Inflammatory myopathies

Risk prediction modelling in idiopathic inflammatory myositis-associated interstitial lung disease based on seven factors including serum KL-6 and lung ultrasound B-lines

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

This predictive model demonstrates robust capability to assess ILD risk in IIM patients, particularly when augmented with serum KL-6 level or/and LUS B-line number.

Study context

Population
Idiopathic inflammatory myositis (IIM) patients diagnosed January 2013–December 2022, Shantou Central Hospital115 (56.1%) with interstitial lung disease (ILD)
Participants
205 patients
Exposure
5-factor model vs 5 factors + KL-6 vs 5 factors + B-line number vs 5 factors + KL-6 + B-line number
Outcome
Prediction of ILD in IIM (AUC of ROC)
Methodological detailssingle-centre, LASSO regression, nomogram-based predictive model, training and validation sets
  • Single-centre
  • LASSO regression
  • Nomogram-based predictive model
  • Training and validation sets

Main finding

As reported in the abstract

AUC of ROC for ILD prediction
GroupAUC (training set)AUC (validation set)AUC
5-factor model0.8760.861— not stated in the abstract
5 factors + KL-6— not stated in the abstract— not stated in the abstract0.922
5 factors + B-line number— not stated in the abstract— not stated in the abstract0.949
5 factors + KL-6 + B-line number— not stated in the abstract— not stated in the abstract0.951

AUC (training set)

5-factor model0.876
5 factors + KL-6— not stated in the abstract
5 factors + B-line number— not stated in the abstract
5 factors + KL-6 + B-line number— not stated in the abstract

AUC (validation set)

5-factor model0.861
5 factors + KL-6— not stated in the abstract
5 factors + B-line number— not stated in the abstract
5 factors + KL-6 + B-line number— not stated in the abstract

AUC

5-factor model— not stated in the abstract
5 factors + KL-60.922
5 factors + B-line number0.949
5 factors + KL-6 + B-line number0.951

— not stated in the abstract

Observational data: associations, not effects.

Original publication

Risk prediction modelling in idiopathic inflammatory myositis-associated interstitial lung disease based on seven factors including serum KL-6 and lung ultrasound B-lines. Clin Exp Rheumatol. Published 14 May 2024. doi:10.55563/clinexprheumatol/ylf0oe

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