Evidence mapPaperPMID 40975843Full record

SynthesisInternational urology and nephrology2026

Risk prediction models for peritoneal dialysis-associated peritonitis: a systematic review and meta-analysis.

Zhongyi Zhao, Yang Li, Qin Quan, Hongyan Wang, Wen Zhang, Xiangeng Zhang

Abstract readSystematic ReviewMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in International urology and nephrology, 2026. 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. Article
  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

6 authors.

Zhongyi ZhaoSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China.
Yang LiSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China.
Qin QuanSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China.
Hongyan WangSichuan Nursing Vocational College, No. 173 Longdu South Road, Longquanyi District, Chengdu, 610100, Sichuan, China.
Wen ZhangSichuan Nursing Vocational College, No. 173 Longdu South Road, Longquanyi District, Chengdu, 610100, Sichuan, China.
Xiangeng ZhangSichuan Nursing Vocational College, No. 173 Longdu South Road, Longquanyi District, Chengdu, 610100, Sichuan, China. xgengzhang@163.com.

Funding

the scientific research project of Sichuan Development Research Center of Traditional Chinese Medicine STDZC202406the scientific research project of Sichuan Education Development Research Center, a key research base of philosophy and social sciences in Sichuan Province CJF23052
6 · The paper itself

Abstract

backgroundPeritoneal dialysis-associated peritonitis (PDAP) remains a major complication in patients undergoing peritoneal dialysis (PD), often leading to technique failure, hospitalization, and increased mortality. This study aims to systematically evaluate and compare existing risk prediction models for PDAP and quantify their overall performance and key predictors.

methodsFollowing PRISMA guidelines, eight databases were systematically searched including PubMed, Web of Science, Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI), Chinese Science and Technology Journal Database (VIP), Wanfang, and SinoMed, covering literature from their inception to March 19, 2025. Data extraction focused on study design, participant characteristics, sample size, outcome definitions, predictors, and model performance. The bias risk assessment tool for prediction model studies (PROBAST) was employed to assess bias risk and applicability, while Stata 17.0 facilitated meta-analysis.

resultsEleven studies involving 11 logistic regression models were included. The reported area under the curve (AUC) values ranged from 0.659 to 0.997, with a combined AUC of 0.88 (95% CI 0.83-0.93), indicating robust predictive performance. Four predictors associated with peritonitis were albumin (Alb) (OR = 0.672; 95% CI 0.475-0.868; P < 0.001), C-reactive protein (CRP) (OR = 2.568; 95% CI 1.081-4.055; P < 0.001), neutrophil-to-lymphocyte ratio (NLR) (OR = 1.377; 95% CI 1.065-1.689; P < 0.001), and diabetes mellitus (DM) (OR = 3.549; 95% CI 1.272-5.825; P < 0.002).

conclusionsDespite demonstrating strong predictive capabilities, the models exhibited high bias risks, primarily due to data sources and statistical methods. Future research should prioritize large-scale, multicenter studies with rigorous designs and external validation to enhance reliability and clinical applicability.

Indexed as

Peritoneal DialysisPeritonitisHumansRisk AssessmentRisk FactorsMeta-analysisPeritoneal dialysisPeritoneal dialysis-associated peritonitisRisk prediction modelSystematic review

Identifiers

What Socratic holds

Textmetadata
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.