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The nomogram showed superior discrimination capability than AJCC staging in both derived and validation cohorts (C-index 0.874 versus 0.721 and 0.833 versus 0.721). The calibration curves showed that the practical and predicted survival rates effectively coincided, specifically for the 3-year survival rate. Our nomogram is a valuable tool for the prediction of the survival rate for patients with pNENs; this may promote individualized prognostic evaluation and treatment. Our nomogram is a valuable tool for the prediction of the survival