Evidence map›Paper›PMID 42323445›Full record

ArticleNPJ digital medicine2026

Interpretable machine learning model for predicting kidney failure among CAKUT children in multicenter large-scale study.

Tianyi Liu, Helin Wang, Jialu Liu, Xinyuan Zhao, Yilan Xia, Xiaowen Wang, Yulin Kang, Cuihua Liu, Xiaojie Gao, Xiaoyun Jiang and 17 more

Abstract read
In one paragraph

Article in NPJ digital 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

27 authors.

Tianyi Liu *Department of Nephrology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Helin Wang *Shanghai Key Lab of Intelligent Information Processing, College of Computer Science and Artificial Intelligence, Fudan University, Shanghai, China.
Jialu Liu *Department of Nephrology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Xinyuan ZhaoShanghai Key Lab of Intelligent Information Processing, College of Computer Science and Artificial Intelligence, Fudan University, Shanghai, China.
Yilan XiaDepartment of Epidemiology, Ministry of Education Key Laboratory of Public Health Safety, School of Public Health, Fudan University, Shanghai, China.
Xiaowen WangDepartment of Nephrology and Rheumatology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yulin KangDepartment of Nephrology, Shanghai Children's Hospital, Shanghai, China.
Cuihua LiuDepartment of Nephrology and Rheumatology, Children's Hospital Affiliated to Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital, Zhengzhou, China.
Xiaojie GaoDepartment of Nephrology, Shenzhen Children's Hospital, Shenzhen, China.
Xiaoyun JiangDepartment of Pediatric, First Affiliated Hospital of Zhongshan University, Guangzhou, China.
Jianhua MaoDepartment of Nephrology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yufeng LiDepartment of Pediatric Nephrology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Aihua ZhangDepartment of Nephrology, Children's Hospital of Nanjing Medical University, Nanjing, China.
Mo WangDepartment of Nephrology and Rheumatology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Haitao BaiDepartment of Pediatric, First Affiliated Hospital of Xiamen University, Xiamen, China.
Tong ShenDepartment of Pediatrics, Xiamen Maternal and Child Health Hospital, Xiamen, China.
Xiqiang DangDepartment of Pediatrics, Second Xiangya Hospital, Central South University, Changsha, China.
Dexuan WangDepartment of Pediatrics, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Ruifeng ZhangDepartment of Nephrology and Rheumatology, Xuzhou Children's Hospital, Xuzhou, China.
Yihan LuDepartment of Epidemiology, Ministry of Education Key Laboratory of Public Health Safety, School of Public Health, Fudan University, Shanghai, China.
Qian ShenDepartment of Nephrology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Sheng NieState Key Laboratory of Multiorgan Injury Prevention and Treatment, Guangdong Provincial Key Laboratory of Renal Failure Research, Division of Nephrology, National Clinical Research Center for Kidney Disease, Guangdong Provincial Institute of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. niesheng0202@126.com.
Yang ChenShanghai Key Lab of Intelligent Information Processing, College of Computer Science and Artificial Intelligence, Fudan University, Shanghai, China. chenyang@fudan.edu.cn.
Hong XuDepartment of Nephrology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China. hxu@shmu.edu.cn.
Yihui ZhaiDepartment of Nephrology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China. yhzhai@fudan.edu.cn.
CCGKDD study investigators
CRDS study investigators

Funding

China Kidney Disease Big Data Collaboration Network Open Research Program CRDS-004016Fudan University Medicine-Engineering Collaboration Program yg-2025-general-07Shanghai Municipal Education Commission Program on AI for Transforming Academic Research Paradigms 24RGZNB05The Medicine-X Innovation Team Incubation Program at the Children's Hospital of Fudan University EKYX202413The National Key Research and Development Program 2021YFC2500202
6 · The paper itself

Abstract

Congenital anomalies of the kidney and urinary tract (CAKUT) are the leading cause of pediatric kidney failure, but predicting individual progression remains challenging. This multicenter study developed and validated POCC, a machine learning model for predicting kidney failure risk at 1, 3, and 5 years post-diagnosis in CAKUT patients. Two versions were created using data from 2249 children. The general model achieved internal AUCs of 0.93-0.99 and external AUCs of 0.89-0.98 and 0.81-0.90 in two independent validations at pediatric and general hospitals, respectively. The specialized model, integrating congenital-hereditary features, achieved internal AUCs of 0.93-0.99 and external AUCs of 0.91-0.96 in pediatric hospitals. Deployed online, POCC demonstrated 90.7% accuracy in real-world validation. As the first tool for multi-timepoint risk prediction across diverse CAKUT subphenotypes per patient, POCC has strong potential to support personalized management.

Identifiers

PMID42323445
PMCPMC13642334

What OpenQuestion holds

Textmetadata
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.