Prediction of Early Mortality in Esophageal Cancer Patients with Liver Metastasis Using Machine Learning Approaches
Patients with esophageal cancer liver metastasis face a high risk of early mortality, making accurate prediction crucial for guiding clinical decisions. However, effective predictive tools are currently limited. In this study, we used clinicopathological data from 1897 patients diagnosed with esopha...
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MDPI AG
2024-11-01
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| author | Yongxin Sheng Liyuan Zhang Zuhai Hu Bin Peng |
| author_facet | Yongxin Sheng Liyuan Zhang Zuhai Hu Bin Peng |
| author_sort | Yongxin Sheng |
| collection | DOAJ |
| description | Patients with esophageal cancer liver metastasis face a high risk of early mortality, making accurate prediction crucial for guiding clinical decisions. However, effective predictive tools are currently limited. In this study, we used clinicopathological data from 1897 patients diagnosed with esophageal cancer liver metastasis between 2010 and 2020, which were sourced from the SEER database. Prognostic factors were identified using univariate and multivariate logistic regression, and seven machine learning models, including extreme gradient boosting (XGBoost) and support vector machine (SVM), were developed to predict early mortality. The models were evaluated using Receiver Operating Characteristic (ROC) curves, calibration curves, decision curve analysis (DCA), and F1 scores. Results showed that 40% of patients experienced all-cause early mortality and 38% had cancer-specific early mortality. Key predictors of early mortality included age, location, chemotherapy, and lung metastasis. Among the models, XGBoost performed best in predicting all-cause early mortality, while SVM excelled in predicting cancer-specific early mortality. These findings demonstrate that machine learning models, particularly XGBoost and SVM, can serve as valuable tools for predicting early mortality in patients with esophageal cancer liver metastasis, aiding clinical decision making. |
| format | Article |
| id | doaj-art-85089745cb854e8cbf7065a21d9b7ef5 |
| institution | Kabale University |
| issn | 2075-1729 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
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| series | Life |
| spelling | doaj-art-85089745cb854e8cbf7065a21d9b7ef52024-11-26T18:10:24ZengMDPI AGLife2075-17292024-11-011411143710.3390/life14111437Prediction of Early Mortality in Esophageal Cancer Patients with Liver Metastasis Using Machine Learning ApproachesYongxin Sheng0Liyuan Zhang1Zuhai Hu2Bin Peng3School of Public Health, Chongqing Medical University, Chongqing 400016, ChinaSchool of Public Health, Chongqing Medical University, Chongqing 400016, ChinaSchool of Public Health, Chongqing Medical University, Chongqing 400016, ChinaSchool of Public Health, Chongqing Medical University, Chongqing 400016, ChinaPatients with esophageal cancer liver metastasis face a high risk of early mortality, making accurate prediction crucial for guiding clinical decisions. However, effective predictive tools are currently limited. In this study, we used clinicopathological data from 1897 patients diagnosed with esophageal cancer liver metastasis between 2010 and 2020, which were sourced from the SEER database. Prognostic factors were identified using univariate and multivariate logistic regression, and seven machine learning models, including extreme gradient boosting (XGBoost) and support vector machine (SVM), were developed to predict early mortality. The models were evaluated using Receiver Operating Characteristic (ROC) curves, calibration curves, decision curve analysis (DCA), and F1 scores. Results showed that 40% of patients experienced all-cause early mortality and 38% had cancer-specific early mortality. Key predictors of early mortality included age, location, chemotherapy, and lung metastasis. Among the models, XGBoost performed best in predicting all-cause early mortality, while SVM excelled in predicting cancer-specific early mortality. These findings demonstrate that machine learning models, particularly XGBoost and SVM, can serve as valuable tools for predicting early mortality in patients with esophageal cancer liver metastasis, aiding clinical decision making.https://www.mdpi.com/2075-1729/14/11/1437esophageal carcinomaliver metastasisearly deathpredictive model |
| spellingShingle | Yongxin Sheng Liyuan Zhang Zuhai Hu Bin Peng Prediction of Early Mortality in Esophageal Cancer Patients with Liver Metastasis Using Machine Learning Approaches Life esophageal carcinoma liver metastasis early death predictive model |
| title | Prediction of Early Mortality in Esophageal Cancer Patients with Liver Metastasis Using Machine Learning Approaches |
| title_full | Prediction of Early Mortality in Esophageal Cancer Patients with Liver Metastasis Using Machine Learning Approaches |
| title_fullStr | Prediction of Early Mortality in Esophageal Cancer Patients with Liver Metastasis Using Machine Learning Approaches |
| title_full_unstemmed | Prediction of Early Mortality in Esophageal Cancer Patients with Liver Metastasis Using Machine Learning Approaches |
| title_short | Prediction of Early Mortality in Esophageal Cancer Patients with Liver Metastasis Using Machine Learning Approaches |
| title_sort | prediction of early mortality in esophageal cancer patients with liver metastasis using machine learning approaches |
| topic | esophageal carcinoma liver metastasis early death predictive model |
| url | https://www.mdpi.com/2075-1729/14/11/1437 |
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