Evidence map›Paper›PMID 40181057›Full record

ArticleScientific reports2025

Machine learning models to predict osteoporosis in patients with chronic kidney disease stage 3-5 and end-stage kidney disease.

Chia-Tien Hsu, Chin-Yin Huang, Cheng-Hsu Chen, Ya-Lian Deng, Shih-Yi Lin, Ming-Ju Wu

Abstract read
In one paragraph

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
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

6 authors.

Chia-Tien HsuDepartment of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, 407224, Taiwan.
Chin-Yin HuangDepartment of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, 407224, Taiwan. huangcy@thu.edu.tw.
Cheng-Hsu ChenDivision of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, 407219, Taiwan.
Ya-Lian DengCenter for Osteoporosis Prevention and Treatment, Taichung Veterans General Hospital, Taichung, 407219, Taiwan.
Shih-Yi LinSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, 112304, Taiwan.
Ming-Ju WuDivision of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, 407219, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic kidney disease-mineral bone disorder is a common complication in patients with chronic kidney disease (CKD) and end-stage kidney disease (ESKD), and it increases the risk of osteoporosis and fractures. This study aimed to develop predictive machine-learning (ML) models to identify osteoporosis risk in patients with CKD stages 3-5 and ESKD. We retrospectively analyzed a de-identified osteoporosis database from a Taiwanese hospital, including 6614 patients with CKD stages 3-5 and ESKD who underwent bone mineral density (BMD) scans between January 2011 and June 2022. Nine ML algorithms were applied to predict osteoporosis: logistic regression, XGBoost, LightGBM, CatBoost, SVM, decision tree, random forest, k-nearest neighbors, and an artificial neural network (ANN). The ANN model achieved the highest predictive performance, with an area under the curve (AUC) of 0.940 on the validation and 0.930 on the test datasets. The receiver operating characteristic curve, confusion matrix, and predictive probability histogram revealed that the ANN model performed well in terms of discrimination. Calibration and decision curve analyses further demonstrated the reliability and applicability of the ANN model. The ANN model demonstrated the potential for clinical implementation in screening high-risk patients for osteoporosis.

Indexed as

Kidney Failure, ChronicMachine LearningOsteoporosisRenal Insufficiency, ChronicAgedBone DensityFemaleHumansMaleMiddle AgedNeural Networks, ComputerRetrospective StudiesRisk FactorsROC CurveTaiwanBone mineral densityChronic kidney diseaseEnd-stage kidney diseaseMachine learningOsteoporosis

Identifiers

PMID40181057
PMCPMC11968914

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.