Construction and validation of a risk prediction model for aromatase inhibitor-associated bone loss

Copyright © 2023 Chu, Zhou, Yin, Jin, Chen, Meng, He, Wu and Ye..

Purpose: To establish a high-risk prediction model for aromatase inhibitor-associated bone loss (AIBL) in patients with hormone receptor-positive breast cancer.

Methods: The study included breast cancer patients who received aromatase inhibitor (AI) treatment. Univariate analysis was performed to identify risk factors associated with AIBL. The dataset was randomly divided into a training set (70%) and a test set (30%). The identified risk factors were used to construct a prediction model using the eXtreme gradient boosting (XGBoost) machine learning method. Logistic regression and least absolute shrinkage and selection operator (LASSO) regression methods were used for comparison. The area under the receiver operating characteristic curve (AUC) was used to evaluate the performance of the model in the test dataset.

Results: A total of 113 subjects were included in the study. Duration of breast cancer, duration of aromatase inhibitor therapy, hip fracture index, major osteoporotic fracture index, prolactin (PRL), and osteocalcin (OC) were found to be independent risk factors for AIBL (p < 0.05). The XGBoost model had a higher AUC compared to the logistic model and LASSO model (0.761 vs. 0.716, 0.691).

Conclusion: The XGBoost model outperformed the logistic and LASSO models in predicting the occurrence of AIBL in patients with hormone receptor-positive breast cancer receiving aromatase inhibitors.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Frontiers in oncology - 13(2023) vom: 19., Seite 1182792

Sprache:

Englisch

Beteiligte Personen:

Chu, Meiling [VerfasserIn]
Zhou, Yue [VerfasserIn]
Yin, Yulian [VerfasserIn]
Jin, Lan [VerfasserIn]
Chen, Hongfeng [VerfasserIn]
Meng, Tian [VerfasserIn]
He, Binjun [VerfasserIn]
Wu, Jingjing [VerfasserIn]
Ye, Meina [VerfasserIn]

Links:

Volltext

Themen:

Aromatase inhibitors
Bone loss
Breast cancer
Journal Article
LASSO regression
Logistic regression
Risk prediction model
XGBoost

Anmerkungen:

Date Revised 16.05.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fonc.2023.1182792

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM356849279