Description

Hoi et al reported a model for predicting high disease activity in patients with systemic lupus erythematosus (SLE) The authors are from Monash University and Murdoch Children's Research Institute in Australia and Merck KGaA and EMD Serono in Germany


Patient selection: SLE

 

Outcome: high disease activity (SLEDAI-2K >= 10)

 

NOTE: The units for the various parameter and handling of race are guesses. These are not specified in the paper or its references.

 

Parameters:

(1) serum albumin in g/L

(2) serum CRP in mg/L

(3) serum C3

(4) serum C4

(5) absolute neutrophil count in 10^9/L

(6) ESR in mm in first hour

(7) urine protein to creatinine ratio (UPCR)

(8) gender

(9) race

(10) age in years

 

Parameter

Finding

Points

serum albumin

 

-0.084 * (albumin)

serum CRP

 

0.016 * (CRP)

serum C3

normal

-1.792

 

low

0

serum C4

normal

-1.442

 

low

0

absolute neutrophil count

 

0.036 * (ANC)

ESR

 

0.004 * (ESR)

UPCR

 

2.492 * (UPCR)

gender

male

0

 

female

0.658

race

Asian

0

 

Caucasian

-0.001

 

other

-0.002

age

 

-0.019 * (age)

 

value of X =

= SUM(points for all of the parameters) + 2.042

 

probability of HDAS =

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

 

Performance:

• The area under the ROC curve is 0.829.


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