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Table 4 Performance of the final prediction model for pCR in validation cohorts

From: Prediction of pathological complete response after neoadjuvant chemotherapy for HER2-negative breast cancer patients with routine immunohistochemical markers

 

HaBCS

GeparSepto

paclitaxel arm

GeparSepto

nab-paclitaxel arm

GeparOcto

ETC arm

AUC

(95% CI)*

0.827

(0.779 to 0.871)

0.766

(0.704 to 0.822)

0.795

(0.746 to 0.840)

0.754

(0.695 to 0.811)

Calibration intercept

(95% CI)a

0.30

(− 0.06 to 0.65)

− 0.78

(− 1.10 to − 0.47)

0.05

(− 0.25 to 0.35)

− 0.27

(− 0.56 to 0.02)

Calibration slope

(95% CI)a

1.06

(0.79 to 1.33)

0.68

(0.46 to 0.90)

0.74

(0.55 to 0.92)

1.08

(0.70 to 1.46)

Model update necessaryb

No

Yes

Yes

No

  1. HaBCS, hannover breast cancer study; pCR, pathological complete response; AUC, area under the receiver operating characteristic curve
  2. * The 95% CI was estimated using 10,000 bootstrap samples
  3. a95% CIs were calculated using regression coefficients and standard errors of the calibration model (logistic regression model)
  4. b"Yes" means that, according to the specified criteria, the final prediction model needs to be recalibrated before it is applied to treatment arm–like patients. To recalibrate a model, replace the linear term X in the formula for the predicted pCR (see the footnote in Table 3) with the calibration intercept plus X multiplied by the calibration slope. For instance, replace X with − 0.78 + 0.68X for patients treated similarly to those in the GeparSepto paclitaxel arm. The AUC is not affected by recalibration