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Nephrology

International IgA Nephropathy Prediction Tool calculator

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

Clinical inputs

years

Allowed range: 18–100 years

Quick picks
mL/min/1.73 m²

Allowed range: 5–160 mL/min/1.73 m²

Quick picks

Estimated GFR in mL/min/1.73 m² at biopsy, as used in the model.

mm Hg

Allowed range: 70–240 mm Hg

Quick picks

Mean arterial pressure is (systolic + 2 × diastolic) / 3, in mm Hg.

mm Hg

Allowed range: 40–160 mm Hg

Quick picks

Mean arterial pressure is (systolic + 2 × diastolic) / 3, in mm Hg.

g/day

Allowed range: 0.01–30 g/day

Quick picks

Grams per day. The model uses the natural log, so the value must be above zero.

Mesangial hypercellularity
Endocapillary hypercellularity
Segmental sclerosis
Tubular atrophy or interstitial fibrosis
Renin-angiotensin blockade at biopsy
Immunosuppression at biopsy
Race or ethnicity model

The 5-year Chinese coefficient is +0.818 because the horizon is 60 months, after 36 months. White is the reference of the race model.

Result

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Clinical inputs

  • Age at biopsy (years)Accepted range: 18 to 100
  • eGFR at biopsy (mL/min/1.73 m²)Accepted range: 5 to 160
  • Systolic pressure (mm Hg)Accepted range: 70 to 240
  • Diastolic pressure (mm Hg)Accepted range: 40 to 160
  • Proteinuria at biopsy (g/day)Accepted range: 0.01 to 30
  • Mesangial hypercellularity
  • Endocapillary hypercellularity
  • Segmental sclerosis
  • Tubular atrophy or interstitial fibrosis
  • Renin-angiotensin blockade at biopsy
  • Immunosuppression at biopsy
  • Race or ethnicity model

Primary source

Barbour SJ et al. Evaluating a new international risk-prediction tool in IgA nephropathy. JAMA Intern Med. DOI: 10.1001/jamainternmed.2019.0600. PMID: 30980653. eTable 3. Five-year risk = 1 − S0(60)^exp(linear predictor), reported here as a percent. The race-free spline 1.0003754 − 0.1131641×u^2 + 0.0964763×u^2×ln(u), with u = (t+0.1)/100, equals S0(60) = 0.94176. Mean arterial pressure = (systolic + 2 × diastolic) / 3. Natural log of proteinuria in g/day. The model with race uses S0(60) = 0.95494 and, because 60 months is after 36 months, the Chinese coefficient +0.818 rather than −0.396. White is the reference category of the race model. T1 and T2 are mutually exclusive. (2019)

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