In Taiwan, Lu et al found that neoplasm, renal failure, shock, septicemia, and nonalcoholic liver disease are significantly associated with lower survival among PMV patients by using the National Health Insurance (NHI) system and governmental data on death registry.22 However, the information regarding disease severity, APACHE II scores, and actual clinical data such as albumin, are lacking in the NHI database. Here, ALB is linked to Renal insufficiency.