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Table 4 Risk prediction models for CRC recurrence

From: Risk factors and risk prediction models for colorectal cancer metastasis and recurrence: an umbrella review of systematic reviews and meta-analyses of observational studies

Author, year

Country

Study design

Population

Outcome

Prediction time horizon

Sample size (development/validation)

Predictors

Model performance (95%CI)

Model presentation

Internal validation

Hoshino, 2016 [34]

Japan

D

CRC (II)

Overall recurrence

5 years

4167

Sex

C statistic 0.64; calibration plot

Nomogram

NA

CEA

Tumor location

Tumor depth

Lymphatic invasion

Venous invasion

No. of positive lymph nodes

Peng, 2010 [37]

China

D

CRC (II–III)

Overall recurrence

3 years

95

AJCC stage

AUC 0.75

Formula

NA

Genetic score

Ying, 2014 [38]

China

D

CRC (I–III, curative resection)

Overall recurrence

3 years

205

Tumor size

C statistic 0.810/0.890/0.802

Nomogram

NA

Tumor differentiation

AJCC stage

NLR

Chemotherapy

Zakaria, 2007 [39]

Japan

D

CRC (liver metastasis + hepatectomy)

Overall recurrence

5 years

662

Hepatoduodenal

C statistic 0.61 (0.57–0.64)/0.58 (0.550.61)

Nomogram

NA

Lymph node status

Transfusions

Primary cancer

Regional lymph node

No. of metastasis

Tian, 2017 [36]

China

D

CRC

Overall recurrence

3 years

556

Gene signature

AUC 0.921 (0.869–0.972); calibration plot

Nomogram

NA

AJCC stage

Tumor differentiation

*Kim, 2018 [40]

Korea

D + IV

CRC (I)

Overall recurrence

5 years

1538

Sex

C statistic 0.71; calibration plot

Nomogram

NA

Tumor location

pT stage

LVI

Tumor size

*Miyoshi, 2016 [41]

Japan

D + EV

CRC (IV with liver and/or lung metastases)

Overall recurrence

5 years

113

Preoperative CEA

C statistic 0.631

Nomogram

NA

Tumor location

Tumor invasion

Lymph node metastasis

Synchronous metastatic lesions

*Saso, 2018 [42]

Japan

D + EV

Colon cancer (II)

Overall recurrence

5 years

352/213

CEA level

C statistic 0.675; external C statistic 0.552

Nomogram

NA

Tumor invasion

Lymphatic invasion

Venous invasion

Renfro, 2014 [35]

USA

D + EV

Colon cancer (III)

Overall recurrence

5 years

15,995/1903

Sex

C statistic 0.65; calibration plot

Nomogram

NA

BMI

PS

T stage

Lymph node ratio

Grade

Tumor location

Treatment

Hida, 2017 [43]

Japan

D

Rectal cancer (II–III)

Overall recurrence

2 years

792

Tumor differentiation

AUC 0.831

Formula

NA

Depth

Lymph node

Surgery

Postoperative complication

Tumor height

CEA

Gijn, 2015 [31]

Netherlands

D + IV

Rectal cancer (tis-III)

Local recurrence

6 years

1823

Distance from the anal verge

C statistic 0.787 (0.761–0.814); Hosmer–Lemeshow test: p = 0.68

Nomogram

Cross-validation

pT stage

pN stage

pM stage

Surgery type

Residual tumor status

Radiotherapy

Valentini, 2011 [32]

Belgium

D + EV

Rectal cancer (II–III)

Local recurrence

5 years

3458

pT stage

External C statistic 0.68 (0.59–0.76); Wald statistic: p = 0.064

Nomogram

Random split

cT stage

pN stage

Age

Concomitant chemotherapy

Adjuvant chemotherapy

  1. Reproduced from He et al. [21]
  2. Abbreviations: D model development, D + IV model development with internal validation, D + EV model development with external validation, AJCC American Joint Committee on Cancer, AUC area under the curve, BMI body mass index,  CEA carcinoembryonic antigen, CRC colorectal cancer, LVI lymph vascular invasion, NA non-available, NLR neutrophil to lymphocyte ratio, PS performance status
  3. *Three recently developed prediction models were additionally included, and data was extracted based on the previous criteria