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Infectious Disease · Nephrology

D:A:D HIV CKD risk score calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

years

Allowed range: 16–100 years

Quick picks

Years. 35 or younger scores 0, older than 35 through 50 scores 4, older than 50 through 60 scores 7, and older than 60 scores 10.

Sex
mL/min/1.73 m²

Allowed range: 1–250 mL/min/1.73 m²

Quick picks

Cockcroft-Gault value standardized to body surface area, in mL/min/1.73 m². Above 60 through 70 scores 6, above 70 through 90 scores 0, and above 90 scores −6. A value of 60 or below is not scored.

cells/mm³

Allowed range: 0–5000 cells/mm³

Quick picks

Cells per mm³. A nadir above 200 scores −1. A nadir of 200 or below scores 0.

Result

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Clinical inputs

  • Age (years)Accepted range: 16 to 100
  • Sex
  • Baseline eGFR (mL/min/1.73 m²)Accepted range: 1 to 250
  • Nadir CD4 count (cells/mm³)Accepted range: 0 to 5000
  • Injection drug use as the HIV exposure
  • Hepatitis C coinfection
  • Hypertension
  • Prior cardiovascular disease
  • Diabetes mellitus

Primary source

Mocroft A et al. Development and validation of a risk score for chronic kidney disease in HIV infection using prospective cohort data from the D:A:D study. PLoS Med. DOI: 10.1371/journal.pmed.1001809. PMID: 25826420. Table 2 full integer score: intravenous drug use 2, hepatitis C 1, age ≤35 is 0, >35 to ≤50 is 4, >50 to ≤60 is 7, >60 is 10, baseline eGFR >60 to ≤70 is 6, >70 to ≤90 is 0, >90 is −6, female 1, nadir CD4 >200 is −1, hypertension 1, prior cardiovascular disease 1, diabetes 2. Low is a score below 0, medium is 0–4, and high is 5 or more. An eGFR of 60 or below has no row. (2015)

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