Evidence map›Paper›PMID 34154541›Full record

ArticleBMC medical research methodology2021

Development and validation of a risk index to predict kidney graft survival: the kidney transplant risk index.

Sameera Senanayake, Sanjeewa Kularatna, Helen Healy, Nicholas Graves, Keshwar Baboolal, Matthew P Sypek, Adrian Barnett

Abstract read
In one paragraph

Article in BMC medical research methodology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Dynamic Risk Prediction of Graft Failure after Deceased Donor Kidney Transplant.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  5. Assessing Deceased-Donor Kidneys Through Posttransplant Survival Prediction Algorithms.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Deceased Donor Characteristics and Kidney Transplant Outcomes.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Review
  14. Article
  15. 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

7 authors.

Sameera SenanayakeAustralian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health & Social Work, Queensland University of Technology (QUT), Brisbane, QLD, Australia. s2.senanayake@qut.edu.au.ORCID 0000-0002-5606-2046
Sanjeewa KularatnaAustralian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health & Social Work, Queensland University of Technology (QUT), Brisbane, QLD, Australia.ORCID 0000-0001-5650-154X
Helen HealyRoyal Brisbane and Women's Hospital, Brisbane, Australia.ORCID 0000-0003-4342-5300
Nicholas GravesDuke-NUS Medical School, Singapore, Singapore.ORCID 0000-0002-5559-3267
Keshwar BaboolalRoyal Brisbane and Women's Hospital, Brisbane, Australia.ORCID 0000-0002-3688-9353
Matthew P SypekAustralia and New Zealand Dialysis and Transplant (ANZDATA) Registry, Adelaide, South Australia, Australia.
Adrian BarnettAustralian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health & Social Work, Queensland University of Technology (QUT), Brisbane, QLD, Australia.ORCID 0000-0001-6339-0374

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKidney graft failure risk prediction models assist evidence-based medical decision-making in clinical practice. Our objective was to develop and validate statistical and machine learning predictive models to predict death-censored graft failure following deceased donor kidney transplant, using time-to-event (survival) data in a large national dataset from Australia.

methodsData included donor and recipient characteristics (n = 98) of 7,365 deceased donor transplants from January 1st, 2007 to December 31st, 2017 conducted in Australia. Seven variable selection methods were used to identify the most important independent variables included in the model. Predictive models were developed using: survival tree, random survival forest, survival support vector machine and Cox proportional regression. The models were trained using 70% of the data and validated using the rest of the data (30%). The model with best discriminatory power, assessed using concordance index (C-index) was chosen as the best model.

resultsTwo models, developed using cox regression and random survival forest, had the highest C-index (0.67) in discriminating death-censored graft failure. The best fitting Cox model used seven independent variables and showed moderate level of prediction accuracy (calibration).

conclusionThis index displays sufficient robustness to be used in pre-transplant decision making and may perform better than currently available tools.

Indexed as

Kidney TransplantationAustraliaGraft SurvivalHumansKidneyTissue DonorsGraft failureKidney transplantMachine learningRisk prediction

Identifiers

PMID34154541
PMCPMC8215818

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.