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Kidney Failure Risk Equation predictive tool to improve predialysis patient management?

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datacite.rightshttp://purl.org/coar/access_right/c_abf2
dc.contributor.authorCristiano, Fabrizio
dc.contributor.authorRamírez-Acosta, Julián Camilo
dc.contributor.authorRosa-Diez, Guillermo
dc.contributor.authorAroca-Martinez, Gustavo
dc.contributor.authorGuido Musso, Carlos
dc.date.accessioned2025-07-07T16:01:51Z
dc.date.available2025-07-07T16:01:51Z
dc.date.issued2025
dc.description.abstractThe 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.eng
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.69097/42-03-2025-08
dc.identifier.issn17245990
dc.identifier.urihttps://hdl.handle.net/20.500.12442/16803
dc.identifier.urlhttps://giornaleitalianodinefrologia.it/2025/06/42-03-2025-08/
dc.language.isoeng
dc.publisherSocietà Italiana di Nefrologiaspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationaleng
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceGiornale Italiano di Nefrologiaeng
dc.sourceG Ital Nefroleng
dc.sourceVol. 3  No. 42, (2025)spa
dc.subjectKFREspa
dc.subject.keywordsKFREeng
dc.subject.keywordsCKDeng
dc.subject.keywordsVascular accesseng
dc.subject.keywordsPeritoneal accesseng
dc.titleKidney Failure Risk Equation predictive tool to improve predialysis patient management?spa
dc.type.driverinfo:eu-repo/semantics/article
dc.type.spaArtículo científico
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