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Objective To construct and validate a prognosis prediction model and a risk stratification tool for more precise and individualized evaluation of prognosis for patients following resection of esophageal squamous cell carcinoma (ESCC), and provide real-world evidence for informing optimal decision-making about adjuvant therapy. Methods The comprehensive clinical data and follow-up data were collected from consecutive patients with ESCC in the Anyang Cancer Hospital (Anyang center) from May 31, 2011 to July 31, 2018, and in the Cancer Hospital of Shantou University Medical College (Shantou center) from August 1, 2009 to December 31, 2018. Patients from the Anyang center formed the training cohort, and a two-phase selection based on backward stepwise multivariable Cox proportional hazard regression and minimization of AIC was used to construct prediction model for overall survival (OS). Bootstrap with 1 000 resamples was used for internal validation, and cohort from the Shantou center was used for external validation. Furthermore, a risk stratification tool was constructed according to the tertiles of the total points derived from nomogram in the training cohort. Results A total of 4 171 eligible patients were included in the training cohort, and 1 895 patients were included in the validation cohort. The final model incorporated nine variables: age, sex, primary tumor location, T stage, N stage, number of lymph nodes harvested, tumor size, adjuvant treatment, and preoperative hemoglobin level. A significant interaction was observed between N stage and adjuvant treatment (P < 0.001), which means that N+ stage patients were likely to benefit from addition of adjuvant therapy as opposed to surgery alone, but adjuvant therapy did not improve OS for N0 stage patients. The C-index of the model was 0.728 (95% CI: 0.713-0.742) in the training cohort, 0.722 (95% CI: 0.711-0.739) after bootstrapping, and 0.679 (95% CI: 0.662-0.697) in the external validation cohort. Calibration plots demonstrated favorable agreement between model prediction and actual observation for 1-, 3- and 5-year OS. In both training and validation cohorts, this model outperformed the seventh edition of the AJCC TNM (tumor, lymph node, and metastasis) staging system in terms of the accuracy of prognostic prediction (P < 0.05). Moreover, within each TNM staging group, this model achieved ideal risk stratification. Conclusions The prediction model constructed in this study may provide individualized survival prediction for patients with resected ESCC in China. This study also demonstrated that the N stage may be a fundamental determinant in planning postoperative adjuvant therapy for ESCC patients.

The development and utilization of outstanding germplasm in breeding programs can expedite breeding process. The high yielding variety Mianmai 37, grown widely in southwestern China, has been used widely in breeding programs. Comparisons between Mianmai 37 and its derivatives for yield and yield components were conducted. Simple sequence repeat (SSR) markers were used to test the frequency of specific alleles transferred from Mianmai 37 to its derivative culti-var Mianmai 367. The results indicated that the yield of the derivative cultivars was significantly higher than Mianmai 37, due to an increased grain number per spike. Favorable traits from Mianmai 37 such as resistance to stripe rust, were trans-ferred to its derivatives. At molecular level, 78.9% loci in Mianmai 367 were derived from Mianmai 37 with 75.0, 83.6 and 74.2% from A, B and D genomes, respectively. Mianmai 367 shared common loci with its parent Mianmai 37, such as re-gions Xgwm374-Xbarc167-Xbarc128-Xgwm129-Xgwm388-Xbarc101 on chromosome 2B and Xwmc446-Xwmc366- Xwmc533-Xbarc164-Xwmc418 on chromosome 3B, these regions were associated with grain number, 1000-kernel weight and resistance. The preferred transmission of alleles from Mianmai 37 to its derivatives probably can be explained by the strong selection pressures because of its favorable agronomic traits and the disease resistance.