Develop and assessment of a predictive model for the first-course efficacy of acute myeloid leukemia
10.3760/cma.j.cn121090-20240816-00305
- VernacularTitle:急性髓系白血病首疗程疗效预测模型的构建和评价
- Author:
Feng ZHU
1
;
Yile ZHOU
;
Yi ZHANG
;
Liping MAO
;
De ZHOU
;
Liya MA
;
Chunmei YANG
;
Wenjuan YU
;
Xingnong YE
;
Juying WEI
;
Haitao MENG
;
Min YANG
;
Wenyuan MAI
;
Jiejing QIAN
;
Yanling REN
;
Yinjun LOU
;
Jian HUANG
;
Gaixiang XU
;
Wanzhuo XIE
;
Hongyan TONG
;
Huafeng WANG
;
Jie JIN
Author Information
1. 浙江大学医学院附属第一医院血液科、浙江省血液肿瘤重点实验室、浙江省血液病临床医学研究中心，杭州 310000
- Publication Type:Journal Article
- Keywords:
Leukemia, myeloid, acute;
Efficacy of the first course;
Predictive model
- From:
Chinese Journal of Hematology
2025;46(4):336-342
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the relevant factors for the first-course remission of acute myeloid leukemia (AML) and to develop a predictive model as well as assess its predictive capability.Methods:Clinical data of 749 patients newly diagnosed with AML admitted to the Department of Hematology, the First Affiliated Hospital, Zhejiang University, School of Medicine from January 1, 2019, to April 30, 2023, were collected and randomly divided into training and validation sets. Multivariate logistic regression analysis was conducted to determine variables associated with complete remission in the first course of induction therapy, and a predictive model was established based on these variables. The receiver operating characteristic (ROC) curve of the predictive model was plotted, and the area under the curve (AUC) was calculated.Results:The indicators predicting the first remission course included peripheral blood white blood cell count during onset, CBF::MYH11 fusion gene, CEBPA bZIP region mutation, myelodysplastic syndrome-related gene mutation, and induction chemotherapy regimen selection as independent factors for the first remission course. The model’s area under the training and validation curves was 0.738 (95% CI: 0.696-0.780) and 0.726 (95% CI: 0.650-0.801), respectively. The Hosmer-Lemeshow test results yielded P-values of 0.993 and 0.335, respectively. Conclusion:In this study, the developed model demonstrates a strong predictive capability for the efficacy of the first course of patients with AML, providing valuable guidance to clinicians in assessing patient prognosis and selecting appropriate treatment strategies.
