Evidence map›Paper›PMID 41563956›Full record

ArticlePloS one2026

A new survival prediction model and exploration of hemodialysis quality control indicators in incident hemodialysis patients.

Huaiwen Chang, Xuehui Sun, Jing Qian, Li Ni, Ping Cheng, Jun Shi, Chuhan Lu, Xiaofeng Wang, Mengjing Wang, Jing Chen

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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Huaiwen ChangDivision of Nephrology, Huashan Hospital, Fudan University, Shanghai, China.
Xuehui SunHuman Phenome Institute, Fudan University, Shanghai, China.
Jing QianDivision of Nephrology, Huashan Hospital, Fudan University, Shanghai, China.
Li NiDivision of Nephrology, Huashan Hospital, Fudan University, Shanghai, China.
Ping ChengDivision of Nephrology, Huashan Hospital, Fudan University, Shanghai, China.
Jun ShiDivision of Nephrology, Huashan Hospital, Fudan University, Shanghai, China.
Chuhan LuDivision of Nephrology, Huashan Hospital, Fudan University, Shanghai, China.
Xiaofeng WangHuman Phenome Institute, Fudan University, Shanghai, China.
Mengjing WangDivision of Nephrology, Huashan Hospital, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0003-4201-4534
Jing ChenDivision of Nephrology, Huashan Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and internally validate a Cox model predicting 1.5-year adverse outcomes (cardiovascular admission or all-cause mortality) in incident hemodialysis (HD) patients by integrating routinely recorded dialysis-machine parameters with traditional indicators.

methodsWe retrospectively analyzed 74 incident end-stage renal disease (ESRD) patients who commenced thrice-weekly HD at Huashan Hospital, Fudan University, between 2012 and 2018. A total of 83 candidate variables, including demographics, traditional indicators (Kt/V, phosphorus, parathyroid hormone [PTH], albumin, hemoglobin, ultrafiltration volume), and dialysis machine parameters, were evaluated. Univariable and multivariable Cox regression identified predictors of 1.5-year outcomes.

resultsThe mean (± SD) age of the study population was 62 ± 14 years, and 55.4% were male. Independent predictors included serum alkaline phosphatase (ALP) measured at month 3 and machine-derived bicarbonate conductivity (BC) at month 6. A model combining ALP (month 3), bicarbonate conductivity (month 6), and traditional indicators (month 6) showed strong discrimination (AUC = 0.82). Achieving targets in ≥5 of 8 indicators-including ALP and BC-was associated with significantly better outcomes (log-rank p = 0.018).

conclusionIntegrating ALP and machine-derived BC into a Cox model significantly improves risk stratification in incident HD patients and facilitates the implementation of automated quality control.

Indexed as

Kidney Failure, ChronicRenal DialysisAgedAlkaline PhosphataseBicarbonatesFemaleHumansMaleMiddle AgedParathyroid HormoneProportional Hazards ModelsQuality ControlRetrospective StudiesAlkaline PhosphataseBicarbonatesParathyroid Hormone

Identifiers

PMID41563956
PMCPMC12822944

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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.