Description

He et al reported risk factors for progression of interstitial lung disease (ILD) in a patient with Sjogren's Syndrome. The authors are from Zhengzhou University.


Patient selection: Sjogren's syndrome-related interstitial lung disease

 

Parameters:

(1) type of onset

(2) baseline serum LDH in U/L, from 0 to 500

(3) baseline FVC as percent of predicted, from 40 to 130

 

points for serum LDH =

= 0.1704 * (serum LDH)

 

points for FVC =

= 144.44 - (1.11 * (FVC))

 

Onset

Points

sicca

0

non-sicca

35.3

 

score  =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 220.5

 

value of X =

= (0.04177 * (score)) - 5.699

 

probability of ILD progression =

= 1 / (1 + EXP((-1) * X))

 

Performance:

• The area under the ROC curve is 0.80.

 

Additional factors associated with progressive disease:

(1) male sex

(2) reticular pattern on high-resolution CT of the lung (HRCT)


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