Evidence map›Paper›PMID 41728013›Full record

SynthesisFrontiers in medicine2025

Predictive models for acute kidney injury in acute pancreatitis: a systematic review and meta-analysis.

Haoran Zhu, Feifei Li, Shengteng Guo, Yijun Xiao, Wentao Zhu, Qinghua Wang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Haoran Zhu *School of Nursing, Binzhou Medical University, Binzhou, Shandong Province, China.
Feifei Li *Department of Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, Shandong, China.
Shengteng Guo *School of Nursing, Binzhou Medical University, Binzhou, Shandong Province, China.
Yijun XiaoSchool of Nursing, Binzhou Medical University, Binzhou, Shandong Province, China.
Wentao ZhuDepartment of Hepatobiliary Surgery, Binzhou Medical University Hospital, Binzhou, Shandong, China.
Qinghua WangSchool of Nursing, Binzhou Medical University, Binzhou, Shandong Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The utilization of predictive models facilitates the identification of patients at risk, thereby enabling the implementation of individualized interventions. Despite the growing use of predictive models to estimate the likelihood of AKI in AP, concerns persist regarding their effectiveness in clinical settings and the rigor and relevance of forthcoming research. The objective of this study is to systematically review and evaluate predictive models for AKI in AP. Methods: A comprehensive search of relevant databases was conducted, encompassing China National Knowledge Infrastructure (CNKI), Wanfang, VIP, Chinese Medical Association, PubMed, Web of Science, Scopus, and Cochrane Library, with the search extending from database inception to 26 November 2024. The data from a number of selected studies was extracted using the CHARMS form, while the quality of predictive modeling studies was assessed using the PROBAST tool. A meta-analysis of AUC for predictive models and relevant predictors (≥2) was conducted using Stata 17.0 and MedCalc software. Results: The total number of studies included in the review was 17, with a total of 9,949 patients and 37 predictive models. Of these, 32 models underwent internal validation, with an area under the curve (AUC) > 0.7. The overall risk of bias was high across all 17 studies, yet the overall applicability was deemed satisfactory. The results of the meta-analysis indicated that the pooled AUC for internal validation across 20 predictive models for AKI in AP was 0.790 (95% CI = 0.761-0.818); and the pooled external validation AUC for five models was 0.766 (95% CI = 0.684-0.845). The overall risk of bias was high across all 17 studies, with significant heterogeneity observed. However, the overall applicability was deemed satisfactory. Conclusion: The predictive model for AKI complicating AP demonstrates moderate predictive efficacy. Nevertheless, given the elevated risk of bias in the majority of studies and the absence of adequate external validation, its clinical applicability merits further investigation. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251008769, identifier CRD420251008769.

Indexed as

acute kidney injuryacute pancreatitismeta-analysispredictive modelingsystematic review

Identifiers

PMID41728013
PMCPMC12917899

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.