Evidence map›Paper›PMID 41630994›Full record

ArticleKidney medicine2026

Systematic Review and Meta-analysis of the Predictive Performance of Stroke and Bleeding Prediction Models in Atrial Fibrillation Patients With Kidney Disease.

Liselotte F S Langenhuijsen, Daniëlle C L Derksen, Jet Milders, Sabine F B van der Horst, Merel van Diepen, Serge A Trines, Paul L den Exter, Frederikus A Klok, Joris I Rotmans, Ype de Jong

Abstract read
In one paragraph

Article in Kidney medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Liselotte F S LangenhuijsenDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Daniëlle C L DerksenDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Jet MildersDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Sabine F B van der HorstDepartment of Thrombosis and Haemostasis, Leiden University Medical Center, Leiden, The Netherlands.
Merel van DiepenDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Serge A TrinesDepartment of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Paul L den ExterDepartment of Thrombosis and Haemostasis, Leiden University Medical Center, Leiden, The Netherlands.
Frederikus A KlokDepartment of Thrombosis and Haemostasis, Leiden University Medical Center, Leiden, The Netherlands.
Joris I RotmansDepartment of Internal Medicine (Nephrology), Leiden University Medical Center, Leiden, The Netherlands.
Ype de JongDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rationale & Objective: Patients with atrial fibrillation (AF) and chronic kidney disease (CKD) are at high risk for ischemic stroke (IS) and bleeding. The applicability of prediction models in this population remains debated. This study aimed to (1) identify external validations of CHA Study Design: Systematic review and meta-analysis. Setting & Participants: We searched Web of Science, PubMed, MEDLINE, Embase, Emcare, PMC, Cochrane Library, and Academic Search Premier for studies externally validating IS and bleeding prediction models in patients with AF undergoing dialysis or with CKD. Exposures: AF and CKD or dialysis. Outcomes: IS and bleeding. Analytical Approach: Eligible studies were reviewed, discrimination was pooled using random-effects meta-analysis, calibration was calculated and plotted, and the ROB score was assessed using the prediction model ROB assessment tool. Results: The CHA Limitations: All studies were at high ROB scores, contained within- and between-study heterogeneity, and often merged scoring categories or populations, limiting comparability. Conclusions: Although modest, the discrimination of prediction models in patients with AF undergoing dialysis or with CKD is similar to patients with AF without CKD. Despite the described limitations, these models can be used in clinical practice for patients with CKD and patients undergoing dialysis.

Indexed as

atrial fibrillationbiasbleedingdialysiskidney diseasePredictionrenal failurestroke

Identifiers

PMID41630994
PMCPMC12861232

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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.