• Title/Summary/Keyword: survival curves

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Comparing Role of Two Chemotherapy Regimens, CMF and Anthracycline-Based, on Breast Cancer Survival in the Eastern Mediterranean Region and Asia by Multivariate Mixed Effects Models: a Meta-Analysis

  • Ghanbari, Saeed;Ayatollahi, Seyyed Mohammad Taghi;Zare, Najaf
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.5655-5661
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    • 2015
  • Purpose: To assess the role of two adjuvant chemotherapy regimens, anthracycline-based and CMF on disease free survival and overall survival breast cancer patients by meta-analysis approach in Eastern Mediterranean and Asian countries to determine which is more effective and evaluate the appropriateness and efficiency of two different proposed statistical models. Materials and Methods: Survival curves were digitized and the survival proportions and times were extracted and modeled to appropriate covariates by two multivariate mixed effects models. Studies which reported disease free survival and overall survival curves for anthracycline-based or CMF as adjuvant chemotherapy that were published in English in the Eastern Mediterranean region and Asia were included in this systematic review. The two transformations of survival probabilities (Ln (-Ln(S)) and Ln(S/ (1-S))) as dependent variables were modeled by a multivariate mixed model to same covariates in order to have precise estimations with high power and appropriate interpretation of covariate effects. The analysis was carried out with SAS Proc MIXED and STATA software. Results: A total of 32 studies from the published literature were analysed, covering 4,092 patients who received anthracycline-based and 2,501 treated with CMF for the disease free survival and in order to analyze the overall survival, 13 studies reported the overall survival curves in which 2,050 cases were treated with anthracycline-based and 1,282 with CMF regimens. Conclusions: The findings illustrated that the model with dependent variable Ln (-Ln(S)) had more precise estimations of the covariate effects and showed significant difference between the effects of two adjuvant chemotherapy regimens. Anthracycline-based treatment gave better disease free survival and overall survival. As an IPD meta-analysis in the Italy the results of Angelo et al in 2011 also confirmed that anthracycline-based regimens were more effective for survival of breast cancer patients. The findings of Zare et al 2012 on disease free survival curves in Asia also provided similar evidence.

Weighted Estimation of Survival Curves for NBU Class Based on Censored Data

  • Lee, Sang-Bock
    • Journal of the Korean Data and Information Science Society
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    • v.7 no.1
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    • pp.59-68
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    • 1996
  • In this paper, we consider how to estimate New Better Than Used (NBU) survival curves from randomly right censored data. We propose several possible NBU estimators and study their properties. Numerical studies indicate that the proposed estimators are appropriate in practical use. Some useful examples are presented.

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Effects of Two Chemotherapy Regimens, Anthracycline-based and CMF, on Breast Cancer Disease Free Survival in the Eastern Mediterranean Region and Asia: A Meta-Analysis Approach for Survival Curves

  • Zare, Najaf;Ghanbari, Saeed;Salehi, Alireza
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.2013-2017
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    • 2013
  • Background: To compare the effects of two adjuvant chemotherapy regimens, anthracycline-based and cyclophosphamide, methotrexate, fluorourical (CMF) on disease free survival for breast cancer patients in the Eastern Mediterranean region and Asia. Methods: In a systematic review with a multivariate mixed model meta-analysis, the reported survival proportion at multiple time points in different studies were combined. Our data sources were studies linking the two chemotherapy regimens on an adjuvant basis with disease free survival published in English and Persian in the Eastern Mediterranean region and Asia. All survival curves were generated with Graphdigitizer software. Results: 14 retrospective cohort studies were located from electronic databases. We analyzed data for 1,086 patients who received anthracycline-based treatment and 1,109 given CMF treatment. For determination of survival proportions and time we usesb the transformation Ln (-Ln(S)) and Ln (time) to make precise estimations and then fit the model. All analyses were carried out with STATA software. Conclusions: Our findings showed a significant efficacy of anthracycline-based adjuvant therapy regarding disease free survival of breast cancer. As a limitation in this meta-analysis we used studies with different types of anthracycline-based regimens.

Racial and Socioeconomic Disparities in Malignant Carcinoid Cancer Cause Specific Survival: Analysis of the Surveillance, Epidemiology and End Results National Cancer Registry

  • Cheung, Rex
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7117-7120
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    • 2013
  • Background: This study hypothesized living in a poor neighborhood decreased the cause specific survival in individuals suffering from carcinoid carcinomas. Surveillance, Epidemiology and End Results (SEER) carcinoid carcinoma data were used to identify potential socioeconomic disparities in outcome. Materials and Methods: This study analyzed socioeconomic, staging and treatment factors available in the SEER database for carcinoid carcinomas. The Kaplan-Meier method was used to analyze time to events and the Kolmogorov-Smirnov test to compare survival curves. The Cox proportional hazard method was employed for multivariate analysis. Areas under the receiver operating characteristic curves (ROCs) were computed to screen the predictors for further analysis. Results: There were 38,546 patients diagnosed from 1973 to 2009 included in this study. The mean follow up time (S.D.) was 68.1 (70.7) months. SEER stage was the most predictive factor of outcome (ROC area of 0.79). 16.4% of patients were un-staged. Race/ethnicity, rural urban residence and county level family income were significant predictors of cause specific survival on multivariate analysis, these accounting for about 5% of the difference in actuarial cause specific survival at 20 years of follow up. Conclusions: This study found poorer cause specific survival of carcinoid carcinomas of individuals living in poor and rural neighborhoods.

Development of Program for Relative Biological Effectiveness (RBE) Analysis of Particle Beam Therapy

  • Chung, Yoonsun;Ahn, Sang Hee;Choi, Changhoon;Park, Sohee
    • Progress in Medical Physics
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    • v.28 no.1
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    • pp.11-15
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    • 2017
  • Relative biological effectiveness (RBE) of particle beam needs to be evaluated at particle beam therapy centers before the clinical application of the particle beam. However, since RBE analysis is implemented manually, it is useful to have a tool that can easily and effectively handle the data of experiments to generate cell survival curve and to analyze RBE simultaneously. In this work, the development of a program for RBE analysis of particle beam therapy was presented. This RBE analysis program was developed to include two parts; fitting the cell survival curves to linear-quadratic model and calculating the RBE values at a certain endpoint using fitting results. This program was also developed to simultaneously compare and analyze the template results that stored experiment data with photon and particle beam irradiations. The results of the cell survival curve obtained by each irradiation can be analyzed by the user on a desired data after reading the template stored in the easy-to-use excel file. The analysis results include the cell survival curves with error range, which are appeared in the screen and the ${\alpha}$ and ${\beta}$ parameters of linear-quadratic model with 95% confidence intervals, RBE values, and $R^2$ values to evaluate goodness-of-fit of survival curves to model, which are stored in a text cvs file. This software can generate cell survival curve, fit to model, and calculate RBE all at once with raw experiment data, so it helps users to save time for data handling and to reduce the possibility of making error on analysis. As a coming plan, we will create a user-friendly graphical user interface to present the results more intuitively.

Probabilistic seismic performance evaluation of non-seismic RC frame buildings

  • Maniyar, M.M.;Khare, R.K.;Dhakal, R.P.
    • Structural Engineering and Mechanics
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    • v.33 no.6
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    • pp.725-745
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    • 2009
  • In this paper, probabilistic seismic performance assessment of a typical non-seismic RC frame building representative of a large inventory of existing buildings in developing countries is conducted. Nonlinear time-history analyses of the sample building are performed with 20 large-magnitude medium distance ground motions scaled to different levels of intensity represented by peak ground acceleration and 5% damped elastic spectral acceleration at the first mode period of the building. The hysteretic model used in the analyses accommodates stiffness degradation, ductility-based strength decay, hysteretic energy-based strength decay and pinching due to gap opening and closing. The maximum inter story drift ratios obtained from the time-history analyses are plotted against the ground motion intensities. A method is defined for obtaining the yielding and collapse capacity of the analyzed structure using these curves. The fragility curves for yielding and collapse damage levels are developed by statistically interpreting the results of the time-history analyses. Hazard-survival curves are generated by changing the horizontal axis of the fragility curves from ground motion intensities to their annual probability of exceedance using the log-log linear ground motion hazard model. The results express at a glance the probabilities of yielding and collapse against various levels of ground motion intensities.

Comparison of Fatigue Provisions in Various Codes and Standards -Part 1: Basic Design S-N Curves of Non-Tubular Steel Members

  • Im, Sungwoo;Choung, Joonmo
    • Journal of Ocean Engineering and Technology
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    • v.35 no.2
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    • pp.161-171
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    • 2021
  • For the fatigue design of offshore structures, it is essential to understand and use the S-N curves specified in various industry standards and codes. This study compared the characteristics of the S-N curves for five major codes. The codes reviewed in this paper were DNV Classification Rules (DNV GL, 2016), ABS Classification Rules (ABS, 2003), British Standards (BSI, 2015), International Welding Association Standards (IIW, 2008), and European Standards (BSI, 2005). Types of stress, such as nominal stress, hot-spot stress, and effective notch stress, were analyzed according to the code. The basic shape of the S-N curve for each code was analyzed. A review of the survival probability of the basic design S-N curve for each code was performed. Finally, the impact on the conservatism of the design was analyzed by comparing the S-N curves of three grades D, E, and F by the five codes. The results presented in this paper are considered to be a good guideline for the fatigue design of offshore structures because the S-N curves of the five most-used codes were analyzed in depth.

Estimation of mortality coefficients and survivorship curves for minke whales (Balaenoptera acutorostrata) in Korean waters

  • Zhang, Chang-Ik;Song, Kyung-Jun;Na, Jong-Hun
    • Animal cells and systems
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    • v.14 no.4
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    • pp.291-296
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    • 2010
  • Population ecological characteristics of growth and mortality play an important role in understanding the population dynamics of marine mammals. The instantaneous coefficients of natural and bycatch mortality were estimated for minke whales (Balaenoptera acutorostrata) in Korean waters using a population assessment model composed of bycatch and abundance data. The survivorship curve of this population was fitted to the data, and then the curve was revised using age-specific relative bycatchability coefficients ($q_t$). Instantaneous coefficients of natural and bycatch mortality of minke whales were estimated as 0.024/year and 0.076/year, respectively, and from this the survival rate was estimated as 0.905. This estimated survival rate was comparable to other cetaceans in other regions. The $q_t$ for this population ranged from 0.020 to 0.193. The revised survival rates were higher when the $q_t$ was taken into account. The mortality coefficient, survival rate, $q_t$ and survivorship curves had not previously been determined for minke whale in this area. This estimate could serve as fundamental information to assess the status of this population and for conservation and rational management.

Cytocidal Effect of Hyperthermia on Tumor Cells in vivo (In vivo 腫瘍細胞에 미치는 溫熱處理의 細胞致死效果)

  • Kang, Man-Sik;Rhee, Jeong-Gile;Seymour H. Levitt;Chang W. Song
    • The Korean Journal of Zoology
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    • v.24 no.2
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    • pp.59-64
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    • 1981
  • The cytocidal effect of hyperthermia on subcutaneous SCK tumor cells growing in vivo was significantly greater than that on the SCK tumor cells cultured in vitro. When the tumors were left in situ after heating, the cell survival progressively decreased, and the functional intratumor vascular volume also decreased. The radiation survival curves of tumor cells heated either 30 min before or after X-irradiation in vivo were steeper than the radiation survival curves of unheated control tumors. It is concluded that the cytocidal effect of hyperthermia on tumor cells in vivo is greater than that in vitro due possibly to the intratumor environment.

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Racial and Social Economic Factors Impact on the Cause Specific Survival of Pancreatic Cancer: A SEER Survey

  • Cheung, Rex
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.159-163
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    • 2013
  • Background: This study used Surveillance, Epidemiology and End Results (SEER) pancreatic cancer data to identify predictive models and potential socio-economic disparities in pancreatic cancer outcome. Materials and Methods: For risk modeling, Kaplan Meier method was used for cause specific survival analysis. The Kolmogorov-Smirnov's test was used to compare survival curves. The Cox proportional hazard method was applied for multivariate analysis. The area under the ROC curve was computed for predictors of absolute risk of death, optimized to improve efficiency. Results: This study included 58,747 patients. The mean follow up time (S.D.) was 7.6 (10.6) months. SEER stage and grade were strongly predictive univariates. Sex, race, and three socio-economic factors (county level family income, rural-urban residence status, and county level education attainment) were independent multivariate predictors. Racial and socio-economic factors were associated with about 2% difference in absolute cause specific survival. Conclusions: This study s found significant effects of socio-economic factors on pancreas cancer outcome. These data may generate hypotheses for trials to eliminate these outcome disparities.