# KAK-CIN — Kulkarni-Almeida-Kothari CIN

> Kulkarni-Almeida-Kothari CIN (iPhone/iPad app by Mehulkumar Thakkar.)

- Source: https://appshunter.io/ios/app/kak-cin/id6755145078 (this page in markdown: same URL + `.md`)
- Developer: [Mehulkumar Thakkar](https://appshunter.io/developer/1852222411)
- Category: Medical, Utilities
- Price: Free
- Age rating: 4+
- Requires: iOS 13.0 · 20 MB
- Languages: American English
- Released: 2025-11-24
- Data updated: 2026-05-16
- User reviews in markdown: https://appshunter.io/ios/app/kak-cin/id6755145078/reviews.md

## What is KAK?

Quick risk-calculator for contrast-induced nephropathy based on validated clinical model

KAK-CIN Score is a clinical decision-support tool designed to help healthcare professionals estimate the probability of Contrast-Induced Nephropathy (CIN) in patients who will receive intravascular contrast medium. The algorithm is based on the peer-reviewed study by Kulkarni et al (Indian Journal of Nephrology, 2023) which derived and validated a simplified risk score system. 

Key features:

Input four key patient variables:

Estimated Glomerular Filtration Rate (eGFR)
Contrast volume (mL)
Route of contrast administration (arterial vs intravenous)
Presence or absence of Diabetes Mellitus

Instantly calculates a risk-percentage for CIN and provides a risk category (e.g., low, moderate, high) and provides the CIN Score.


Published Journal: https://indianjnephrol.org/?view-pdf=1&embedded=true&article=af81b65b1e790875fb17d4a368ca9457Aplh7GbponE%3D 

Why use KAK-CIN Score?

The original study included 1,300 patients (derivation 1,000 + validation 300) with an observed incidence of CIN of 3.8 %. 


The model showed high sensitivity (90.4 %) and specificity (98.8 %) in the validation cohort. 

Unlike many prior CIN risk models that were limited to cardiac catheterisation, this score covers both intra-arterial and intravenous contrast exposure. 


Important disclaimer
This app is for educational and decision-support purposes only. It does not replace clinical judgement, institutional protocols or specialist consultation. Use results in conjunction with the full clinical context. The authors are not responsible for any clinical outcomes resulting from use of this tool. Always follow local guidelines.

Privacy & Security
No patient-identifiable data is stored beyond your device.


## Version history (last 2 releases)

### 1.0.1 — 2025-12-09

Added link to Published Article about Calculation in App + Bug Fixes

### 1.0 — 2025-11-24

No release notes.

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-05-16.*