Research Article

Development and External Validation of Web-Based Models to Predict the Prognosis of Remnant Gastric Cancer after Surgery: A Multicenter Study

Table 3

Comparison of the prognostic performances of the 3 studied staging systems and the web-based prognostic model.

Overall survivalAJCC7th stagingAJCC8th stagingTRM stagingHuang OS model

Harrell’s C index0.743 (0.702-0.785)0.732 (0.689-0.774)0.744 (0.704-0.785)0.774 (0.733-0.815)
P value0.2540.9270.037
AIC†1060.081064.411060.461042.71
Relative likelihood††0.1150.827<0.001
Likelihood ratio chi-square‡65.8661.5365.4891.25

Disease-specific survivalAJCC7th stagingAJCC8th stagingTRM stagingHuang DSS model

Harrell’s C index0.742 (0.700-0.784)0.731 (0.687-0.775)0.754 (0.714-0.796)0.773 (0.730-0.817)
P value0.4080.2900.032
AIC†872.37878.3871.63864.15
Relative likelihood††0.0520.6910.016
Likelihood ratio chi-square‡70.3264.3971.0685.54

Disease-free survivalAJCC7th stagingAJCC8th stagingTRM stagingHuang DFS model

Harrell’s C index0.710 (0.667-0.754)0.700 (0.656-0.744)0.714 (0.672-0.755)0.744 (0.702-0.787)
P value0.3970.7030.021
AIC†1117.271123.181118.111109.79
Relative likelihood††0.0520.6570.024
Likelihood ratio chi-square‡72.4964.5871.6684.98

AIC: Akaike information criterion.
A higher Harrell’s C index indicates higher discriminative ability.
P value of Harrell’s C index (compare with AJCC7th staging system).
† Smaller AIC values indicate better optimistic prognostic stratification.
†† The relative likelihood could be interpreted as a P value for the comparison of both AIC values (compare with AJCC7th staging system).
‡ A higher likelihood ratio chi-square score means better homogeneity.