Nomogram for predicting overall and cancer-specific survival in patients with postoperative follicular thyroid cancer

Brazilian Journal of OtorhinolaryngologyVolume 92, Issue 1, January–February 2026, 101719Brazilian Journal of OtorhinolaryngologyAuthor links open overlay panel, , Highlights•

Determine the influencing factors that affect the prognosis of patients with FTC.

Prediction of postoperative survival of FTC patients by Nomogram.

Helps to assess disease prognosis and select treatment options.

AbstractObjectives

In this research, nomograms were constructed from clinical variables in patients with postoperative Follicular Thyroid Cancer (FTC) to predict the survival of FTC patients.

Methods

Adult patients surgically treated for FTC from 2004 to 2015 were selected from the Surveillance, Epidemiology, and End Results (SEER) database. Significant clinical variables were screened using univariate analysis and further screened with multivariate Cox regression analysis, which were used to construct nomogram models for Overall Survival (OS) and Cancer-Specific Survival (CSS).

Results

Age, sex, marital status, tumor size, glandular invasion status, N stage and M stage were identified as the clinical variables affecting the OS in FTC patients. Additionally, all variables, except sex, were found to have an impact on the CSS in FTC patients. The c-index shows agreement between the predicted results and the actual observed results, and the calibration curve of the probability of survival also shows agreement between the predicted plot and the actual observations.

Conclusions

Our study successfully built a nomogram of OS and CSS for FTC patients who had undergone surgery.

Level of evidence

IV: Retrospective cohort study.

Keywords

Follicular thyroid cancer

Nomogram

SEER

Prognosis

Overall survival

© 2025 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier España, S.L.U.

Comments (0)

No login
gif