Inflammatory myopathies

Serum ferritin as a significant biomarker for patients with idiopathic inflammatory myopathy-associated interstitial lung disease: A systematic review and meta-analysis

Semin Arthritis RheumPublished Systematic review and meta-analysis

Pooled result · SF levels, IIM-ILD vs IIM without ILDResult — go to the resultWMD 263.53 ng/mL 95% CI 146.44–380.62

Authors' conclusion

Increased SF levels can serve as a biomarker for predicting the occurrence, progression and death of patients with IIM-ILD

Study context

Population
Patients with IIM (studies from PubMed, Embase, Web of science and Scopus up to 9 June 2023)
Participants
1,933 patients19 studies
Comparison
Serum ferritin (SF) levels in IIM-ILD vs IIM without ILD; RP-ILD vs chronic ILD (C-ILD); death vs survival
Outcome
SF levels (WMD) in IIM-ILD vs IIM without ILD
Methodological detailssubgroup analysis by disease type, sensitivity analysis, Egger's test
  • Subgroup analysis by disease type
  • Sensitivity analysis
  • Egger's test

Pooled result

SF levels, IIM-ILD vs IIM without ILD

WMD

263.53 ng/mL

95% CI 146.44–380.62

P < 0.001

IIM-ILDvs IIM without ILD
WMD 263.53 ng/mL (95% CI 146.44–380.62); P < 0.001

As reported in the abstract

Further pooled results

OutcomeWMD (ng/mL) (95% CI)P value
SF levels with vs without ILD by disease type (subgroup)DM-ILDvs DM without ILD397.67 (142.84–652.50)P = 0.002
SF levels with vs without ILD by disease type (subgroup)PM/DM-ILDvs PM/DM without ILD117.68 (86.32–149.04)P < 0.001
SF levels, RP-ILD vs C-ILDRP-ILDvs C-ILD484.99 (211.12–758.87)P = 0.001
SF levels, RP-ILD vs C-ILDDM-RP-ILDvs DM-C-ILDSubgroup509.75 (215.34–804.16)P = 0.001
SF levels, death vs survivalDeathvs Survival722.16 (572.32–872.00)P < 0.001
SF levels, death vs survivalDeath (DM-ILD)vs Survival (DM-ILD)Subgroup735.62 (574.92–896.32)P < 0.001
SF levels, death vs survivalDeath (PM-ILD)vs Survival (PM-ILD)Subgroup632.56 (217.92–1047.19)P = 0.003

Original publication

Serum ferritin as a significant biomarker for patients with idiopathic inflammatory myopathy-associated interstitial lung disease: A systematic review and meta-analysis. Semin Arthritis Rheum. Published 10 December 2023. doi:10.1016/j.semarthrit.2023.152350

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