Table 3.
Multivariate analysis of predictive items for improvement or deterioration of lung function
Group | Variable | Factor | Multivariate analysis | ||
P value | HR | 95% CI | |||
No pulmonary involvement | FVC increase > 10% | CCL2 (MCP-1) | 0.028 | 0.972 | 0.947-0.997 |
Age at inclusion | 0.038 | 0.903 | 0.820-0.994 | ||
FVC decline > 10% | Age at inclusion | 0.044 | 1.107 | 1.003-1.222 | |
DLCO decline > 20% | Female sex | 0.031 | 13.364 | 1.267-140.934 | |
IL-10 | 0.028 | 0.064 | 0.006-0.744 | ||
All patients with pulmonary involvement | DLCO decline > 20% | TGF-b | 0.041 | 0.997 | 0.995-1.000 |
ILD | DLCO decline > 20% | IL-7 | 0.019 | 1.591 | 1.078-2.349 |
DLCO decline > 30% | IL-7* | 0.028 | 1.996 | 1.078-3.695 |
Clinical items (gender, age, SSc form, anti-Scl-70 and anti-centromere positivity, mRSS, DLCO, FVC, lung fibrosis, pulmonary hypertension at inclusion) and serum cytokines were included in a multivariate analysis in order to calculate independently predictive factors for improvement or deterioration of lung function (e.g. decline of FVC or DLCO by 10, 20 or 30%). Only significant items are given with the hazard ratio (HR) and the 95% confidence interval (95% CI). Items were calculated with two methods (forward and backward inclusion), items marked with an asterisk (*) were calculated by both models.