Evidence map›Paper›PMID 38898472›Full record

ArticleBMC medical informatics and decision making2024

A dynamic online nomogram for predicting renal outcomes of idiopathic membranous nephropathy.

Feng Wang, Jiayi Xu, Fumei Wang, Xu Yang, Yang Xia, Hongli Zhou, Na Yi, Congcong Jiao, Xuesong Su, Beiru Zhang and 2 more

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

12 authors.

Feng WangDepartment of Nephrology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Jiayi XuDepartment of Nephrology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Fumei WangDepartment of Nephrology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Xu YangDepartment of Nephrology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Yang XiaDepartment of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Hongli ZhouDepartment of Nephrology, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, People's Republic of China.
Na YiDepartment of Nephrology, The General Hospital of Angang Group, Anshan, Liaoning, People's Republic of China.
Congcong JiaoDepartment of Nephrology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Xuesong SuDepartment of Nephrology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Beiru ZhangDepartment of Nephrology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Hua ZhouDepartment of Nephrology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Yanqiu WangDepartment of Nephrology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China. wangyq@sj-hospital.org.

Funding

Department of Science and Technology of Liaoning Province No.2020JH 2/10300150
6 · The paper itself

Abstract

backgroundBecause spontaneous remission is common in IMN, and there are adverse effects of immunosuppressive therapy, it is important to assess the risk of progressive loss of renal function before deciding whether and when to initiate immunosuppressive therapy. Therefore, this study aimed to establish a risk prediction model to predict patient prognosis and treatment response to help clinicians evaluate patient prognosis and decide on the best treatment regimen.

methodsFrom September 2019 to December 2020, a total of 232 newly diagnosed IMN patients from three hospitals in Liaoning Province were enrolled. Logistic regression analysis selected the risk factors affecting the prognosis, and a dynamic online nomogram prognostic model was constructed based on extreme gradient boost, random forest, logistic regression machine learning algorithms. Receiver operating characteristic and calibration curves and decision curve analysis were utilized to assess the performance and clinical utility of the developed model.

resultsA total of 130 patients were in the training cohort and 102 patients in the validation cohort. Logistic regression analysis identified four risk factors: course ≥ 6 months, UTP, D-dimer and sPLA2R-Ab. The random forest algorithm showed the best performance with the highest AUROC (0.869). The nomogram had excellent discrimination ability, calibration ability and clinical practicability in both the training cohort and the validation cohort.

conclusionsThe dynamic online nomogram model can effectively assess the prognosis and treatment response of IMN patients. This will help clinicians assess the patient's prognosis more accurately, communicate with the patient in advance, and jointly select the most appropriate treatment plan.

Indexed as

Glomerulonephritis, MembranousNomogramsAdultFemaleHumansLogistic ModelsMaleMiddle AgedPrognosisRisk FactorsDynamic nomogramIdiopathic membranous nephropathyPrognosisTreatment response

Identifiers

PMID38898472
PMCPMC11186104

What Socratic holds

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LicenceCC BY
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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 Socratic graph.