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Successful external validation of a model to predict other cause mortality in localized prostate cancer

Overview of attention for article published in BMC Medicine, February 2016
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Title
Successful external validation of a model to predict other cause mortality in localized prostate cancer
Published in
BMC Medicine, February 2016
DOI 10.1186/s12916-016-0572-z
Pubmed ID
Authors

Matthew Kent, David F. Penson, Peter C. Albertsen, Michael Goodman, Ann S. Hamilton, Janet L. Stanford, Antoinette M. Stroup, Behfar Ehdaie, Peter T. Scardino, Andrew J. Vickers

Abstract

Although life expectancy estimation is vital to decision making for localized prostate cancer, there are few, if any, valid and usable tools. Our goal was to create and validate a prediction model for other cause mortality in localized prostate cancer patients that could aid clinician's initial treatment decisions at the point of care. We combined an adjusted Social Security Administration table with a subset of comorbidities from a UK actuarial life expectancy model. Life tables were adjusted on the basis of survival data from a cohort of almost 10,000 radical prostatectomy patients treated at four major US academic institutions. Comorbidity-specific odds ratios were calculated and incorporated with baseline risk of mortality. We externally validated the model on 2898 patients from the Prostate Cancer Outcomes Study, which included men diagnosed with prostate cancer in six SEER cancer registries. These men had sufficient follow-up for our endpoints of 10- and 15-year mortality and also had self-reported comorbidity data. Life expectancy for prostate cancer patients were close to that of a typical US man who was 3 years younger. On external validation, 10- and 15-year concordance indexes were 0.724 and 0.726, respectively. Our model exhibited excellent calibration. Taking into account differences between how comorbidities are used in the model versus how they were recorded in the validation cohort, calibration would improve for most patients, but there would be overestimation of the risk of death in the oldest and sickest patients. We successfully created and externally validated a new life expectancy prediction model that, while imperfect, has clear advantages to any alternative. We urge consideration of its use in counseling patients with localized prostate cancer.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 46 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 46 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 6 13%
Student > Master 6 13%
Professor 5 11%
Student > Doctoral Student 3 7%
Researcher 3 7%
Other 10 22%
Unknown 13 28%
Readers by discipline Count As %
Medicine and Dentistry 20 43%
Computer Science 3 7%
Agricultural and Biological Sciences 2 4%
Business, Management and Accounting 1 2%
Nursing and Health Professions 1 2%
Other 4 9%
Unknown 15 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 February 2016.
All research outputs
#17,784,649
of 22,844,985 outputs
Outputs from BMC Medicine
#3,132
of 3,434 outputs
Outputs of similar age
#273,196
of 400,364 outputs
Outputs of similar age from BMC Medicine
#47
of 56 outputs
Altmetric has tracked 22,844,985 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
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