A Nomogram to Predict Cancer-Specific Survival of Transitional Cell Carcinoma of Ureter After Surgery

<i>Background and Objectives</i>: Due to the rare focus on ureteral cancer survival analyses, this study investigates post-surgery cancer-specific survival (CSS) rates, along with prognostic factors affecting these outcomes. It aims to enhance understanding of disease progression and det...

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Main Authors: Der-Shin Ke, Chao-Yu Hsu
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/6/1062
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author Der-Shin Ke
Chao-Yu Hsu
author_facet Der-Shin Ke
Chao-Yu Hsu
author_sort Der-Shin Ke
collection DOAJ
description <i>Background and Objectives</i>: Due to the rare focus on ureteral cancer survival analyses, this study investigates post-surgery cancer-specific survival (CSS) rates, along with prognostic factors affecting these outcomes. It aims to enhance understanding of disease progression and determinants of patient survival and develop a nomogram for reference. <i>Materials and Methods</i>: This research undertook a retrospective analysis of ureteral cancer patients who received surgical intervention from 2010 to 2017, utilizing data from the Surveillance, Epidemiology, and End Results database. The primary endpoint was survival, with 1-, 3-, and 5-year CSS rates calculated using the Kaplan–Meier method. Initial univariate Cox proportional hazards analyses identified factors impacting survival, with those yielding a <i>p</i>-value under 0.05 progressing to multivariate Cox regression analysis to ascertain significant prognostic indicators. <i>Results</i>: The investigation encompassed 2277 patients diagnosed with ureteral cancer. CSS rates at 1, 3, and 5 years post-surgery were observed at 88.2%, 68.1%, and 60.3%, respectively. Multivariate analyses identified age, staging of tumor, node and metastasis, and the application of radiotherapy as significant prognostic indicators for CSS. Based on these factors, a post-surgical nomogram for CSS was developed. <i>Conclusions</i>: The survival outcomes for ureteral cancer are not yet satisfactory. Age and stage emerge as pivotal prognostic elements, significantly impacting CSS following surgery. Recognizing these factors is essential for clinicians, as they offer critical insights that inform treatment strategies and patient management.
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spelling doaj-art-79565319f9ad45d6897c594fe408b1cd2025-08-20T03:16:34ZengMDPI AGMedicina1010-660X1648-91442025-06-01616106210.3390/medicina61061062A Nomogram to Predict Cancer-Specific Survival of Transitional Cell Carcinoma of Ureter After SurgeryDer-Shin Ke0Chao-Yu Hsu1Department of Neurology, China Medical University Beigang Hospital, Beigang, Yunlin 651012, TaiwanDepartment of Medical Education, Ditmanson Medical Foundation, Chia-Yi Christian Hospital, Chia-Yi 600566, Taiwan<i>Background and Objectives</i>: Due to the rare focus on ureteral cancer survival analyses, this study investigates post-surgery cancer-specific survival (CSS) rates, along with prognostic factors affecting these outcomes. It aims to enhance understanding of disease progression and determinants of patient survival and develop a nomogram for reference. <i>Materials and Methods</i>: This research undertook a retrospective analysis of ureteral cancer patients who received surgical intervention from 2010 to 2017, utilizing data from the Surveillance, Epidemiology, and End Results database. The primary endpoint was survival, with 1-, 3-, and 5-year CSS rates calculated using the Kaplan–Meier method. Initial univariate Cox proportional hazards analyses identified factors impacting survival, with those yielding a <i>p</i>-value under 0.05 progressing to multivariate Cox regression analysis to ascertain significant prognostic indicators. <i>Results</i>: The investigation encompassed 2277 patients diagnosed with ureteral cancer. CSS rates at 1, 3, and 5 years post-surgery were observed at 88.2%, 68.1%, and 60.3%, respectively. Multivariate analyses identified age, staging of tumor, node and metastasis, and the application of radiotherapy as significant prognostic indicators for CSS. Based on these factors, a post-surgical nomogram for CSS was developed. <i>Conclusions</i>: The survival outcomes for ureteral cancer are not yet satisfactory. Age and stage emerge as pivotal prognostic elements, significantly impacting CSS following surgery. Recognizing these factors is essential for clinicians, as they offer critical insights that inform treatment strategies and patient management.https://www.mdpi.com/1648-9144/61/6/1062transitional cell carcinomaureternomogram
spellingShingle Der-Shin Ke
Chao-Yu Hsu
A Nomogram to Predict Cancer-Specific Survival of Transitional Cell Carcinoma of Ureter After Surgery
Medicina
transitional cell carcinoma
ureter
nomogram
title A Nomogram to Predict Cancer-Specific Survival of Transitional Cell Carcinoma of Ureter After Surgery
title_full A Nomogram to Predict Cancer-Specific Survival of Transitional Cell Carcinoma of Ureter After Surgery
title_fullStr A Nomogram to Predict Cancer-Specific Survival of Transitional Cell Carcinoma of Ureter After Surgery
title_full_unstemmed A Nomogram to Predict Cancer-Specific Survival of Transitional Cell Carcinoma of Ureter After Surgery
title_short A Nomogram to Predict Cancer-Specific Survival of Transitional Cell Carcinoma of Ureter After Surgery
title_sort nomogram to predict cancer specific survival of transitional cell carcinoma of ureter after surgery
topic transitional cell carcinoma
ureter
nomogram
url https://www.mdpi.com/1648-9144/61/6/1062
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AT dershinke nomogramtopredictcancerspecificsurvivaloftransitionalcellcarcinomaofureteraftersurgery
AT chaoyuhsu nomogramtopredictcancerspecificsurvivaloftransitionalcellcarcinomaofureteraftersurgery