Kass P H, Farver T B, Strombeck D R, Ardans A A
Am J Vet Res. 1985 Nov;46(11):2340-5.
This study sought to mathematically define canine systemic lupus erythematosus (SLE) by unifying diagnostic criteria proposed by others. Thirty-one cases of canine SLE were selected for modeling when 4 different published schemes agreed on the diagnosis, and 122 controls were selected when a patient's status met no scheme's criteria. The log-linear method showed an association between SLE and polyarthritis, hematologic abnormalities, renal damage, dermatologic disorders, and antinuclear antibody test response (positive). Logistic regression was then used to derive a predictive algorithm that could identify cases and controls with which all published criteria would be in accordance. The final equation correctly classified 93.5% of the affected dogs and 98.4% of the controls. It was concluded that the log-linear and logistic regression models are useful for the diagnosis of clinically similar, but distinguishable, disease states.
本研究试图通过整合他人提出的诊断标准,从数学角度定义犬类系统性红斑狼疮(SLE)。当4种不同的已发表方案对诊断达成一致时,选择31例犬类SLE病例进行建模;当患者状况不符合任何方案的标准时,选择122例对照。对数线性方法显示SLE与多关节炎、血液学异常、肾损伤、皮肤病以及抗核抗体检测反应(阳性)之间存在关联。然后使用逻辑回归得出一种预测算法,该算法可以识别所有已发表标准均适用的病例和对照。最终方程正确分类了93.5%的患病犬和98.4%的对照。得出的结论是,对数线性和逻辑回归模型有助于诊断临床症状相似但可区分的疾病状态。