Comparison of Six Different Machine Learning Methods With Traditional Model for Low Anterior Resection Syndrome After Minimally Invasive Surgery for Rectal Cancer -- Development and External Validation of a Nomogram : A Dual-center Cohort Study
NCT07267767 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 3500
Last updated 2025-12-05
Summary
Following thorough screening based on inclusion and exclusion criteria, patients from the two sizable medical centers were split up into two cohorts for this study. Cohort 1 served primarily as the training and internal validation set, while Cohort 2 was used for external validation of the predictive model constructed from Cohort 1. We used six distinct machine learning methodss, including DT, RF, XGBOOST, SVM, lightGBM, and SHLNN, in addition to conventional logistic regression to create the predictive model. We chose the approach with the best sensitivity and specificity by comparing the concordance index(C-index) akin to the area under the ROC curve (AUC) of these seven distinct model-building methods. The predictive model for Cohort 1 was then built using this method, and internal validation was finished. Lastly, Cohort 2 underwent external validation of the predictive model
Conditions
- Rectal Cancer
- LARS - Low Anterior Resection Syndrome
Interventions
- PROCEDURE
-
nCRT
neoadjuvant chemoradiotherapy
- BEHAVIORAL
-
BMI
Body Mass Index
- DIAGNOSTIC_TEST
-
Distance from AV
Distance from AV
- PROCEDURE
-
Surgical type
laparoscopic and robotic surgery
- PROCEDURE
-
Surgical approach
tatme + isr
- PROCEDURE
-
LCA Preserving
LCA Preserving
- PROCEDURE
-
Prophylactic stoma
Prophylactic stoma
- PROCEDURE
-
Anastomotic leakage
Anastomotic leakage
Sponsors & Collaborators
-
China-Japan Union Hospital, Jilin University
collaborator OTHER -
Northern Jiangsu People's Hospital
lead OTHER
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-04-10
- Primary Completion
- 2023-10-07
- Completion
- 2024-06-20
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