Osteoarthritis

CRP-Albumin-Lymphocyte index (CALLYI) as a risk-predicting biomarker in association with osteoarthritis

Arthritis Res TherPublished Cross-sectional study

Main finding · OA risk, fully adjusted Model 3Result — go to the resultOdds ratio 0.72 95% CI 0.59–0.88

Authors' conclusion

This study, utilizing NHANES statistics, is the first to establish a nonlinear negative relationship between CALLYI and OA, with no significant interaction observed in subgroup analyses.

Study context

Population
US adults in National Health and Nutrition Examination Survey (NHANES) 1999–20101,977 (10.62%) with osteoarthritis (OA)
Participants
18,624 adults
Exposure
CALLYI Q4 vs Q1
Outcome
OA (association with CALLYI)
Methodological detailsweighted multiple regression models, restricted cubic splines, subgroup analyses, least absolute shrinkage and selection operator (LASSO) variable selection, nomogram prediction model
  • Weighted multiple regression models
  • Restricted cubic splines
  • Subgroup analyses
  • LASSO variable selection
  • Nomogram prediction model

Main finding

OA risk, fully adjusted Model 3

Odds ratio

0.72

95% CI 0.59–0.88

P = 0.001

Q4vs Q1
OR 0.72 (95% CI 0.59–0.88); P = 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

CALLYI value

Mean value of CALLYI (as printed)
5.13 (2.12,12.86)

Interactions in subgroup analyses

No significant interactions
P > 0.05

Non-linear relationship CALLYI–OA (restricted cubic splines (RCS))

Significant non-linear relationship
P < 0.0001

OA prediction model incorporating CALLYI

AUC
0.825 (95% CI: 0.817-0.834)
Decision curve analysis (DCA) indicated clinical significance

Original publication

CRP-Albumin-Lymphocyte index (CALLYI) as a risk-predicting biomarker in association with osteoarthritis. Arthritis Res Ther. Published 19 March 2025. doi:10.1186/s13075-025-03530-x

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