1. Prediction of non-muscle invasive bladder cancer outcomes assessed by innovative multimarker prognostic models.
- Author
-
de Maturana, E. López, Picornell, A., Masson-Lecomte, A., Kogevinas, M., Márquez, M., Carrato, A., Tardón, A., Lloreta, J., García-Closas, M., Silverman, D., Rothman, N., Chanock, S., Real, F. X., Goddard, M. E., Malats, N., López de Maturana, E, and SBC/EPICURO Study Investigators
- Subjects
- *
CANCER relapse , *GENETIC polymorphisms , *PHARMACOKINETICS , *PROBABILITY theory , *PROGNOSIS , *RESEARCH funding , *PREDICTIVE tests , *RECEIVER operating characteristic curves , *DISEASE progression , *TRANSITIONAL cell carcinoma , *GENOTYPES ,BLADDER tumors - Abstract
Background: We adapted Bayesian statistical learning strategies to the prognosis field to investigate if genome-wide common SNP improve the prediction ability of clinico-pathological prognosticators and applied it to non-muscle invasive bladder cancer (NMIBC) patients.Methods: Adapted Bayesian sequential threshold models in combination with LASSO were applied to consider the time-to-event and the censoring nature of data. We studied 822 NMIBC patients followed-up >10 years. The study outcomes were time-to-first-recurrence and time-to-progression. The predictive ability of the models including up to 171,304 SNP and/or 6 clinico-pathological prognosticators was evaluated using AUC-ROC and determination coefficient.Results: Clinico-pathological prognosticators explained a larger proportion of the time-to-first-recurrence (3.1 %) and time-to-progression (5.4 %) phenotypic variances than SNPs (1 and 0.01 %, respectively). Adding SNPs to the clinico-pathological-parameters model slightly improved the prediction of time-to-first-recurrence (up to 4 %). The prediction of time-to-progression using both clinico-pathological prognosticators and SNP did not improve. Heritability (ĥ (2)) of both outcomes was <1 % in NMIBC.Conclusions: We adapted a Bayesian statistical learning method to deal with a large number of parameters in prognostic studies. Common SNPs showed a limited role in predicting NMIBC outcomes yielding a very low heritability for both outcomes. We report for the first time a heritability estimate for a disease outcome. Our method can be extended to other disease models. [ABSTRACT FROM AUTHOR]- Published
- 2016
- Full Text
- View/download PDF