagging have been developed in order to obtain better predictive performance. We suggest that the modern classification tree method in the breast cancer context be the focus of future studies.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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