Researchers in France have developed a clinical screening score to identify elderly dialysis patients who are suitable for kidney transplant evaluation. The score identifies dialysis patients over 70 years old who have an acceptable long-term prognosis. Their findings were published online ahead of print in Kidney International.
Emmanuelle Dusseux et al. from CHU Nice used a logistic regression on the French national prospective registry to develop a risk score of mortality within three years in a derivation cohort of 9,305 patients. The researchers validated the findings in a separate cohort of 7,947 patients. Points were assigned for male sex, age, diabetes, intermittent hemodialysis, peripheral vascular disease, congestive heart failure, dysrhythmia, chronic respiratory disease, malignancy, behavioral disorder, cardiovascular disease, mobility, BMI, and temporary central vascular catheter. In the validation cohort, the probability of patients being alive within three years was around 70%, which represented approximately 20% of the patients.