Objective Malnutrition frequently complicates peritoneal dialysis (PD) and associates with adverse outcomes, underscoring the clinical importance of its timely identification. This study aimed to develop and internally validate a machine learning-based assessment model to identify PD patients currently at malnutrition risk who need nutritional intervention. Methods In this cross-sectional study, 144 PD patients were evaluated for malnutrition risk using the Patient-Generated Subjective Global As