Kidney Failure Risk Equation predictive tool to improve predialysis patient management?
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Fecha
2025
Autores
Cristiano, Fabrizio
Ramírez-Acosta, Julián Camilo
Rosa-Diez, Guillermo
Aroca-Martinez, Gustavo
Guido Musso, Carlos
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Società Italiana di Nefrologia
Resumen
The Kidney Failure Risk Equation (KFRE) is a predictive tool that estimates the risk of progression to end stage renal disease (ESKD) in patients with chronic kidney disease (CKD). This study evaluated the
systematic implementation of KFRE in our nephrology center to improve the management of pre-dialysis
patients. Through the analysis of 100 patients followed in the pre-dialysis pathway in the last 36 months,
we observed a significant reduction in the initiation of dialysis in late referral mode, a lower use of
temporary central venous catheters and an increase in timely preparation of vascular or peritoneal
access. The comparison with historical pre-implementation data (2017-2020) highlighted an
improvement in clinical organization and patient awareness in the choice of dialysis modality. The KFRE
has proven to be a valid tool for risk stratification, optimizing the timing of renal replacement therapy
and improving the allocation of healthcare resources. The integration of KFRE into clinical practice could
represent a step towards precision nephrology, promoting more informed and personalized therapeutic
decisions.
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KFRE
