To the Editor Weiss et al validated the American Joint Committee on Cancer Eighth Edition prognostic stage and compared it with the anatomic stage in breast cancer in 2 large cohorts. The authors used the Harrell C index to qualify the models' predictive performance based on prognostic stage and anatomic stage, respectively. The authors further determined the significance between the Harrell C index of the prognostic stage and anatomic stage using the R package compareC. In the MD Anderson cohort, the Harrell C indices for the prognostic stage and the anatomic stage are 0.8357 and 0.7370 (P < .001). In the California Cancer Registry, the Harrell C indices for the prognostic stage and the anatomic stage are 0.8426 and 0.8097 (P < .001).
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
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