Evidence map›Paper›PMID 33797560›Full record

Observational studyDiabetologia2021

Derivation and validation of a machine learning risk score using biomarker and electronic patient data to predict progression of diabetic kidney disease.

Lili Chan, Girish N Nadkarni, Fergus Fleming, James R McCullough, Patricia Connolly, Gohar Mosoyan, Fadi El Salem, Michael W Kattan, Joseph A Vassalotti, Barbara Murphy and 3 more

Registry-linked trialOpen access · hybridAbstract readObservational StudyValidation Study
In one paragraph

Observational study in Diabetologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06101901 (Studying Patterns in Patient Engagement and Participation in Diabetic Kidney Disease Clinical Trials), which is not on this map. Cited by 81 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 3 pooled it
17.0field-weighted citation impact, top 1% of its field
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.

NCT06101901 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Studying Patterns in Patient Engagement and Participation in Diabetic Kidney Disease Clinical Trials

TypeobservationalSponsorPower Life Sciences Inc.Ran2024 to 2026Enrolled500ConditionsDiabetic Kidney Disease
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 3 syntheses or guidelines pooled it, 158 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review

21 more citing papers are in PubMed but not listed here.

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

13 authors at 2 institutions in 1 country.

Lili ChanDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA. lili.chan@mountsinai.org.ORCID https://orcid.org/0000-0003-4300-5760
Girish N NadkarniDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0001-6319-4314
Fergus FlemingRenalytix AI Plc, Cardiff, UK.ORCID https://orcid.org/0000-0002-5276-6652
James R McCulloughRenalytix AI Plc, Cardiff, UK.ORCID https://orcid.org/0000-0001-6433-0584
Patricia ConnollyRenalytix AI Plc, Cardiff, UK.ORCID https://orcid.org/0000-0002-9582-8630
Gohar MosoyanDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Fadi El SalemDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0002-2603-2778
Michael W KattanDepartment of Quantitative Health Sciences, Lerner Research Institute, Cleveland, OH, USA.ORCID https://orcid.org/0000-0002-3840-4161
Joseph A VassalottiDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0001-8835-0192
Barbara MurphyDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Michael J DonovanDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0003-0772-598X
Steven G CocaDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0002-0928-9168
Scott M DamrauerDepartment of Surgery, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA. damrauer@upenn.edu.ORCID https://orcid.org/0000-0001-8009-1632
Icahn School of Medicine at Mount Sinai · USUniversity of Pennsylvania · US

Funding

Incorporating genomics into the clinical care of diverse NYC childrenU01HG009610 · NHGRI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GELB, BRUCE D, HOROWITZ, CAROL R · 2017 to 2021
$17.0M
Novel Biomarkers in Cardiac Surgery to Detect Acute Kidney InjuryR01HL085757 · NHLBI · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2007 to 2019
$10.3M
Multi-Omics and Chronic Kidney Disease: Correlation with HistologyR01DK108803 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Morgan Erika Grams, EUGENE P. RHEE · 2016 to 2026
$6.4M
Genomic Medicine Pilot For Hypertension And Kidney Disease In Primary CareU01HG007278 · NHGRI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HOROWITZ, CAROL R · 2013 to 2018
$5.7M
Plasminogen in glomerular disease progressionR01DK126477 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Kirk N Campbell · 2020 to 2026
$3.8M
North East Consortium for Transplant outcomes in APOL1 kidney Recipients (NECTAR) Clinical CenterU01DK116100 · NIDDK · WEILL MEDICAL COLL OF CORNELL UNIV · PI Darshana Dadhania, Samira Farouk · 2017 to 2026
$2.5M
Impact of Exercise on Kidney Function and Injury among Elders in the LIFE TrialR01DK115562 · NIDDK · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI COCA, STEVEN G, SHLIPAK, MICHAEL G · 2018 to 2020
$2.2M
Impact of early antiretroviral therapy on kidney disease outcomesR01DK112258 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WYATT, CHRISTINA M · 2017 to 2021
$2.1M
Linking the Effects of 9/11 to Kidney DiseaseU01OH011326 · OH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MCLAUGHLIN, MARY A · 2017 to 2019
$1.5M
Leveraging Clinical Trials of Diabetic Kidney Disease to Advance BiomarkersU01DK106962 · NIDDK · YALE UNIVERSITY · PI COCA, STEVEN G, PARIKH, CHIRAG R · 2015 to 2019
$1.3M
Improving risk prediction of adverse outcomes in hemodialysis patients by incorporating non-traditional risk factorsK23DK124645 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CHAN, LILI · 2021 to 2025
$952k
Risk Clustering and Stratification in Genetically High-Risk Individuals Using Electronic Medical Records and BiomarkersK23DK107908 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI NADKARNI, GIRISH NITIN · 2016 to 2020
$930k
CSRD VA IK2 CX001780NHGRI NIH HHS U01 HG007278NHGRI NIH HHS U01 HG009610NHLBI NIH HHS R01 HL085757NIDDK NIH HHS K23 DK107908NIDDK NIH HHS K23 DK124645NIDDK NIH HHS R01 DK108803NIDDK NIH HHS R01 DK112258NIDDK NIH HHS R01 DK115562NIDDK NIH HHS R01 DK126477NIDDK NIH HHS U01 DK106962NIDDK NIH HHS U01 DK116100NIOSH CDC HHS U01 OH011326
6 · The paper itself

Abstract

aimPredicting progression in diabetic kidney disease (DKD) is critical to improving outcomes. We sought to develop/validate a machine-learned, prognostic risk score (KidneyIntelX™) combining electronic health records (EHR) and biomarkers.

methodsThis is an observational cohort study of patients with prevalent DKD/banked plasma from two EHR-linked biobanks. A random forest model was trained, and performance (AUC, positive and negative predictive values [PPV/NPV], and net reclassification index [NRI]) was compared with that of a clinical model and Kidney Disease: Improving Global Outcomes (KDIGO) categories for predicting a composite outcome of eGFR decline of ≥5 ml/min per year, ≥40% sustained decline, or kidney failure within 5 years.

resultsIn 1146 patients, the median age was 63 years, 51% were female, the baseline eGFR was 54 ml min

conclusionsKidneyIntelX improved prediction of kidney outcomes over KDIGO and clinical models in individuals with early stages of DKD.

Indexed as

Electronic Health RecordsMachine LearningAdultAgedAged, 80 and overBiomarkersCohort StudiesDiabetic NephropathiesDisease ProgressionFemaleGlomerular Filtration RateHumansKidney Function TestsMaleMiddle AgedPredictive Value of TestsBiomarkersBiomarkersDiabetic kidney diseaseElectronic dataMachine learningPrediction

Identifiers

PMID33797560
PMCPMC8187208
OpenAlexW3140986464

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 OpenQuestion graph.