Chinese Journal of Blood Purification ›› 2026, Vol. 25 ›› Issue (05): 424-429.doi: 10.3969/j.issn.1671-4091.2026.05.013

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Machine learning-based prediction of mortality risk in patients with chronic kidney disease: a systematic review

SHEN Si-si, HE Li, ZHANG Ying-jun, CHEN Lin   

  1. Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University; West China School of Nursing, Sichuan University, Chengdu 610041, China
  • Received:2025-08-04 Revised:2026-01-02 Online:2026-05-12 Published:2026-05-12
  • Contact: 610041 成都,1四川大学华西医院肾脏内科血液透析室/四川大学华西护理学院 E-mail:hxxuetou@163.com

Abstract: Objective  The purpose of this article was to analyze the existing evidence on the application of machine learning-based chronic kidney disease mortality risk prediction models in chronic kidney disease-related fields.  Methods  Literature search was conducted using subject words combined with free words in six databases: Wanfang Medicine, China National Knowledge Infrastructure, VIP, Pubmed, Embase, and Web of Science. The included articles contain one or more prediction models based on artificial intelligence.  Result  A total of 918 articles were retrieved, and ultimately 15 articles were included in the analysis. The usage rate of artificial intelligence-based risk prediction models (random forest, support vector machine, and extreme gradient boosting) was the highest (n=11, 73.3%), and the performance of this type of risk prediction model was better. Among them, the AUCs of the extreme gradient boosting models were all greater than 0.8 (95% CI: 0.768~0.832).  Conclusion Prediction models based on machine learning are generally better than traditional prediction methods in predicting death risk in patients with chronic kidney disease.

Key words: Chronic kidney disease, Machine learning, Artificial intelligence, Mortality risk, Predictive modelling

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