ArticleBMC gastroenterology2026
Risk factors and prediction model of renal dysfunction in patients with inflammatory bowel disease: a retrospective cohort study.
Article in BMC gastroenterology, 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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Abstract
backgroundPrevious studies have identified the association between inflammatory bowel disease (IBD) and its renal complications, but specific risk factors and predictive models remain underexplored.
aimsTo identify the risk factors for renal dysfunction in IBD patients and to develop a clinical model for the early detection of high-risk individuals.
methodsThis retrospective cohort study enrolled 769 patients diagnosed with IBD from a tertiary hospital for model training and internal validation, and 298 patients from four other hospitals for external validation. A Cox regression model incorporating seven selected variables, identified through LASSO regression, was developed to determine independent risk factors, and its performance was subsequently validated in both internal and external cohorts.
resultsMultivariate analysis identified seven independent predictors of renal insufficiency [estimated glomerular filtration rate (eGFR) < 90 mL/min/1.73 m
conclusionsPredictors of renal dysfunction in IBD patients included osteoporosis, eGFR, HDL, CRP, biologic therapy, enteral nutrition, and intestinal surgery. Our predictive model can effectively identify IBD populations at high risk for renal dysfunction at an early stage.
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