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kidneys

Estimating Time to ESRD in Children with CKD

Based on article by Furth et al. (2018) AJKD, using type of kidney disease, GFR and urine protein to creatinine ratio as predictors.
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    Select the GFR or KDIGO classification (GI to GIV) for the child.
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    Select the Urine Protein to Creatinine ratio.
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    PROGNOSIS:

    GROUP A - NONGLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* >10
    25th >10
    10th 5.1 (95% CI: 4.2, 6.1)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by >10 years.

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    PROGNOSIS:

    GROUP A - GLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* >10
    25th 5.8 (95% CI: 4.5, 7.1)
    10th 2.9 (95% CI: 2.3, 3.6)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by >10 years.

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    PROGNOSIS:

    GROUP B - NONGLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* >10
    25th 5.5 (95% CI: 4.7, 6.4)
    10th 2.8 (95% CI: 2.3, 3.3)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by >10 years.

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    PROGNOSIS:

    GROUP B - GLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* 6.2 (95% CI: 4.9, 7.5)
    25th 3.2 (95% CI: 2.5, 3.8)
    10th 1.6 (95% CI: 1.3, 2.0)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by 6.2 years.

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    PROGNOSIS:

    GROUP C - NONGLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* 7.4 (95% CI: 5.8, 9.0)
    25th 3.7 (95% CI: 2.9, 4.6)
    10th 1.9 (95% CI: 1.5, 2.3)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by 7.4 years.

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    PROGNOSIS:

    GROUP C - GLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* 4.2 (95% CI: 3.2, 5.2)
    25th 2.1 (95% CI: 1.6, 2.7)
    10th 1.1 (95% CI: 0.8, 1.4)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by 4.2 years.

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    PROGNOSIS:

    GROUP D - NONGLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* 4.0 (95% CI: 3.1, 4.8)
    25th 2.0 (95% CI: 1.6, 2.5)
    10th 1.0 (95% CI: 0.8, 1.3)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by 4 years.

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    PROGNOSIS:

    GROUP D - GLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* 2.3 (95% CI: 1.7, 2.8)
    25th 1.1 (95% CI: 0.8, 1.5)
    10th 0.6 (95% CI: 0.4, 0.7)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by 2.3 years.

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    PROGNOSIS:

    GROUP E - NONGLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* 2.7 (95% CI: 2.3, 3.2)
    25th 1.4 (95% CI: 1.1, 1.7)
    10th 0.7 (95% CI: 0.6, 0.9)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by 2.7 years.

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    PROGNOSIS:

    GROUP E - GLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* 1.6 (95% CI: 1.2, 1.9)
    25th 0.8 (95% CI: 0.6, 1.0)
    10th 0.4 (95% CI: 0.3, 0.5)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by 1.6 years.

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    PROGNOSIS:

    GROUP F - NONGLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* 1.3 (95% CI: 1.0, 1.7)
    25th 0.7 (95% CI: 0.5, 0.9)
    10th 0.3 (95% CI: 0.2, 0.4)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by 1.3 years.

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    PROGNOSIS:

    GROUP F - GLOMERULAR CAUSE

    Percentile for Prognosis Time to ESRD (years)
    50th* 0.8 (95% CI: 0.5, 1.0)
    25th 0.4 (95% CI: 0.3, 0.5)
    10th 0.2 (95% CI: 0.1, 0.3)

    * Interpretation: 50% of children with this profile will have had ESRD or 50% reduction in GFR by 0.8 year or 9 months.

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    Please recheck the values.

    Estimates not available due to infrequent patient profile:

    GFR >90

    and

    UPCR 0.5-2.0 or >2.0

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