Diabetes complications

A Novel Kidney Failure Prediction Model in Individuals With Chronic Kidney Disease (CKD): Impact of Serum Bilirubin Levels

J Clin Endocrinol MetabPublished Prognostic model development and validation study

Authors' conclusion

Serum bilirubin levels were strong predictors for the progression of CKD to ESKD. Our novel model that incorporates serum bilirubin levels could accurately predict ESKD in individuals with CKD.

Study context

Population
Individuals with CKD (15 ≤ eGFR < 60 mL/min/1.73 m²) followed at Kyushu University Hospital, Japan, 2008–2018development cohort
Participants
4,103 individuals
Outcome
Incident ESKD (eGFR < 15 mL/min/1.73 m², chronic dialysis, or renal transplantation)
Methodological detailsdevelopment and validation cohorts, single-centre development cohort
  • Development and validation cohorts
  • Single-centre development cohort

Performance

As reported in the abstract

ESKD prediction model

Cox model selected, in order of importance: eGFR, serum bilirubin, proteinuria, age, diabetes, gender, hypertension, serum albumin, hemoglobin

9 variables

Validation cohort 2-year AUC

0.943

Validation cohort 5-year AUC

0.935

Further findings

Progression to end-stage kidney disease (ESKD) · mean follow-up 7.0 ± 4.2 years

Progressed to ESKD
489 (11.9%)

Original publication

A Novel Kidney Failure Prediction Model in Individuals With CKD: Impact of Serum Bilirubin Levels. J Clin Endocrinol Metab. Published 24 June 2024. doi:10.1210/clinem/dgae430

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