Evidence map›Paper›PMID 40156016›Full record

ArticleEuropean journal of medical research2025

Machine learning-based risk prediction model for arteriovenous fistula stenosis.

Peng Shu, Ling Huang, Shanshan Huo, Jun Qiu, Haitao Bai, Xia Wang, Fang Xu

Abstract read
In one paragraph

Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

7 authors.

Peng ShuThe Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No.26, Shengli Street, Jiang'an District, Wuhan, Hubei, China. 312855784@qq.com.ORCID http://orcid.org/0000-0001-8945-8402
Ling HuangThe Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No.26, Shengli Street, Jiang'an District, Wuhan, Hubei, China.
Shanshan HuoThe Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No.26, Shengli Street, Jiang'an District, Wuhan, Hubei, China.
Jun QiuThe Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No.26, Shengli Street, Jiang'an District, Wuhan, Hubei, China.
Haitao BaiThe Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No.26, Shengli Street, Jiang'an District, Wuhan, Hubei, China.
Xia WangThe Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No.26, Shengli Street, Jiang'an District, Wuhan, Hubei, China.
Fang XuThe Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No.26, Shengli Street, Jiang'an District, Wuhan, Hubei, China.

Funding

Chen Xiaoping Foundation for the development of science and technology of Hubei province CXPJJH124001-2404
6 · The paper itself

Abstract

backgroundArteriovenous fistula stenosis is a common complication in hemodialysis patients, yet effective predictive tools are lacking. This study aims to develop an interpretable machine learning model for stenosis risk prediction.

methodsClinical data from 974 patients (55 features) undergoing arteriovenous fistula dialysis at The Central Hospital of Wuhan (2017-2024) were analyzed retrospectively. The dataset was split into training (70%) and test (30%) sets. Seven models-Random Forest, XGBoost, Support Vector Machine, Logistic Regression, K-Nearest Neighbors, Artificial Neural Network, and Decision Tree-were trained. Performance was evaluated using F1 score, accuracy, specificity, precision, recall, and AUC-ROC. SHAP values identified key predictors in the optimal model.

resultsXGBoost achieved the highest AUC (0.829, 95% CI 0.785-0.880). SHAP analysis highlighted seven critical predictors: number of surgeries, prothrombin time activity, lymphocyte count, fistula duration, triglycerides, vitamin B12, and C-reactive protein.

conclusionThe XGBoost model effectively predicts arteriovenous fistula stenosis risk using clinical data. SHAP explanations enhance clinical interpretability, aiding personalized care strategies.

Indexed as

Arteriovenous FistulaArteriovenous Shunt, SurgicalMachine LearningRenal DialysisAdultAgedConstriction, PathologicFemaleHumansMaleMiddle AgedNeural Networks, ComputerRetrospective StudiesRisk AssessmentRisk FactorsArteriovenous fistulaComplicationsMachine learningPredictive modelingStenosis

Identifiers

PMID40156016
PMCPMC11954292

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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.