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Risk Prediction of Second Primary Endometrial Cancer in Obese Women: A Hospital-Based Cancer Registry Study

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  • Chi-Chang Chang

    (School of Medical Informatics, Chung Shan Medical University and IT Office, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    Department of Information Management, Ming Chuan University, Taoyuan 33300, Taiwan)

  • Chun-Chia Chen

    (Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Department of Surgery, Division of Plastic Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan)

  • Chalong Cheewakriangkrai

    (Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand)

  • Ying Chen Chen

    (School of Medical Informatics, Chung Shan Medical University and IT Office, Chung Shan Medical University Hospital, Taichung 40201, Taiwan)

  • Shun-Fa Yang

    (Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan)

Abstract

Due to the high effectiveness of cancer screening and therapies, the diagnosis of second primary cancers (SPCs) has increased in women with endometrial cancer (EC). However, previous studies providing adequate evidence to support screening for SPCs in endometrial cancer are lacking. This study aimed to develop effective risk prediction models of second primary endometrial cancer (SPEC) in women with obesity (body mass index (BMI) > 25) and included datasets on the incidence of SPEC and the other risks of SPEC in 4480 primary cancer survivors from a hospital-based cancer registry database. We found that obesity plays a key role in SPEC. We used 10 independent variables as predicting variables, which correlated to obesity, and so should be monitored for the early detection of SPEC in endometrial cancer. Our proposed scheme is promising for SPEC prediction and demonstrates the important influence of obesity and clinical data representation in all cases following primary treatments. Our results suggest that obesity is still a crucial risk factor for SPEC in endometrial cancer.

Suggested Citation

  • Chi-Chang Chang & Chun-Chia Chen & Chalong Cheewakriangkrai & Ying Chen Chen & Shun-Fa Yang, 2021. "Risk Prediction of Second Primary Endometrial Cancer in Obese Women: A Hospital-Based Cancer Registry Study," IJERPH, MDPI, vol. 18(17), pages 1-9, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:8997-:d:622575
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    References listed on IDEAS

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    1. Shinechimeg Dima & Kung-Jeng Wang & Kun-Huang Chen & Yung-Kai Huang & Wei-Jen Chang & Sheng-Yang Lee & Nai-Chia Teng, 2018. "Decision Tree Approach to the Impact of Parents’ Oral Health on Dental Caries Experience in Children: A Cross-Sectional Study," IJERPH, MDPI, vol. 15(4), pages 1-12, April.
    2. The-Hanh Pham & Jahmunah Vicnesh & Joel Koh En Wei & Shu Lih Oh & N. Arunkumar & Enas. W. Abdulhay & Edward J. Ciaccio & U. Rajendra Acharya, 2020. "Autism Spectrum Disorder Diagnostic System Using HOS Bispectrum with EEG Signals," IJERPH, MDPI, vol. 17(3), pages 1-15, February.
    3. Zhiyuan Sun & Jianyu Wang & Yanyan Chen & Huapu Lu, 2018. "Influence Factors on Injury Severity of Traffic Accidents and Differences in Urban Functional Zones: The Empirical Analysis of Beijing," IJERPH, MDPI, vol. 15(12), pages 1-16, December.
    4. Chin-Chuan Shih & Chi-Jie Lu & Gin-Den Chen & Chi-Chang Chang, 2020. "Risk Prediction for Early Chronic Kidney Disease: Results from an Adult Health Examination Program of 19,270 Individuals," IJERPH, MDPI, vol. 17(14), pages 1-11, July.
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    Cited by:

    1. Hao-Yun Kao & Chi-Chang Chang & Chin-Fang Chang & Ying-Chen Chen & Chalong Cheewakriangkrai & Ya-Ling Tu, 2022. "Associations between Sex and Risk Factors for Predicting Chronic Kidney Disease," IJERPH, MDPI, vol. 19(3), pages 1-11, January.
    2. Chi-Chang Chang & Tse-Hung Huang & Pei-Wei Shueng & Ssu-Han Chen & Chun-Chia Chen & Chi-Jie Lu & Yi-Ju Tseng, 2021. "Developing a Stacked Ensemble-Based Classification Scheme to Predict Second Primary Cancers in Head and Neck Cancer Survivors," IJERPH, MDPI, vol. 18(23), pages 1-10, November.

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