Criteria for prognostic factors and for an enhanced prognostic system
Authors:
Open Access
- 15 November 1993
- Vol. 72 (10) , 3131-3135
Abstract
The American Joint Committee on Cancer proposes the following criteria for evaluating putative prognostic factors: they must be (1) significant, (2) independent, and (3) clinically important. Furthermore, we suggest the criteria for selecting a prognostic system that includes TNM and new prognostic factors. These criteria are: (1) easy for physicians to use; (2) provides predictions for all types of cancer; (3) provides the most accurate relapse and survival predictions at diagnosis and for every year lived for each patient; (4) provides group survival curves, where the grouping can be by any variable including outcome and therapy; (5) accommodates missing data and censored patients and is tolerant of noisy and biased data; (6) makes no a priori assumptions regarding the type of data, the distribution of the variables, or the relationships among the variables; (7) can test putative prognostic factors for significance, independence, and clinical importance; (8) accommodates treatment information in the evaluation of prognostic factors; (9) accommodates new putative prognostic factors without changing the model; (10) accommodates emerging diagnostic techniques; (11) provides information regarding the importance of each predictive variable; and (12) is automatic.Keywords
This publication has 34 references indexed in Scilit:
- Pathologic findings from the national surgical adjuvant breast project protocol B-06 10-year pathologic and clinical prognostic discriminantsCancer, 1993
- Age as prognostic factor in premenopausal breast carcinomaThe Lancet, 1993
- Prognostic Factors and Treatment Decisions in Axillary-Node-Negative Breast CancerNew England Journal of Medicine, 1992
- Prognostic factors for breast cancer: have they met their promise?Journal of Clinical Oncology, 1992
- Irrationality in the management of breast cancer. I. The staging systemCancer, 1991
- Indicators of Prognosis in Node-Negative Breast CancerNew England Journal of Medicine, 1990
- TNM Classification of Malignant Tumours1987
- The Relation between Survival and Age at Diagnosis in Breast CancerNew England Journal of Medicine, 1986
- The Prognosis of Carcinoma of the Breast in Relation to the Type of Operation PerformedBritish Journal of Cancer, 1948
- THE RESULTS OF OPERATIONS FOR THE CURE OF CANCER OF THE BREAST PERFORMED AT THE JOHNS HOPKINS HOSPITAL FROM JUNE, 1889, TO JANUARY, 1894Annals of Surgery, 1894