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Dynamic nomogram for long-term survival in patients with locally advanced oropharyngeal cancer after (chemo)radiotherapy

  • Head and Neck
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European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

This study aimed to establish a nomogram for predicting overall survival (OS) in oropharyngeal cancer patients treated with curative (chemo)radiotherapy.

Materials and methods

The dynamic nomogram was constructed on 273 patients with oropharyngeal squamous cell carcinoma treated in a Tertiary Head and Neck Cancer Unit. The clinical features that were previously reported to be associated with OS were analyzed. The performance of the nomogram was assessed using concordance index (C-index) and calibration curves.

Results

The nomogram incorporated three explanatory variables derived from a decision tree approach including HPV status, N classification according to 8th edition TNM and early response to (chemo)radiotherapy. The nomogram was capable to predict OS with a validation C-index of 0.768. The proposed stratification in risk groups allowed significant distinction between Kaplan–Meier curves for OS outcome (p < 0.0001).

Conclusions

The nomogram provided an accurate evaluation of OS for oropharyngeal cancer patients treated with curative (chemo)radiotherapy.

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Availability of data and material

Data are available on adequate request.

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Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

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Correspondence to Francesca De Felice.

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De Felice, F., Humbert-Vidan, L., Lei, M. et al. Dynamic nomogram for long-term survival in patients with locally advanced oropharyngeal cancer after (chemo)radiotherapy. Eur Arch Otorhinolaryngol 280, 1955–1961 (2023). https://doi.org/10.1007/s00405-022-07757-1

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  • DOI: https://doi.org/10.1007/s00405-022-07757-1

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