Chen et al developed a scoring system for evaluating patients with acute renal allograft rejection treated by radiation. The authors are from the Foundation for Cancer Research and Education, University of Chicago, and Mt. Sinai Comprehensive Cancer Center at Miami Beach.
Parameters:
(1) gender
(2) HLA-DR match
(3) serum creatinine
(4) PRA maximum
|
Parameter |
Finding |
Points |
|
gender of the patient |
female |
0 |
|
|
male |
3 |
|
HLA-DR matches |
2 |
0 |
|
|
1 |
0 |
|
|
0 |
2 |
|
serum creatinine |
< 4 mg/dL |
0 |
|
|
4 – 7 mg/dL |
5 |
|
|
>= 8 mg/dL |
10 |
|
PRA maximum |
< 70% |
0 |
|
|
>= 70% |
4 |
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 19
• The higher the score the worse the prognosis.
|
Total Score |
Group |
Risk |
|
<= 3 |
I |
excellent |
|
4 – 6 |
II |
good |
|
7 – 11 |
III |
fair |
|
>= 12 |
IV |
poor |
Specialty: Nephrology, Clinical Laboratory
ICD-10: ,
