External validation of the international IgA nephropathy prediction tool in a Thai cohort - Report - MDSpire

External validation of the international IgA nephropathy prediction tool in a Thai cohort

  • By

  • Atthaphong Phongphithakchai

  • Attamon Thongrueang

  • Thatsaphan Srithongkul

  • Sukit Raksasuk

  • Fumitaka Kawakami

  • Aman Tedasen

  • Moragot Chatatikun

  • June 18, 2026

  • 0 min

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Clinical Report: Validation of the International IgA Nephropathy Prediction Tool

Overview

This study externally validated the International IgA Nephropathy Prediction Tool (IIgANPT) in a Thai cohort, demonstrating good discrimination and effective risk stratification for kidney outcomes. Both model versions, with and without the race variable, performed similarly in predicting progression to end-stage renal disease.

Background

IgA nephropathy (IgAN) is the most prevalent primary glomerulonephritis globally and a significant cause of chronic kidney disease. Accurate risk stratification is crucial for managing IgAN due to its heterogeneous clinical course. The IIgANPT was developed to aid in prognostication, but external validation in diverse populations is necessary to confirm its applicability.

Data Highlights

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Key Findings

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Clinical Implications

The validation of the IIgANPT in a Thai population supports its use in clinical practice for predicting kidney outcomes in IgAN. Clinicians can rely on this tool for effective risk stratification, which is essential for guiding treatment decisions and patient management.

Conclusion

The IIgANPT is a reliable tool for predicting kidney disease progression in Thai patients with IgAN, demonstrating effective risk stratification and good discrimination. Further validation in diverse populations will enhance its applicability in clinical settings.

Related Resources & Content

  1. KDIGO, KDIGO 2025 Clinical Practice Guideline for the Management of Immunoglobulin A Nephropathy (IgAN) and Immunoglobulin A Vasculitis (IgAV), 2025 -- Guideline Framework and Risk Assessment
  2. External Validation of the Post-Biopsy International IgA Nephropathy Prediction Tool Models over Extended Follow-Up in an Asian Cohort, Kidney Diseases, 2023 -- External Validation Study
  3. Journal of Crohn's and Colitis — Development and validation of a risk prediction tool for the diagnosis of inflammatory bowel disease in patients presenting in primary care with abdominal symptoms
  4. Clinical Rheumatology — A straightforward machine learning-based scoring system forecasts resistance to intravenous immunoglobulin in Kawasaki disease
  5. Frontiers in Medicine — Early risk prediction model for intra-abdominal hypertension in adult ICU patients: a prospective cohort study
  6. The Journal of Clinical Endocrinology & Metabolism — A New Predictive Model for Kidney Failure in Chronic Kidney Disease Patients: The Role of Serum Bilirubin Concentrations
  7. KDIGO 2025 Clinical Practice Guideline for the Management of Immunoglobulin A Nephropathy (IgAN) and Immunoglobulin A Vasculitis (IgAV)
  8. External Validation of the Post-Biopsy International IgA Nephropathy Prediction Tool Models over Extended Follow-Up in an Asian Cohort | Kidney Diseases | Karger Publishers

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