Evidence map›Paper›PMID 41867503›Full record

ArticleAmerican journal of clinical and experimental urology2026

A non-invasive predictive model for identifying non-diabetic kidney disease in type 2 diabetes mellitus: development and multicenter validation.

Yuyan Yang, Yijiang Song, Pinning Feng, Xianlian Deng, Ya Li, Peijia Liu, Bin Peng, Yuanrui Liu, Youlin Liu, Jin Li and 2 more

Abstract read
In one paragraph

Article in American journal of clinical and experimental urology, 2026. 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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2 · The registry

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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

12 authors.

Yuyan YangDepartment of Nephrology, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology Shenzhen 518112, Guangdong, China.
Yijiang SongDepartment of Laboratory Medicine, Nanfang Hospital, Southern Medical University Guangzhou 510515, Guangdong, China.
Pinning FengDepartment of Laboratory Medicine, The First Affiliated Hospital of Sun Yat-sen University No. 58 Zhongshan Second Road, Yuexiu District, Guangzhou 510080, Guangdong, China.
Xianlian DengShenzhen Mindray Biomedical Electronics Co., LTD. 9 Keji South 12 Road, Yuehai Street, Nanshan District, Shenzhen 518055, Guangdong, China.
Ya LiDepartment of Nephrology, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology Shenzhen 518112, Guangdong, China.
Peijia LiuDepartment of Nephrology, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology Shenzhen 518112, Guangdong, China.
Bin PengDepartment of Laboratory Medicine, Nanfang Hospital, Southern Medical University Guangzhou 510515, Guangdong, China.
Yuanrui LiuDepartment of Laboratory Medicine, Nanfang Hospital, Southern Medical University Guangzhou 510515, Guangdong, China.
Youlin LiuShenzhen Mindray Biomedical Electronics Co., LTD. 9 Keji South 12 Road, Yuehai Street, Nanshan District, Shenzhen 518055, Guangdong, China.
Jin LiShenzhen Mindray Biomedical Electronics Co., LTD. 9 Keji South 12 Road, Yuehai Street, Nanshan District, Shenzhen 518055, Guangdong, China.
Peng ZhangDepartment of Laboratory Medicine, Nanfang Hospital, Southern Medical University Guangzhou 510515, Guangdong, China.
Feng HuDepartment of Nephrology, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology Shenzhen 518112, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to develop a non-invasive, simple, and rapid predictive model for identifying non-diabetic kidney disease (NDKD) in patients with type 2 diabetes mellitus (T2DM).

methodsWe performed a retrospective analysis of clinical data from 117 T2DM patients who underwent renal biopsy at a single medical institution between 2017 and 2022; candidate variables were first prioritized based on clinical relevance, followed by the construction of a predictive framework using logistic regression. Dubbed the RICH model, the final framework integrated four key parameters: red blood cell (RBC) count, immunoglobulin A (IgA) level, cystatin C-derived estimated glomerular filtration rate (eGFR_2), and glycated hemoglobin A1c (HbA1c).

resultsExternal validation was conducted across three independent centers involving 299 T2DM patients (2018-2024), achieving area under the receiver operating characteristic curve (AUC-ROC) values of 0.755, 0.764, and 0.755, which complemented the internal validation AUC-ROC of 0.847; at an optimal threshold probability of 0.559, approximately 20% of patients obtained clinical net benefit from the model, and notably, applying the RICH model for early NDKD screening has the potential to reduce the renal biopsy rate by 42.05%.

conclusionsThe RICH model exhibits robust performance in predicting NDKD among T2DM patients with renal impairment, providing a practical tool for clinical decision-making.

Indexed as

diabetic nephropathydiagnosisnon-diabetic kidney diseasepredictive modelType-2 diabetes mellitus

Identifiers

PMID41867503
PMCPMC13003247

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.