MDCalc

CKD Prediction in HIV+ Patients

Determines probability of HIV patients developing CKD in the next 5 years, if they take tenofivir or not.

Age
Glucose >140 mg/dL (7.77 mmol/L)
Systolic BP >140 mmHg
Hypertension
Triglycerides >200 mg/dL (>2.26 mmol/L)
Proteinuria
CD4⁺ <200 cells/µL

Past or present tenofivir use can change the predicted outcome of the patient

Tenofivir (TDF) use

Result:

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Critical Actions
  • Patients with low scores (0 points) may be good candidates for tenofovir.
  • Patients with high scores (≥9 points) should avoid tenofovir in their treatment regimen, given their significantly higher risk of developing CKD within 5 years.
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