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November 1, 2004Clinical Cancer Research

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Authors

RCRobert L. CampMDMarisa Dolled‐FilhartDRDavid L. Rimm

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Overview

Validation study demonstrates optimal biomarker cut-point selection in breast cancer cohorts, indicating robust division of tumor subpopulations based on clinical outcome.

Key Points

  • Develop and validate a global graphical method to determine optimal biomarker cut-points and evaluate the robustness of tumor subpopulation divisions.
  • Engineered the X-tile plot, a two-dimensional graphical tool projecting every possible subpopulation cut-point against clinical outcomes.
  • Evaluated marker cut-points using breast cancer patient cohorts and analyzed established prognostic markers including HER2, estrogen receptor, p53, patient age, tumor size, and lymph node status.
  • X-tile plots revealed substantial tumor subpopulations and demonstrated the statistical robustness of marker-outcome associations.
  • Generated subpopulation cut-points corresponded accurately with the established biological behavior and known prognostic values of the tested biomarkers.

Cite This Study

Camp et al. (2004) studied this question.

synapsesocial.com/papers/69d7591df182769aa8b8a7abhttps://doi.org/10.1158/1078-0432.ccr-04-0713
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Dangers of Using "Optimal" Cutpoints in the Evaluation of Prognostic Factors1994 · 1,143 citations
  2. 2An Exploratory Technique for Investigating Large Quantities of Categorical Data1980 · 2,899 citations
  3. 3Categorizing a prognostic variable: review of methods, code for easy implementation and applications to decision-making about cancer treatments2000 · 359 citations
  4. 4Younger women with breast carcinoma have a poorer prognosis than older women1996 · 378 citations
  5. 5Methods for categorizing a prognostic variable in a multivariable setting2003 · 126 citations