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ABSTRACT: Background
In here, we constructed personalized models for predicting breast cancer (BC) recurrence according to timing of recurrence (as early and late recurrence).Methods
An efficient algorithm called group LASSO was used for simultaneous variable selection and risk factor prediction in a logistic regression model.Results
For recurrence ?5 years, stage 2 cancer (OR 1.67, 95% CI?=?1.31-2.14) and radiotherapy+mastectomy (OR 2.45, 95% CI?=?1.81-3.32) were significant predictors; furthermore, relative to mastectomy without radiotherapy (as reference for comparison), quadranectomy without radiotherapy had a noticeably higher odds ratio compared to quadranectomy with radiotherapy for recurrence >?5 years (OR 7.62, 95% CI?=?1.52-38.15 vs. OR 1.75, 95% CI?=?1.32-2.32). Accuracy, sensitivity, and specificity of the model were 71%, 78.8%, and 55.8%, respectively.Conclusion
For the first time, we constructed models for estimating recurrence based on timing of recurrence which are among the most applicable models with excellent accuracy (>?80%).
SUBMITTER: Akrami M
PROVIDER: S-EPMC6136222 | biostudies-literature | 2018 Sep
REPOSITORIES: biostudies-literature
Akrami Majid M Arasteh Peyman P Eghbali Tannaz T Shahraki Hadi Raeisi HR Tahmasebi Sedigheh S Zangouri Vahid V Rezaianzadeh Abbas A Talei Abdolrasoul A
World journal of surgical oncology 20180912 1
<h4>Background</h4>In here, we constructed personalized models for predicting breast cancer (BC) recurrence according to timing of recurrence (as early and late recurrence).<h4>Methods</h4>An efficient algorithm called group LASSO was used for simultaneous variable selection and risk factor prediction in a logistic regression model.<h4>Results</h4>For recurrence < 5 years, age (OR 0.96, 95% CI = 0.95-0.97), number of pregnancies (OR 0.94, 95% CI = 0.89-0.99), family history of other cancers (OR ...[more]