Lucas W. Thornblade, MD, MPH, Michael S

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Presentation transcript:

Challenges in Predicting Recurrence After Resection of Node-Negative Non-Small Cell Lung Cancer  Lucas W. Thornblade, MD, MPH, Michael S. Mulligan, MD, Katherine Odem-Davis, PhD, Billanna Hwang, MPH, DHSc, Rachel L. Waworuntu, BS, Erika M. Wolff, PhD, Larry Kessler, ScD, Douglas E. Wood, MD, Farhood Farjah, MD, MPH  The Annals of Thoracic Surgery  Volume 106, Issue 5, Pages 1460-1467 (November 2018) DOI: 10.1016/j.athoracsur.2018.06.022 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Diagram of cohort selection. (LCBRN = Lung Cancer Biospecimen Resource Network.) The Annals of Thoracic Surgery 2018 106, 1460-1467DOI: (10.1016/j.athoracsur.2018.06.022) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Kaplan-Meier survival estimates for recurrence-free survival among patients with completely resected, node-negative non-small cell lung cancer and for five pre-specified clinical risk-factors: (B) tumor size, (C) lymphovascular invasion (LVI), (D) visceral pleural invasion (VPI), (E) tumor grade, and (F) sublobar resection. The Annals of Thoracic Surgery 2018 106, 1460-1467DOI: (10.1016/j.athoracsur.2018.06.022) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Receiver operating characteristic curves (left) and calibration plots (right) for (A) model A (visceral pleural invasion, lymphovascular invasion, log-tumor size, tumor grade, and sublobar resection and (B) model B (model A plus vascular endothelial growth factor C, microRNA [miR]-486, and miR-30d). The time-dependent receiver operating characteristic curve was evaluated at 2 years using nearest neighbor estimator smoothing with a span equal to 0.25 × n–0.2, with n equal to the number of patients. The calibration plot reflects “predicted” survival probabilities at 24 months (recurrence-free survival) and corresponding “observed” survival probabilities by Kaplan-Meier (fraction recurrence-free at 24 months). The tick marks at the top of this figure indicate points observed with corresponding predicted survival. (AUC = area under the receiver operating characteristic curve; CI = confidence interval.) The Annals of Thoracic Surgery 2018 106, 1460-1467DOI: (10.1016/j.athoracsur.2018.06.022) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions