Pediatric rheumatology

Risk prediction models for renal injury in children with immunoglobulin A (IgA) vasculitis: a systematic review and meta-analysis

Pediatr Rheumatol Online JPublished Systematic review and meta-analysis of observational studies

Authors' conclusion

In spite of the fact that the renal injury prediction model was found to be somewhat predictive in children with IgAV, all of them had a high risk of bias according to the PROBAST checklist.

Study context

Population
Studies on the construction of predictive models for renal injury in children with IgA vasculitis (IgAV)11 studies
Outcome
Pooled AUC of renal injury prediction models
Methodological detailsPROBAST risk-of-bias assessment, Most common predictors: age, recurrent or persistent purpura, IgA, D-dimer, serum albumin
  • PROBAST risk-of-bias assessment
  • Most common predictors: age, recurrent or persistent purpura, IgA, D-dimer, serum albumin

Pooled result

As reported in the abstract

Pooled AUC of five models

Pooled AUC (95% CI: 0.80-0.92), good predictive power

0.86

Further pooled results

Renal injury incidence across included studies

Renal injury incidence
26.7-63.8%
Sample sizes ranged
155 to 583

Risk of bias (PROBAST)

Good overall applicability, but all studies highly biased (inadequate data sources, poor reporting of analysis)

Original publication

Risk prediction models for renal injury in children with IgA vasculitis: a systematic review and meta-analysis. Pediatr Rheumatol Online J. Published 28 July 2025. doi:10.1186/s12969-025-01120-4

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