Description

Hemke et al reported a model for predicting survival of a patient starting renal replacement therapy. The authors are from the Dutch Transplant Foundation, Dutch Renal Replacement Registry, Leiden University, Erasmus Medical Centre and University Medical Center Nijmegen in The Netherlands.


Patient selection: end-stage renal disease starting renal replacement therapy

 

Parameters:

(1) primary renal disease

(2) renal replacement therapy at 90 days

(3) sex

(4) age in years

 

Parameter

Finding

Points

primary renal disease

glomerulonephritis

0

 

cystic kidney disease

-0.28

 

renal vascular disease

0.331

 

diabetes

0.767

 

other

0.407

 

unknown type

0.296

renal replacement therapy

hemodialysis

0

 

peritoneal dialysis

-0.131

 

renal transplant

-1.634

sex

female

0

 

male

0.067

age in years

 

0.054 * (age)

 

X =

= SUM(points for all of the parameters)

 

survival of the patient in percent at a given point in time =

= EXP((-1) * (time factor) * EXP(X))

 

Time

Factor

1 year

0.0030366

2 years

0.0062358

3 years

0.0099612

4 years

0.0137251

5 years

0.0171945

6 years

0.0210067

7 years

0.0244553

8 years

0.0277822

9 years

0.0310577

10 years

0.0333078

 


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