Modeling risk stratification in human cancer

Thierry Rème, Dirk Hose, Charles Theillet, Bernard Klein

Onderzoeksoutput: Articlepeer review


MOTIVATION: Despite huge prognostic promises, gene expression-based survival assessment is rarely used in clinical routine. Main reasons include difficulties in performing and reporting analyses and restriction in most methods to one high-risk group with the vast majority of patients being unassessed. The present study aims at limiting these difficulties by (i) mathematically defining the number of risk groups without any a priori assumption; (ii) computing the risk of an independent cohort by considering each patient as a new patient incorporated to the validation cohort and (iii) providing an open-access Web site to freely compute risk for every new patient.

RESULTS: Using the gene expression profiles of 551 patients with multiple myeloma, 602 with breast-cancer and 460 with glioma, we developed a model combining running log-rank tests under controlled chi-square conditions and multiple testing corrections to build a risk score and a classification algorithm using simultaneous global and between-group log-rank chi-square maximization. For each cancer entity, we provide a statistically significant three-group risk prediction model, which is corroborated with publicly available validation cohorts.

CONCLUSION: In constraining between-group significances, the risk score compares favorably with previous risk classifications.

AVAILABILITY: Risk assessment is freely available on the Web at for personal or test data files. Web site implementation in Perl, R and Apache.

Originele taal-2English
Pagina's (van-tot)1149-1157
Aantal pagina's9
Nummer van het tijdschrift9
StatusPublished - 2013


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