Evidence map›Paper›PMID 40316989›Full record

ArticleBMC nephrology2025

Development and validation of a nomogram for predicting low Kt/V

Danfeng Zhang, Tian Zhao, Liting Gao, Huan Zhu, Haowei Jin, Guiling Liu, Deguang Wang

Abstract readValidation Study
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Danfeng Zhang *Department of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Tian Zhao *Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, The Key Laboratory of Anti-inflammatory of Immune Medicines, Ministry of Education, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, Hefei, China.
Liting GaoDepartment of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Huan ZhuSecond School of Clinical Medicine, Anhui Medical University, Hefei, China.
Haowei JinSecond School of Clinical Medicine, Anhui Medical University, Hefei, China.
Guiling LiuDepartment of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China. guilingliu369@163.com.
Deguang WangDepartment of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China. wangdeguang@ahmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to develop a nomogram to predict peritoneal dialysis (PD) adequacy in incident PD patients and identify those at high risk for low Kt/Vurea PD function.

methodsWe retrospectively analyzed 141 incident PD patients from January 2021 to January 2024. Baseline characteristics, including BMI, hemoglobin levels, and high transport PD membrane, were compared between patients with and without adequate PD function. Univariate logistic regression, LASSO analysis, and Random Forest (RF) algorithms were employed to identify potential biomarkers. Significant predictors were integrated into a multivariable logistic regression model to construct a predictive nomogram.

resultsThe study found that 32.1% of patients had low total Kt/Vurea. Significant predictors of low Kt/Vurea included smoking (OR 2.23, CI 1.47-5.85), BMI (OR 1.35, CI 1.17-1.59), hemoglobin levels (OR 0.98, CI 0.95-0.99), and High transport (OR 0.2., CI 0.04-0.72). These factors were incorporated into a nomogram, which demonstrated strong predictive accuracy, with a C-Index of 0.802 in the main study group. The model's AUC was 0.778 (95% CI: 0.686-0.870), and Decision Curve Analysis (DCA) confirmed its clinical utility across a wide range of threshold probabilities.

conclusionsWe developed a nomogram that accurately predicts PD total Kt/Vurea in incident PD patients. This model can be a valuable tool for identifying patients at risk of low PD total Kt/Vurea, facilitating timely interventions to improve patient outcomes.

Indexed as

CreatinineKidney Failure, ChronicNomogramsPeritoneal DialysisUreaAgedFemaleHemoglobinsHumansMaleMiddle AgedRetrospective StudiesCreatinineHemoglobinsUreaKt/VureaLASSONomogramPeritoneal dialysis

Identifiers

PMID40316989
PMCPMC12046862

What Socratic holds

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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.