BMC NephrologyPub Date : 2025-09-02DOI: 10.1186/s12882-025-04436-1
Marah Hunjul, Diana Owda, Bayan Sawaid, Heba Saadeh, Ahmad Enaya, Zakaria Hamdan, Zaher Nazzal
{"title":"Exploring the relationship between intravenous iron therapy and troponin T levels in hemodialysis patients: a cross-sectional study.","authors":"Marah Hunjul, Diana Owda, Bayan Sawaid, Heba Saadeh, Ahmad Enaya, Zakaria Hamdan, Zaher Nazzal","doi":"10.1186/s12882-025-04436-1","DOIUrl":"10.1186/s12882-025-04436-1","url":null,"abstract":"","PeriodicalId":9089,"journal":{"name":"BMC Nephrology","volume":"26 1","pages":"510"},"PeriodicalIF":2.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144942478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and validation of a nomogram for predicting hyperphosphatemia in non-dialysis patients with chronic kidney disease.","authors":"Xianhui Zhao, Caiyun Zheng, Qitong Su, Dongli Lu, Shiqin Wu, Zhenghua Jiang, Zhaochun Wu","doi":"10.1186/s12882-025-04445-0","DOIUrl":"10.1186/s12882-025-04445-0","url":null,"abstract":"<p><strong>Background: </strong>Elevated serum phosphate levels are strongly associated with an increased risk of all-cause mortality in patients with chronic kidney disease (CKD). The aim of this study was to identify independent risk factors for hyperphosphatemia in patients with non-dialysis CKD and use the findings to develop and validate a predictive model for assessing hyperphosphatemia risk.</p><p><strong>Methods: </strong>Data of patients with CKD discharged from the Department of Nephrology between January 2021 and December 2023 were retrospectively analyzed. Potential predictors were screened from an array of clinical variables using least absolute shrinkage and selection operator regression in conjunction with 10-fold cross-validation. A multivariate logistic regression model was constructed to identify independent risk factors for predicting hyperphosphatemia. The C-index, receiver operating characteristic curve, calibration curve, and decision curve analysis were used to evaluate model predictive power, discriminability, accuracy, and clinical utility. Internal validation was implemented through a comparison of results from a validation set and the entire dataset.</p><p><strong>Results: </strong>This study included 216 patients, with 134 (62.04%) individuals who developed hyperphosphatemia. Logistic regression revealed that hemoglobin, blood urea nitrogen, serum creatinine, and parathyroid hormone were independently correlated with hyperphosphatemia. The nomogram C-index was 0.916 (95% confidence interval [CI]: 0.872-0.961). The model demonstrated excellent discriminative ability in the independent validation set (area under the curve [AUC] = 0.953, 95% CI: 0.909-0.998), with the full dataset analysis showing concordant results (AUC = 0.923, 95% CI: 0.889-0.958). The decision and clinical impact curves showed the clinical value of our nomogram for patients with CKD and hyperphosphatemia.</p><p><strong>Conclusions: </strong>The nomogram model was highly accurate in identifying CKD subpopulations at an elevated risk of serum phosphorus metabolic disorders. Our model can be utilized for prospective monitoring and preventive intervention. Furthermore, through individualized risk assessments, the model can contribute to the development of customized treatment strategies that have the potential to markedly improve long-term prognosis.</p>","PeriodicalId":9089,"journal":{"name":"BMC Nephrology","volume":"26 1","pages":"512"},"PeriodicalIF":2.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144942443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC NephrologyPub Date : 2025-09-01DOI: 10.1186/s12882-025-04437-0
Charalampos Kapogiannis, Anastasios Kapogiannis, Diagoras Zarganis, Harikleia Gakiopoulou, Andreas Fretzayas
{"title":"Atypical presentation of post-streptococcal glomerulonephritis in a child with genetically confirmed susceptibility to C3-glomerulopathy: a case report and brief review of the literature.","authors":"Charalampos Kapogiannis, Anastasios Kapogiannis, Diagoras Zarganis, Harikleia Gakiopoulou, Andreas Fretzayas","doi":"10.1186/s12882-025-04437-0","DOIUrl":"10.1186/s12882-025-04437-0","url":null,"abstract":"","PeriodicalId":9089,"journal":{"name":"BMC Nephrology","volume":"26 1","pages":"505"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144942210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC NephrologyPub Date : 2025-09-01DOI: 10.1186/s12882-025-04111-5
Chih-Ying Chien, Ming-Tsun Tsai, Jinn-Yang Chen, Chiao-Lin Chuang, Jiu-Yun Tian, Hsin-Ling Tai, Chih-Ching Lin, Szu-Yuan Li
{"title":"Encapsulating peritoneal sclerosis outcomes: a retrospective study on the significance of nutritional parameter variations.","authors":"Chih-Ying Chien, Ming-Tsun Tsai, Jinn-Yang Chen, Chiao-Lin Chuang, Jiu-Yun Tian, Hsin-Ling Tai, Chih-Ching Lin, Szu-Yuan Li","doi":"10.1186/s12882-025-04111-5","DOIUrl":"10.1186/s12882-025-04111-5","url":null,"abstract":"<p><strong>Background: </strong>Encapsulating peritoneal sclerosis (EPS) can result in abdominal organ encasement, and bowel obstruction, and is associated with a high mortality rate. While various risk factors have been identified for the development of EPS, the factors influencing patient outcomes in EPS are less well-studied. This study aims to investigate the prognostic factors that affect the clinical course and survival of EPS patients.</p><p><strong>Methods: </strong>In this retrospective study, we examined a cohort of 1406 peritoneal dialysis (PD) patients over an 18-year study period. Among them, 35 individuals were diagnosed with EPS. We collected data encompassing demographic characteristics, comorbidities, PD-related parameters, clinical symptoms, computed tomography scores, laboratory results, and treatment modalities. The survival analysis incorporated both univariate and multivariate Cox regression models, as well as the Kaplan-Meier method.</p><p><strong>Results: </strong>Patients with EPS exhibited a spectrum of clinical symptoms, with intestinal obstruction occurring in 88.6% and ultrafiltration failure in 42.9%. The five-year survival rate was 26.3%, and malnutrition and gastrointestinal infections contributed to three-fourths of the deaths. A notable finding was the one-month drop in albumin levels as a marker of ongoing malabsorption, demonstrating its predictive value for both overall (HR 2.01, p = 0.042) and EPS-related (HR 2.79, p = 0.017) mortality.</p><p><strong>Conclusions: </strong>This study emphasizes the crucial role of monitoring the one-month albumin drop after EPS diagnosis, providing valuable insights for the improvement of clinical management and patient care.</p>","PeriodicalId":9089,"journal":{"name":"BMC Nephrology","volume":"26 1","pages":"509"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144942446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC NephrologyPub Date : 2025-09-01DOI: 10.1186/s12882-025-04433-4
Eric Frazier, Ryan Sabour, Matthew D Nguyen, Dao Le, Ramy Hanna
{"title":"Novel WT1 and ACTN4 co-mutations in a patient with Denys-Drash syndrome and an atypical, potentially attenuated presentation of nephropathy: a case report.","authors":"Eric Frazier, Ryan Sabour, Matthew D Nguyen, Dao Le, Ramy Hanna","doi":"10.1186/s12882-025-04433-4","DOIUrl":"10.1186/s12882-025-04433-4","url":null,"abstract":"","PeriodicalId":9089,"journal":{"name":"BMC Nephrology","volume":"26 1","pages":"508"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144942531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}