Development and validation of a nomogram for predicting the risk of obstructive coronary artery disease in rheumatoid arthritis patients based on LDL-C, Th17 cells, and IL-17
2024

Nomogram for Predicting Heart Disease Risk in Rheumatoid Arthritis Patients

Sample size: 120 publication 10 minutes Evidence: high

Author Information

Author(s): Wang Xiaoyang, Li Baochen, Wei Ruipeng, Hu Bin, Feng Yuming, Yang Bin, Rong Shuling, Li Bao

Primary Institution: Second Hospital of Shanxi Medical University

Hypothesis

Can a nomogram model incorporating LDL-C, Th17 cells, and IL-17 levels predict the risk of obstructive coronary artery disease in rheumatoid arthritis patients?

Conclusion

The study developed a predictive nomogram for assessing the risk of obstructive coronary artery disease in rheumatoid arthritis patients, demonstrating strong predictive accuracy.

Supporting Evidence

  • RA patients have a higher incidence of cardiovascular disease compared to the general population.
  • Elevated levels of LDL-C, Th17 cells, and IL-17 are associated with obstructive CAD in RA patients.
  • The nomogram model showed an AUC of 0.97, indicating strong predictive ability.

Takeaway

Doctors can use a new tool to help figure out which rheumatoid arthritis patients are more likely to have heart problems by looking at certain blood markers.

Methodology

The study involved 120 rheumatoid arthritis patients and 53 healthy controls, using logistic regression and a nomogram model to analyze risk factors for obstructive coronary artery disease.

Potential Biases

Potential bias due to the study being conducted at a single center and the specific patient population.

Limitations

The study had a small sample size and was conducted at a single center, limiting generalizability.

Participant Demographics

42 males and 78 females, mean age 66.37 years for RA patients; 17 males and 36 females, mean age 48.19 years for healthy controls.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI not specified

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3389/fimmu.2024.1493182

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