{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T13:45:12Z","timestamp":1774359912744,"version":"3.50.1"},"reference-count":27,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T00:00:00Z","timestamp":1576022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T00:00:00Z","timestamp":1576022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Kidney Blood Press Res"],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Aim:&lt;\/i&gt;&lt;\/b&gt; Mortality in end-stage renal disease (ESRD) remains high, particularly among elderly, who represents the most rapidly growing segment of the ESRD population in wealthier countries. We developed and validated a risk score in elderly patients to predict 6-month mortality after dialysis initiation. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; We used data from a cohort of 421 patients, aged 65 years and over who started dialysis between 2009 and 2016, in our Nephrology department. The predictive score was developed using a multivariable logistic regression analysis. A bootstrapping technique was used for internal validation. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; The overall mortality within 6 months was 14.0%. Five independent predictors were identified, and a points system was constructed: age 75 years or older (2 points), coronary artery disease (2), cerebrovascular disease with hemiplegia (2), time of nephrology care before dialysis (&amp;#x3c;3.0 months [2]; \u22653 to &amp;#x3c;12 months [1]), and serum albumin levels (3.0\u20133.49 g\/dL [1]; &amp;#x3c;3.0 g\/dL [2]). A score of 6 identified patients with a 70% risk of 6-month mortality. Model performance was good in both discrimination (area under the curve of 0.793; [95% CI 0.73\u20130.86]) and validation (concordance statistics of 0.791 [95% CI 0.73\u20130.85]). &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; We developed a simple prediction score based on readily available clinical and laboratory data that can be a practical and useful tool to assess short-term prognosis in elderly patients starting dialysis. It may help to inform patients and their families about ESRD treatment options and provide a more patient-centered overall approach to care.<\/jats:p>","DOI":"10.1159\/000504136","type":"journal-article","created":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T22:00:33Z","timestamp":1576101633000},"page":"38-50","source":"Crossref","is-referenced-by-count":20,"title":["Predicting 6-Month Mortality in Incident Elderly Dialysis Patients: A Simple Prognostic Score"],"prefix":"10.1159","volume":"45","author":[{"given":"Josefina","family":"Santos","sequence":"first","affiliation":[]},{"given":"Pedro","family":"Oliveira","sequence":"additional","affiliation":[]},{"given":"Jorge","family":"Malheiro","sequence":"additional","affiliation":[]},{"given":"Andreia","family":"Campos","sequence":"additional","affiliation":[]},{"given":"Sofia","family":"Correia","sequence":"additional","affiliation":[]},{"given":"Ant\u00f3nio","family":"Cabrita","sequence":"additional","affiliation":[]},{"given":"Lu\u00edsa","family":"Lobato","sequence":"additional","affiliation":[]},{"given":"Isabel","family":"Fonseca","sequence":"additional","affiliation":[]}],"member":"127","published-online":{"date-parts":[[2019,12,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfv327"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm153"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0904655"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00510109"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03860609"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1159\/000357640"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfn698"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2015.245"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.08.035"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2015.05.014"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfw135"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-9-200905050-00006"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b604"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2004.01.020"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19960229)15:4<361::AID-SIM168>3.0.CO;2-4"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0129180"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(12)70364-5"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1111\/j.0894-0959.2004.17603.x"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2014070714"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2003.12.049"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfk030"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq438"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm382"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfw420"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfv035"}],"container-title":["Kidney and Blood Pressure Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/504136","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/504136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:07:49Z","timestamp":1745424469000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000504136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,11]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,1,27]]}},"URL":"https:\/\/doi.org\/10.1159\/000504136","archive":["Portico"],"relation":{},"ISSN":["1420-4096","1423-0143"],"issn-type":[{"value":"1420-4096","type":"print"},{"value":"1423-0143","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,11]]}}}