Validation of a United Kingdom Model to Predict Mortality in Incident Dialysis Patients in the Dialysis Outcomes and Practice Patterns Study Cohort: Introduction of a Clinical Risk Score

Abstract

Patients with kidney failure represent a heterogeneous group, in which many factors, including age, the cause of kidney disease, comorbidities, and so forth, result in a wide variation of mortality risk.1 A number of predictive models are available to assess the patient’s individual risk of mortality at the time of dialysis initiation.2 However, few are applicable to patients treated with hemodialysis (HD) and peritoneal dialysis, many include nonroutinely available variables, and most importantly, few have been externally validated in independent cohorts, thus leaving their applicability and validity in clinical practice unanswered.