Evidence map›Paper›PMID 39039867›Full record

ArticleRenal failure2024

The prognostic value of the systemic immune inflammation index in patients with IgA nephropathy.

Yaling Zhai, Shuaigang Sun, Wenhui Zhang, Huijuan Tian

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Article in Renal failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

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9citing papers in PubMed, 1 pooled it
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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

Who cites it

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

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yaling ZhaiDepartment of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Shuaigang SunDepartment of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Wenhui ZhangDepartment of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Huijuan TianDepartment of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune and inflammatory factors are considered the basic underlying mechanisms of IgA nephropathy (IgAN). The systemic immune inflammation index (SII) is a new inflammatory biomarker and has been identified as a prognostic indicator for various diseases. However, limited studies have been conducted on the prognostic value of the SII in patients with IgAN, and we aimed to address this gap.

methodsA total of 374 patients with IgAN confirmed by renal biopsy performed from 1 January 2015 to 1 April 2019, were retrospectively included. The follow-up period of all patients was at least 12 months after diagnosis, and the endpoint was defined as end-stage kidney disease (ESKD). Patients were further divided into a high-risk group (SII ≥ 456.21) and a low-risk group (SII < 456.21) based on the optimal cutoff value of the SII determined by receiver operating characteristic (ROC) curve analysis. Baseline clinicopathological parameters were compared between the groups, and Cox proportional hazards analyses and Kaplan-Meier analysis were performed to assess renal survival in IgAN patients.

resultsAfter a median follow-up period of 32.5 months, a total of 53 patients eventually reached ESKD. Patients in the high-SII group tended to have a lower hemoglobin level (

conclusionA high SII was associated with more severe baseline clinical and pathological features, and an SII ≥456.21 was an independent risk factor for progression to ESKD in IgAN patients.

Indexed as

Glomerulonephritis, IGAKidney Failure, ChronicAdultBiomarkersBiopsyDisease ProgressionFemaleGlomerular Filtration RateHumansInflammationKaplan-Meier EstimateKidneyMalePrognosisProportional Hazards ModelsRetrospective StudiesBiomarkersend-stage kidney diseaseIgA nephropathyprognosissystemic immune inflammation index

Identifiers

PMID39039867
PMCPMC11268256

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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 OpenQuestion graph.