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This 8 variable calculator accurately predicts the 5 year probability of treated kidney failure (dialysis or transplantation) for a potential patient with CKD Stage 3 to 5.

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Use Cases Limitations Evidence Owner's Insight

1. Clinical Decision Support

Target Users: Healthcare providers, including nephrologists, primary care physicians, and nurse practitioners.

Scenario: A healthcare provider is assessing a patient with chronic kidney disease (CKD). By inputting the patient’s clinical and lab data into the app, the provider can quickly receive a pre-calculated kidney failure risk score. This insight can guide clinical decisions, such as the need for further diagnostic tests, referral to a nephrologist, or adjustments in treatment plans.

2. Patient Education and Empowerment

Target Users: Patients and their caregivers.

Scenario: Patients with CKD can use the app to better understand their condition and the factors that influence their risk of kidney failure. By entering their personal health data, patients can visualize their risk category, fostering informed discussions with their healthcare providers about lifestyle changes, medication adherence, and other preventive measures.

3. Healthcare Management and Monitoring

Target Users: Integrated Care Teams, including case managers and health coaches.

Scenario: Care management teams can integrate this calculator into their regular follow-ups with CKD patients. By regularly updating patient data and monitoring risk scores, healthcare teams can tailor individualized care plans and proactively manage the progression of kidney disease, avoiding late-stage complications.

4. Research and Epidemiological Studies

Target Users: Medical researchers and epidemiologists.

Scenario: Researchers can use this tool for cohort studies to evaluate the progression of CKD in different populations. By collecting risk scores from various patients over time, they can identify trends, validate the predictive model, and propose new interventions or public health policies based on empirical risk data.

5. Telehealth and Remote Consultations

Target Users: Telehealth service providers, remote clinicians.

Scenario: In a telehealth setting, clinicians can utilize the app during virtual consultations with CKD patients. The app enables them to quickly assess the patient’s risk without the need for a physical visit, facilitating timely interventions and remote care management.

6. Preventive Health Programs

Target Users: Public health officials, community health workers.

Scenario: Public health initiatives aimed at preventing the progression of CKD can incorporate this risk calculator as part of their screening programs. Community health workers can use the app during health campaigns to educate at-risk populations and provide them with personalized risk assessments.

7. Medical Education and Training

Target Users: Medical students, residents, and healthcare trainees.

Scenario: Medical educators can integrate this calculator into their teaching curriculum to train students on the complexities of CKD management. Students can use the app to simulate patient cases and understand how various factors contribute to kidney failure risk.

8. Insurance and Health Policy Assessment

Target Users: Health insurance companies, policy makers.

Scenario: Actuaries and underwriters in health insurance can use the risk scores to evaluate the potential future healthcare costs associated with CKD patients. This data can influence coverage plans, premiums, and the development of CKD management programs.

9. Chronic Disease Management Programs

Target Users: Program coordinators, healthcare organizations.

Scenario: Organizations running chronic disease management programs can adopt this app to better stratify patients based on risk and prioritize resources effectively. High-risk patients may receive more intensive interventions and closer monitoring.

Conclusion

By addressing a need in multiple healthcare scenarios, the Kidney Failure Risk Calculator facilitates informed decision-making, enhances patient engagement, and supports proactive disease management. Its integration into various healthcare settings can lead to improved patient outcomes and more efficient allocation of healthcare resources.

Formulated and initially tested on data from patients in nephrology clinics, its effectiveness may be restricted when applied to individuals in acute states of illness.

Each variable is assigned points based on the following paper: 

Tangri, N., Stevens, L. A., Griffith, J., Tighiouart, H., Djurdjev, O., Naimark, D., Levin, A., & Levey, A. S. (2011). A predictive model for progression of chronic kidney disease to kidney failure. JAMA, 305(15), 1553–1559. https://doi.org/10.1001/jama.2011.451

This application was uploaded by Health Universe, and it currently follows United States Core Data for Interoperability (USCDI) Version 4 Standards.

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Prototype

Warning: Not intended for clinical use. Assume outputs are unsafe and unvalidated. Use carefully.


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Owner

Kinal Patel

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