Abstract Background The 2021 ESC guideline on cardiovascular disease (CVD) prevention qualitatively categorizes moderate and severe chronic kidney (CKD) as high very-high CVD risk status regardless of other factors like age does not include estimated glomerular filtration rate (eGFR) albuminuria in its algorithms, SCORE2 SCORE2-OP, to predict risk. Purpose To develop validate an “Add-on” incorp...