Figure 1.

The 3 pillars of proactive assessment and severity scoring in CKD-associated pruritus.^{1,20,23,29,30,33,34}

Proposed framework for proactive assessment and severity scoring in CKD-associated pruritus. Pillar 1: systematic screening for CKD-associated pruritus; Pillar 2: assessment of intensity; Pillar 3: understanding the impact on the patient’s QoL. CKD-aP = chronic kidney disease-associated pruritus; ESAS-r = Edmonton Symptom Assessment System-Revised: Renal; PRO = patient-reported outcomes; SADS = Self-assessed Disease Severity; WI-NRS = Worst-Itch Numerical Rating Scale.

^aSeverity scoring ranges have not been validated and are based on limited evidence.