Endocrine oncology

A Clinical Nomogram to Predict Survival Outcomes in Patients with Well-Differentiated Thyroid Cancer

ThyroidPublished Retrospective cohort study

Authors' conclusion

We describe a predictive nomogram that accurately predicts DSS in individual patients with WDTC. The external validation illustrates its generalizability.

Study context

Population
Patients with well-differentiated thyroid cancer (WDTC) treated with primary surgery
Participants
8,535 vs 519
Exposure
Single institutional vs External validation
  • Single institutionaln = 8,535
  • External validationn = 519
Outcome
Disease-specific survival (DSS) prediction by nomogram (concordance index)
Methodological detailssingle institutional, external validation cohort (3 international centres), prognostic nomogram development
  • Single institutional
  • External validation cohort (3 international centres)
  • Prognostic nomogram development

Main finding

As reported in the abstract

Concordance index of the nomogram for DSS

Nomogram created using all these variables: concordance index

0.963; SE 0.012

Nomogram validated on the external patient cohort: concordance index

0.810; SE: 0.070

Observational data: associations, not effects.

Further findings

Predictors of disease-specific survival (DSS) on univariable analysis

Sex, age, pathology subtype, T stage, N stage and M stage were significant predictors of DSS

Original publication

A Clinical Nomogram to Predict Survival Outcomes in Patients with Well-Differentiated Thyroid Cancer. Thyroid. Published 14 February 2025. doi:10.1089/thy.2024.0486

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