Incorporating Scoring Risk Models for Care Planning of Elderly with Chronic Kidney Disease: Brief Overview

Mortality in chronic kidney disease remains high, particularly among the elderly, who represent the
most rapidly growing segment of the end-stage renal disease population in wealthier countries. The
management of older adults with chronic kidney disease has become a clinical challenge and care for
those patients expected to progress to end-stage renal disease should focus on evaluating the overall
benefit of offering renal replacement therapy to them. Predictive mortality models may help to inform
shared decision-making in the trajectory of the elderly with chronic kidney disease. This review
discusses current literature on the available predictive models for predicting survival in elderly chronic
kidney disease patients and reflects the author’s own interpretation and experience.