Evidence mapPaperPMID 42364123Full record

ArticleKidney & blood pressure research2026

Simplified Subjective Global Assessment at Hemodialysis Initiation and Its Association with 2-Year Mortality and Hospitalization.

Kotaro Doi, Kana Suzuki, Mikie Imafuku, Yohei Komaru, Teruhiko Yoshida, Ryo Matsuura, Masaomi Nangaku, Yoshifumi Hamasaki

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Article in Kidney & blood pressure research, 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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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Kotaro DoiDepartment of Nephrology and Endocrinology, The University of Tokyo Hospital, Tokyo, Japan.
Kana SuzukiDepartment of Hemodialysis and Apheresis, The University of Tokyo Hospital, Tokyo, Japan.
Mikie ImafukuDepartment of Hemodialysis and Apheresis, The University of Tokyo Hospital, Tokyo, Japan.
Yohei KomaruDepartment of Acute Medicine, The University of Tokyo Hospital, Tokyo, Japan.
Teruhiko YoshidaDepartment of Clinical Laboratory, The University of Tokyo Hospital, Tokyo, Japan.
Ryo MatsuuraDepartment of Nephrology and Endocrinology, The University of Tokyo Hospital, Tokyo, Japan.
Masaomi NangakuDepartment of Nephrology and Endocrinology, The University of Tokyo Hospital, Tokyo, Japan.
Yoshifumi HamasakiDepartment of Hemodialysis and Apheresis, The University of Tokyo Hospital, Tokyo, Japan, yhamasaki-tky@umin.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNutritional risk assessment, which is necessary for initiating appropriate nutritional therapy to improve prognosis, should be as simple as possible to perform, particularly when direct patient contact is limited. We examined whether simplified Subjective Global Assessment (SGA), a modified SGA method omitting physical examination components, is associated with prognosis in patients with kidney failure starting hemodialysis (HD).

methodsRetrospectively, we reviewed the medical records of patients who initiated HD between 2016 and 2018. Based on these records, two dialysis nurses independently assessed each patient's nutritional status using simplified SGA and categorized them as well-nourished (W) or malnourished (M). Patients were classified into 3 groups (W-W, W-M, and M-M) according to the combination of the 2 assessments. The primary composite outcome was death or hospitalization within 2 years.

resultsA total of 138 patients starting HD (mean age 66.8 years; 70% male) were examined. According to simplified SGA, 97 (70%), 25 (18%), and 16 (12%) patients were categorized respectively as W-W, W-M, and M-M. Kaplan-Meier analysis showed significantly lower survival and hospitalization-free rates in the M-M group (p < 0.001 and = 0.024, respectively). Cox proportional hazards analysis demonstrated significant association between the M-M category and the primary outcome (hazard ratio 3.34, 95% confidence interval 1.52-7.36).

conclusionSimplified SGA scores might be associated with 2-year adverse outcomes in patients starting HD.

Indexed as

HospitalizationKidney Failure, ChronicNutrition AssessmentRenal DialysisAgedFemaleHumansMaleMiddle AgedNutritional StatusPrognosisRetrospective StudiesDialysis nurseHemodialysisHospitalizationMortalitySubjective global assessment

Identifiers

PMID42364123
PMCPMC13461122

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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.