Lupus & antiphospholipid syndrome

Development and validation of a nomogram for predicting the interstitial fibrosis and tubular atrophy in patients with lupus nephritis

Rheumatology (Oxford)Published Retrospective prediction model development and validation study

Authors' conclusion

With excellent predictive abilities, the nomogram may provide a simple and reliable tool to distinguish LN patients with IFTA

Study context

Population
Patients with biopsy-proven LN at the Affiliated Hospital of Qingdao University and Fujian Medical University Union Hospitaldevelopment and validation cohorts
Participants
303 patients
Comparison
Interstitial fibrosis and tubular atrophy (IFTA) vs non-IFTA
Outcome
Prediction of IFTA in LN (discrimination by C-index)
Methodological detailstwo-centre, least absolute shrinkage and selection operator (LASSO) regression, multivariable logistic regression, bootstrapping internal validation, nomogram
  • Two-centre
  • LASSO regression
  • Multivariable logistic regression
  • Bootstrapping internal validation
  • Nomogram

Performance

As reported in the abstract

Model discrimination (C-index)
C-index, development model
0.794 (95% CI 0.734-0.854)
C-index, internal validation
0.857 (95% CI 0.776-0.938)
Calibration
good calibration

Original publication

Development and validation of a nomogram for predicting the interstitial fibrosis and tubular atrophy in patients with lupus nephritis. Rheumatology (Oxford). Published 17 September 2024. doi:10.1093/rheumatology/keae509

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