Comparison of eight equations for estimating glomerular filtration rate in patients with cardiovascular diseases / 南方医科大学学报
Journal of Southern Medical University
; (12): 1220-1223, 2011.
Article
in Zh
| WPRIM
| ID: wpr-235158
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To assess the diagnostic value of 8 equations using different variables for determining the estimated glomerular filtration rate (eGFR) in patients with cardiovascular diseases.</p><p><b>METHODS</b>GFR was estimated in 208 patients with cardiovascular diseases by (99m)Tc-DTPA dynamic renal imaging, and the eGFR was derived from 8 equations using different variables.</p><p><b>RESULTS</b>In patients with chronic kidney disease (CKD) stages 1-3, the eGFR calculated suing serum creatinine (SCr)-based equation was better correlated to GFR estimated by (99m)Tc-DTPA renal imaging than that derived from cystatin C (Cys C)-based equations, whereas in patients with CKD stages 4 and 5, the estimates by the latter equation showed a better correlation to GFR. Compared with (99m)Tc-DTPA renal imaging, MDRD-based equation and simple MDRD equation resulted in a higher eGFR in patients with CKD stages 4 and 5, the Rule equation had a lower eGFR in CKD stages 1 and 2, the Macisaac equation yielded a higher eGFR in CKD stages 2-5, and the Tan equation showed a higher eGFR in CKD stages 2 and 3. In patients with mild renal dysfunction, the Scr-based equation had a higher AUC(ROC) than Cys C-based equation, which was reversed in patients with severe renal dysfunction; the AUC(ROC) of the two equations were comparable in patients with moderate renal dysfunction. Compared with (99m)Tc-DTPA renal imaging, the modified MDRD equation and Arnal-Dade equation showed no significant difference in the eGFR in patients with CKD stages 1-5.</p><p><b>CONCLUSION</b>Modified MDRD equation (or simple MDRD equation) and Arnal-Dade equation are superior to other calculation methods for estimating the GFR in Chinese patients with cardiovascular disease.</p>
Full text:
1
Index:
WPRIM
Main subject:
Physiology
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Blood
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Cardiovascular Diseases
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Chronic Disease
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Creatinine
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Cystatin C
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Glomerular Filtration Rate
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Kidney Diseases
Limits:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Female
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Humans
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Male
Language:
Zh
Journal:
Journal of Southern Medical University
Year:
2011
Type:
Article