Table 3. Optimism-corrected area under the curve for predicting RA-ILD risk by adding novel biomarkers and the MUC5B promoter variant to clinical factors.
Model* | Apparent AUC (95% CI) | ||
---|---|---|---|
Demographic | 0·58 (0·51,0·65) | 0·07 | 0·51 (0·45, 0·57) |
MUC5B promoter variant | 0·60 (0·53,0·67) | 0·05 | 0·55 (0·48, 0·61) |
Lifestyle | 0·68 (0·62,0·75) | 0·04 | 0·64 (0·58, 0·70) |
RA factors | 0·74 (0·68,0·81) | 0·06 | 0·68 (0·62, 0·74) |
Clinical factors combined | 0·79 (0·73,0·85) | 0·06 | 0·73 (0·67, 0·78) |
Established RA-ILD factors | 0·80 (0·74, 0·85) | 0·07 | 0·73 (0·67, 0·78) |
Novel biomarkers (N=6) | 0·86 (0·81,0·92) | 0·03 | 0·84 (0·79, 0·89) |
All factors combined | 0·90 (0·85,0·94) | 0·06 | 0·84 (0·80, 0·88) |
AUC = area under curve, BMI = body mass index, CI = confidence interval, cit = citrullinated, CRP = C-reactive protein, DAS = disease activity score, DMARD = disease-modifying anti-rheumatic drug, H = histone, Ig = immunoglobulin, ILD = interstitial lung disease, MDHAQ = multi-dimensional health assessment questionnaire, OR = odds ratio, RA = rheumatoid arthritis, RF = rheumatoid factor
Demographic = age, race and ethnicity, education; Lifestyle = BMI, smoking pack-years; RA factors = RA duration, RF, anti-CCP, bone erosion, rheumatoid nodules, methotrexate use, glucocorticoid use, biologic DMARD use, DAS28-CRP, MDHAQ; Clinical factors combined = demographic + lifestyle + RA factors; Established RA-ILD factors = demographic + lifestyle + RA factors + MUC5B; Novel biomarkers = H4 33–48 cit 39 (IgA2), H2A/a-2 1–20 cit (IgA2), Filaggrin 48–65 cit2 cyclic (IgG), H2A/a 1–20 cyclic (IgA2), H2A/a-2 1–20 (IgA2), Filaggrin 48–65 cyclic (IgG)