Pediatric rheumatology

The Florida Scoring System for stratifying children with suspected Sjögren's disease: a cross-sectional machine learning study

Lancet RheumatolPublished Cross-sectional study

Authors' conclusion

The Florida Scoring System is a paediatrician-friendly tool that can be used to assist classification and long-term monitoring of suspected childhood Sjögren's disease.

Study context

Population
Symptomatic patients <18 years or with symptom onset before 18 years with suspected childhood SjD, Department of Pediatric Rheumatology, University of Florida, USA; median age at diagnosis 15 years (IQR 11–17)243 recruited
Participants
217 patients
Exposure
Class I vs Class II vs Class III
  • Class In = 27
  • Class IIn = 98
  • Class IIIn = 92
Outcome
Patient classes identified by latent class analysis and their prediction by machine learning models (Florida Scoring System)
Methodological detailsmachine learning, latent class analysis, causal graph learning, single-centre, Patients screened Jan 16, 2018, to April 28, 2022: 448 screened
  • Machine learning
  • Latent class analysis
  • Causal graph learning
  • Single-centre
  • Patients screened Jan 16, 2018, to April 28, 2022: 448 screened

Main finding

As reported in the abstract

Patient classes (latent class analysis)
  • Three distinct patient classes identified
  • Machine learning models accurately predicted patient class and ranked variable importance consistently
  • Causal graphical model discovered key features for constructing the Florida Scoring System

Observational data: associations, not effects.

Original publication

The Florida Scoring System for stratifying children with suspected Sjögren's disease: a cross-sectional machine learning study. Lancet Rheumatol. Published May 2024. doi:10.1016/s2665-9913(24)00059-6

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