Analysis of survival-related factors in patients with endometrial cancer using a Bayesian network model.

<h4>Background</h4>In recent years, remarkable progress has been made in the use of machine learning, especially in analyzing prognosis survival data. Traditional prediction models cannot identify interrelationships between factors, and the predictive accuracy is lower. This study aimed...

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Main Authors: Huan Zhang, Shan Zhao, Pengzhong Lv
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0314018
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author Huan Zhang
Shan Zhao
Pengzhong Lv
author_facet Huan Zhang
Shan Zhao
Pengzhong Lv
author_sort Huan Zhang
collection DOAJ
description <h4>Background</h4>In recent years, remarkable progress has been made in the use of machine learning, especially in analyzing prognosis survival data. Traditional prediction models cannot identify interrelationships between factors, and the predictive accuracy is lower. This study aimed to construct Bayesian network models using the tree augmented naïve algorithm in comparison with the Cox proportional hazards model.<h4>Methods</h4>A Bayesian network model and a Cox proportional hazards model were constructed to analyze the prognostic factors of endometrial cancer. In total, 618 original cases obtained from the Surveillance, Epidemiology, and End Results database were used to construct the Bayesian network model, which was compared with the traditional Cox proportional hazards model by analyzing prognostic factors. External validation was performed using a dataset from The First Affiliated Hospital of Shandong First Medical University.<h4>Results</h4>The predictive accuracy, area under the receiver operating characteristic curve, and concordance index for the Bayesian network model were 74.68%, 0.787, and 0.72, respectively, compared to 68.83%, 0.723, and 0.71, respectively, for the Cox proportional hazards model. Tumor size was the most important factor for predicting survival, followed by lymph node metastasis, distant metastasis, chemotherapy, lymph node resection, tumor stage, depth of invasion, tumor grade, histological type, age, primary tumor site, radiotherapy and surgical sequence, and radiotherapy.<h4>Conclusion</h4>The findings indicate that the Bayesian network model is preferable to the Cox proportional hazards model for predicting survival in patients with endometrial cancer.
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spelling doaj-art-d854231fccd24114809d75cfeccb06be2024-11-25T05:31:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011911e031401810.1371/journal.pone.0314018Analysis of survival-related factors in patients with endometrial cancer using a Bayesian network model.Huan ZhangShan ZhaoPengzhong Lv<h4>Background</h4>In recent years, remarkable progress has been made in the use of machine learning, especially in analyzing prognosis survival data. Traditional prediction models cannot identify interrelationships between factors, and the predictive accuracy is lower. This study aimed to construct Bayesian network models using the tree augmented naïve algorithm in comparison with the Cox proportional hazards model.<h4>Methods</h4>A Bayesian network model and a Cox proportional hazards model were constructed to analyze the prognostic factors of endometrial cancer. In total, 618 original cases obtained from the Surveillance, Epidemiology, and End Results database were used to construct the Bayesian network model, which was compared with the traditional Cox proportional hazards model by analyzing prognostic factors. External validation was performed using a dataset from The First Affiliated Hospital of Shandong First Medical University.<h4>Results</h4>The predictive accuracy, area under the receiver operating characteristic curve, and concordance index for the Bayesian network model were 74.68%, 0.787, and 0.72, respectively, compared to 68.83%, 0.723, and 0.71, respectively, for the Cox proportional hazards model. Tumor size was the most important factor for predicting survival, followed by lymph node metastasis, distant metastasis, chemotherapy, lymph node resection, tumor stage, depth of invasion, tumor grade, histological type, age, primary tumor site, radiotherapy and surgical sequence, and radiotherapy.<h4>Conclusion</h4>The findings indicate that the Bayesian network model is preferable to the Cox proportional hazards model for predicting survival in patients with endometrial cancer.https://doi.org/10.1371/journal.pone.0314018
spellingShingle Huan Zhang
Shan Zhao
Pengzhong Lv
Analysis of survival-related factors in patients with endometrial cancer using a Bayesian network model.
PLoS ONE
title Analysis of survival-related factors in patients with endometrial cancer using a Bayesian network model.
title_full Analysis of survival-related factors in patients with endometrial cancer using a Bayesian network model.
title_fullStr Analysis of survival-related factors in patients with endometrial cancer using a Bayesian network model.
title_full_unstemmed Analysis of survival-related factors in patients with endometrial cancer using a Bayesian network model.
title_short Analysis of survival-related factors in patients with endometrial cancer using a Bayesian network model.
title_sort analysis of survival related factors in patients with endometrial cancer using a bayesian network model
url https://doi.org/10.1371/journal.pone.0314018
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AT shanzhao analysisofsurvivalrelatedfactorsinpatientswithendometrialcancerusingabayesiannetworkmodel
AT pengzhonglv analysisofsurvivalrelatedfactorsinpatientswithendometrialcancerusingabayesiannetworkmodel