Evidence map›Paper›PMID 38671349›Full record

Observational studyBMC nephrology2024

Predicting chronic kidney disease progression with artificial intelligence.

Mario A Isaza-Ruget, Nancy Yomayusa, Camilo A González, Catherine Alvarado H, Fabio A de Oro V, Andrés Cely, Jossie Murcia, Abel Gonzalez-Velez, Adriana Robayo, Claudia C Colmenares-Mejía and 2 more

Abstract readObservational Study
In one paragraph

Observational study in BMC nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Managing maternity: Moving care, not patients, using artificial intelligence (AI), internet-of-things (IOT) and point-of-care testing (POCT) devices.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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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

12 authors.

Mario A Isaza-RugetPathology and clinical laboratory. INPAC research group. Clinica Colsanitas. Keralty group, Fundación Universitaria Sanitas, Bogotá, Colombia.ORCID 0000-0003-0243-9263
Nancy YomayusaSpecialist in Internal Medicine and Nephrology, Keralty Global Institute of Clinical Excellence, Unisanitas Translational Research Group, Bogotá, Colombia.ORCID 0000-0003-2886-8146
Camilo A GonzálezSpecialist in Internal Medicine and Nephrology, Unisanitas Translational Research Group. Renal Unit. Clinica Colsanitas, Bogotá, Colombia.ORCID 0000-0001-8213-4595
Catherine Alvarado HClinical pathologist. Clinica Colsanitas, Bogotá, Colombia.
Fabio A de Oro VInternal Medicine resident, Fundación Universitaria Sanitas, Bogotá, Colombia.ORCID 0000-0001-9701-8212
Andrés CelyHealth Management Institute, Fundación Universitaria Sanitas, Bogotá, Colombia.ORCID 0000-0002-7579-2597
Jossie MurciaHealth Management Institute, Fundación Universitaria Sanitas, Bogotá, Colombia.ORCID 0000-0003-0833-4876
Abel Gonzalez-VelezAdjunct Physician in Preventive Medicine and Public Health at the Maternal and Child, Insular University Hospital Complex, Las Palmas de Gran Canaria, Spain.ORCID 0000-0001-6459-8919
Adriana RobayoSpecialist in Internal Medicine and Nephrology, Institute for Health Technology Assessment (IETS), Bogotá, Colombia.ORCID 0000-0001-6895-4992
Claudia C Colmenares-MejíaClinical Epidemiology, Research Unit. INPAC research group, Fundación Universitaria Sanitas, Bogotá, Colombia. cccolmenaresm@unisanitas.edu.co.ORCID 0000-0003-1847-4282
Andrea CastilloEvaluation and Knowledge Management. EPS Sanitas, Bogotá, Colombia.ORCID 0000-0003-0828-205X
María I CondeSpecialist in Medical Law and Global Health Diplomacy, MSc Public Health, EPS Sanitas, Bogotá, Colombia.ORCID 0000-0001-7866-1800

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of tools that allow estimation of the probability of progression of chronic kidney disease (CKD) to advanced stages has not yet achieved significant practical importance in clinical setting. This study aimed to develop and validate a machine learning-based model for predicting the need for renal replacement therapy (RRT) and disease progression for patients with stage 3-5 CKD.

methodsThis was a retrospective, closed cohort, observational study. Patients with CKD affiliated with a private insurer with five-year follow-up data were selected. Demographic, clinical, and laboratory variables were included, and the models were developed based on machine learning methods. The outcomes were CKD progression, a significant decrease in the estimated glomerular filtration rate (eGFR), and the need for RRT.

resultsThree prediction models were developed-Model 1 (risk at 4.5 years, n = 1446) with a F1 of 0.82, 0.53, and 0.55 for RRT, stage progression, and reduction in the eGFR, respectively,- Model 2 (time- to-event, n = 2143) with a C-index of 0.89, 0.67, and 0.67 for RRT, stage progression, reduction in the eGFR, respectively, and Model 3 (reduced Model 2) with C-index = 0.68, 0.68 and 0.88, for RRT, stage progression, reduction in the eGFR, respectively.

conclusionThe time-to-event model performed well in predicting the three outcomes of CKD progression at five years. This model can be useful for predicting the onset and time of occurrence of the outcomes of interest in the population with established CKD.

Indexed as

Artificial IntelligenceDisease ProgressionGlomerular Filtration RateRenal Insufficiency, ChronicRenal Replacement TherapyAdultAgedCohort StudiesFemaleHumansMachine LearningMaleMiddle AgedRetrospective StudiesArtificial intelligenceMachine learningPredictionRenal insufficiencyRenal replacement therapy

Identifiers

PMID38671349
PMCPMC11055348

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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 OpenQuestion graph.