The PROPKD Score: A New Algorithm to Predict Renal Survival in Autosomal Dominant Polycystic Kidney Disease - Individual Prediction and Prevention of Risks of Immunosuppressive Therapies in Transplantation Access content directly
Journal Articles Journal of the American Society of Nephrology Year : 2016

The PROPKD Score: A New Algorithm to Predict Renal Survival in Autosomal Dominant Polycystic Kidney Disease

Emilie Cornec-Le Gall
Eric Renaudineau
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Marie-Pascale Morin
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Bassem Wehbe
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Régine Perrichot
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Philippe Jousset
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Marie-Paule Guillodo
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Nazim Terki
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Théophile Sawadogo
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Didier Legrand
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Victorio Menoyo-Calonge
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Seddik Benarbia
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Dominique Besnier
  • Function : Author
Hélène Longuet
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Yannick Le Meur

Abstract

The course of autosomal dominant polycystic kidney disease (ADPKD) varies among individuals, with some reaching ESRD before 40 years of age and others never requiring RRT. In this study, we developed a prognostic model to predict renal outcomes in patients with ADPKD on the basis of genetic and clinical data. We conducted a cross-sectional study of 1341 patients from the Genkyst cohort and evaluated the influence of clinical and genetic factors on renal survival. Multivariate survival analysis identified four variables that were significantly associated with age at ESRD onset, and a scoring system from 0 to 9 was developed as follows: being male: 1 point; hypertension before 35 years of age: 2 points; first urologic event before 35 years of age: 2 points; PKD2 mutation: 0 points; nontruncating PKD1 mutation: 2 points; and truncating PKD1 mutation: 4 points. Three risk categories were subsequently defined as low risk (0-3 points), intermediate risk (4-6 points), and high risk (7-9 points) of progression to ESRD, with corresponding median ages for ESRD onset of 70.6, 56.9, and 49 years, respectively. Whereas a score ≤3 eliminates evolution to ESRD before 60 years of age with a negative predictive value of 81.4%, a score \textgreater6 forecasts ESRD onset before 60 years of age with a positive predictive value of 90.9%. This new prognostic score accurately predicts renal outcomes in patients with ADPKD and may enable the personalization of therapeutic management of ADPKD

Dates and versions

hal-01175529 , version 1 (10-07-2015)

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Emilie Cornec-Le Gall, Marie-Pierre Audrézet, Annick Rousseau, Maryvonne Hourmant, Eric Renaudineau, et al.. The PROPKD Score: A New Algorithm to Predict Renal Survival in Autosomal Dominant Polycystic Kidney Disease. Journal of the American Society of Nephrology, 2016, 27 (3), pp.942-951. ⟨10.1681/ASN.2015010016⟩. ⟨hal-01175529⟩
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