Evidence map›Paper›PMID 40529687›Full record

ArticleFrontiers in public health2025

Exploring the relationship between per- and polyfluoroalkyl substances exposure and rheumatoid arthritis risk using interpretable machine learning.

Zhi Li, Xinping Xu, Ke Zhang

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. An Exploration of Machine Learning Methods in Human Biomonitoring.International journal of environmental research and public health · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Zhi Li *Nanjing Jiangbei Hospital, Affiliated Nanjing Jiangbei Hospital of Xinglin College, Nantong University, Nanjing, Jiangsu, China.
Xinping Xu *Huai'an No. 3 People's Hospital, Huaian Second Clinical College of Xuzhou Medical University, Huaian, Jiangsu, China.
Ke ZhangHuai'an TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Huaian, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rheumatoid arthritis is a chronic autoimmune disease influenced by environmental exposures, including per- and polyfluoroalkyl substances (PFAS). Although previous studies have suggested links between PFAS and rheumatoid arthritis risk, none have used interpretable machine learning models for prediction. This study aimed to develop such a model to assess risk based on PFAS exposure. Methods: We analyzed data from 11,705 participants in the National Health and Nutrition Examination Survey (2003-2018). Twelve machine learning algorithms were evaluated using metrics including area under the curve (AUC), accuracy, sensitivity, specificity, and F Results: CatBoost showed the best performance (AUC: 0.82; Accuracy: 74%; F Conclusions: This study demonstrates the potential of machine learning to predict rheumatoid arthritis risk based on PFAS exposure. The identified non-linear patterns provide insights into environmental contributions to disease risk and may inform future prevention strategies.

Indexed as

Arthritis, RheumatoidEnvironmental ExposureEnvironmental PollutantsFluorocarbonsMachine LearningAdultFemaleHumansMaleMiddle AgedNutrition SurveysRisk AssessmentUnited StatesEnvironmental PollutantsFluorocarbonsenvironmental pollutionmachine learningPFASrheumatoid arthritisSHAP

Identifiers

PMID40529687
PMCPMC12170615

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.