Development and validation of a nomogram to predict drainage duration in patients with breast cancer treated with modified radical mastectomy

Abstract Appropriate drainage duration is vital for the postoperative rehabilitation of patients with breast cancer (BC) undergoing modified radical mastectomy (MRM). To provide better and individualized postoperative management for these patients, this study explored independent predictors of posto...

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Autores principales:	Song Wu, Zechang Xin, Daxing Sui, Zhengli Ou, Haotian Bai, Shenzhen Zhu, Xueying Wang, Jiaxin Zhang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5a504b3fc64a4c27a3669ab8b167ce8f
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spelling	oai:doaj.org-article:5a504b3fc64a4c27a3669ab8b167ce8f2021-12-02T13:23:58ZDevelopment and validation of a nomogram to predict drainage duration in patients with breast cancer treated with modified radical mastectomy10.1038/s41598-021-82073-y2045-2322https://doaj.org/article/5a504b3fc64a4c27a3669ab8b167ce8f2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82073-yhttps://doaj.org/toc/2045-2322Abstract Appropriate drainage duration is vital for the postoperative rehabilitation of patients with breast cancer (BC) undergoing modified radical mastectomy (MRM). To provide better and individualized postoperative management for these patients, this study explored independent predictors of postoperative drainage duration in patients with BC. This was a single-center retrospective cohort study. Patients diagnosed with BC and treated with MRM from May 2016 to April 2020 were randomly divided into training (n = 729) and validation (n = 243) cohorts. Univariate and multivariate Cox analyses revealed that the body mass index, serum albumin level, hypertension, number of total dissected axillary lymph nodes, and ratio of positive axillary lymph nodes were independent predictors of postoperative drainage duration in the training cohort. Based on independent predictors, a nomogram was constructed to predict the median postoperative drainage duration and the probability of retaining the suction drain during this period. This nomogram had good concordance and discrimination both in the training and validation cohorts and could effectively predict the probability of retaining the suction drain during drainage, thus assisting clinicians in predicting postoperative drainage duration and providing individualized postoperative management for patients with BC.Song WuZechang XinDaxing SuiZhengli OuHaotian BaiShenzhen ZhuXueying WangJiaxin ZhangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Song Wu Zechang Xin Daxing Sui Zhengli Ou Haotian Bai Shenzhen Zhu Xueying Wang Jiaxin Zhang Development and validation of a nomogram to predict drainage duration in patients with breast cancer treated with modified radical mastectomy
description	Abstract Appropriate drainage duration is vital for the postoperative rehabilitation of patients with breast cancer (BC) undergoing modified radical mastectomy (MRM). To provide better and individualized postoperative management for these patients, this study explored independent predictors of postoperative drainage duration in patients with BC. This was a single-center retrospective cohort study. Patients diagnosed with BC and treated with MRM from May 2016 to April 2020 were randomly divided into training (n = 729) and validation (n = 243) cohorts. Univariate and multivariate Cox analyses revealed that the body mass index, serum albumin level, hypertension, number of total dissected axillary lymph nodes, and ratio of positive axillary lymph nodes were independent predictors of postoperative drainage duration in the training cohort. Based on independent predictors, a nomogram was constructed to predict the median postoperative drainage duration and the probability of retaining the suction drain during this period. This nomogram had good concordance and discrimination both in the training and validation cohorts and could effectively predict the probability of retaining the suction drain during drainage, thus assisting clinicians in predicting postoperative drainage duration and providing individualized postoperative management for patients with BC.
format	article
author	Song Wu Zechang Xin Daxing Sui Zhengli Ou Haotian Bai Shenzhen Zhu Xueying Wang Jiaxin Zhang
author_facet	Song Wu Zechang Xin Daxing Sui Zhengli Ou Haotian Bai Shenzhen Zhu Xueying Wang Jiaxin Zhang
author_sort	Song Wu
title	Development and validation of a nomogram to predict drainage duration in patients with breast cancer treated with modified radical mastectomy
title_short	Development and validation of a nomogram to predict drainage duration in patients with breast cancer treated with modified radical mastectomy
title_full	Development and validation of a nomogram to predict drainage duration in patients with breast cancer treated with modified radical mastectomy
title_fullStr	Development and validation of a nomogram to predict drainage duration in patients with breast cancer treated with modified radical mastectomy
title_full_unstemmed	Development and validation of a nomogram to predict drainage duration in patients with breast cancer treated with modified radical mastectomy
title_sort	development and validation of a nomogram to predict drainage duration in patients with breast cancer treated with modified radical mastectomy
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5a504b3fc64a4c27a3669ab8b167ce8f
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Development and validation of a nomogram to predict drainage duration in patients with breast cancer treated with modified radical mastectomy

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