SOURCE: Prediction models for overall survival in patients with metastatic and potentially curable esophageal and gastric cancer.

Authors

null

Héctor G. van den Boorn

Academic Medical Center, Amsterdam, Netherlands

Héctor G. van den Boorn , Ameen Abu-Hanna , Nadia Haj Mohammad , Maarten C.C.M. Hulshof , Suzanne S. Gisbertz , Bastiaan R. Klarenbeek , Marije Slingerland , Laurens Victor Beerepoot , Tom Rozema , Mirjam A.G. Sprangers , Rob H. A. Verhoeven , Aeilko H. Zwinderman , Martijn G.H. van Oijen , Hanneke W.M. Van Laarhoven

Organizations

Academic Medical Center, Amsterdam, Netherlands, Utrecht UMC, Utrecht University, Department of Medical Oncology, Utrecht, Netherlands, Amsterdam UMC, University of Amsterdam, Department of Radiotherapy, Cancer Center Amsterdam, Amsterdam, Netherlands, Amsterdam UMC, University of Amsterdam, Department of Surgery, Cancer Center Amsterdam, Amsterdam, Netherlands, Radboud University Nijmegen, Department of Surgery, Nijmegen, Netherlands, Leiden University Medical Center, Leiden, Netherlands, Elisabeth Tweesteden Hospital, Tilburg, Netherlands, Verbeeten Institute, Department of Radiotherapy, Tilburg, Netherlands, Department of Medical Psychology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, Netherlands, Department of Clinical Epidemiologic Biostatics, Academic Medical Center, Amsterdam, Netherlands, Department of Medical Oncology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, Amsterdam UMC, University of Amsterdam, Department of Medical Oncology, Cancer Center Amsterdam, Amsterdam, Netherlands

Research Funding

Other Foundation
Dutch Cancer Society (KWF), grant number 2014-7000

Background: Prediction models in cancer care can provide personalized prediction outcomes and can aid in shared decision making. Existing prediction models for esophageal and gastric cancer (EGC), however, are mostly aimed at predicting survival after a curative treatment has already been completed. The aim of this study is to develop prediction models, called SOURCE, to predict overall survival at diagnosis in potentially curable and metastatic EGC patients. Methods: The data from 12,756 EGC patients diagnosed between 2014-2017 were retrieved from the prospective Netherlands Cancer Registry. Four Cox regression models were created for potentially curable and metastatic cancers of the esophagus and stomach. Predictors, including treatment type, were selected using the Akaike Information Criterion. The models were validated with temporal cross-validation on their concordance-index (c-index) and calibration. Results: The validated model’s c-index is 0.76 for potentially curable cancer. For the metastatic models, the c-indices are 0.71 and 0.70 for esophageal and gastric cancer, respectively. The calibration intercepts and slopes lie in the 95% confidence interval of 0 and 1, respectively. The included model variables are given in Table. Conclusions: The SOURCE prediction models show fair c-indices and an overall good calibration. The models are the first in EGC to include treatment as a predictor. The models predict survival at diagnosis for a variety of treatments and therefore could have a high clinical applicability. Future research is needed to demonstrate the effect on shared decision making in clinical practice.

Overview of included model variables.

Esophagus Metastatic Esophagus Curative Stomach Metastatic Stomach Curative
Age x x x
Weight x x x
Performance status x x
Sex x x
cT x x x
cN x x x
Tumor topography x x x
Morphology x
Differentiation grade x x x x
HER2 status x
Only distant lymph node metastasis x
Liver metastasis x
Peritoneal metastasis x x
Number of metastatic sites x
Treatment type x x x x

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Abstract Details

Meeting

2020 Gastrointestinal Cancers Symposium

Session Type

Poster Session

Session Title

Poster Session A: Esophageal and Gastric Cancer and Other GI Cancers

Track

Esophageal and Gastric Cancer,Other GI Cancer

Sub Track

Patient-Reported Outcomes and Real-World Evidence

Citation

J Clin Oncol 38, 2020 (suppl 4; abstr 301)

Abstract #

301

Poster Bd #

A20

Abstract Disclosures

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