Evidence map›Paper›PMID 40121274›Full record

ArticleScientific reports2025

Machine learning-based prediction of vesicoureteral reflux outcomes in infants under antibiotic prophylaxis.

Nooshin Tafazoli, Hooman Kamran, Roozbeh Bazargani, Mehrnoosh Samaei, Mitra Naseri, Abdol-Mohammad Kajbafzadeh

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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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3 · Its place in the literature

Who cites it

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

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4 · The record

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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

6 authors.

Nooshin Tafazoli *Pediatric Urology and Regenerative Medicine Research Center, Gene, Cell and Tissue Research Institute, Children's Medical Center, Tehran University of Medical Sciences, No.62, Dr. Gharib's Street, Keshavarz Boulevard, P.O. Box: 1419733151, Tehran, Iran.
Hooman Kamran *Pediatric Urology and Regenerative Medicine Research Center, Gene, Cell and Tissue Research Institute, Children's Medical Center, Tehran University of Medical Sciences, No.62, Dr. Gharib's Street, Keshavarz Boulevard, P.O. Box: 1419733151, Tehran, Iran.
Roozbeh Bazargani *Electrical and Computer Engineering Department, University of British Columbia, Vancouver, BC, Canada.
Mehrnoosh SamaeiDepartment of Emergency Medicine, Emory School of Medicine, Atlanta, GA, USA.
Mitra NaseriPediatric Nephrology Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Abdol-Mohammad KajbafzadehPediatric Urology and Regenerative Medicine Research Center, Gene, Cell and Tissue Research Institute, Children's Medical Center, Tehran University of Medical Sciences, No.62, Dr. Gharib's Street, Keshavarz Boulevard, P.O. Box: 1419733151, Tehran, Iran. kajbafzd@sina.tums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to investigate the independent outcome predictors of continuous antibiotic prophylaxis (CAP) in vesicoureteral reflux, train a model to predict the outcome, and evaluate which infants should be referred for endoscopic vesicoureteral reflux correction in their first visits. A total of 225 infants ≤ 2 years of age with a diagnosis of vesicoureteral reflux between 2009 and 2022 were recruited; 115 patients from a pediatric nephrology clinic received CAP, and 110 patients from a pediatric urology department underwent endoscopic injection of dextranomer/hyaluronic acid copolymer. In the multivariable analysis, only renal scarring and bladder dysfunction were significantly associated with post-treatment febrile urinary tract infections and/or renal scarring and vesicoureteral reflux persistence, respectively, in children who received CAP. The machine learning modeling showed that for both febrile urinary tract infections and/or renal scarring and vesicoureteral reflux persistence, the random forest was the best fit. On the other hand, we observed that the success rates of endoscopic injection among the patients with renal scarring and bladder dysfunction were acceptable. In conclusion, renal scarring and bladder dysfunction were predictors of vesicoureteral reflux outcomes when the infant was receiving CAP. Therefore, referring these patients to a urologist is advised during their first visits as they benefit from endoscopic injection.

Indexed as

Antibiotic ProphylaxisMachine LearningVesico-Ureteral RefluxAnti-Bacterial AgentsFemaleHumansHyaluronic AcidInfantInfant, NewbornMaleTreatment OutcomeUrinary Tract InfectionsAnti-Bacterial AgentsHyaluronic AcidDextranomer/hyaluronic acid copolymerEndoscopic injectionMachine learningUrinary tract infectionVesicoureteral reflux

Identifiers

PMID40121274
PMCPMC11929824

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