EVALUATE THE CORRELATION BETWEEN ESTIMATED GLOMERULAR FILTRATION RATE USING MRDR AND CKD-EPI EQUATION WITH MEASURED GLOMERULAR FILTRATION RATE BASED ON STANDARD 12-HR CREATININE CLEARANCE
Main Article Content
Abstract
Background. The aim of this study was to evaluate the correlation between estimated glomerular filtration rate (eGFR) using MDRD and CKD-EPI equation with measured glomerular filtration rate (mGFR) based on standard creatinine clearance. Subjects and methods. One prospective, cross sectional study was performed on chronic kidney disease patients with creatinine clearance made 12 hours (ClCr12h), through consensus survey correlation coefficient. Results. The study was included 218 CKD patients, the male propotion was 54,6% (n=119) and the female was 45,4% (n=99). The average age of patients was 66,64 ± 12,19 from 27 to 94 years old. The eGFR of MDRD equation performed better correlation to ClCr12h than CKD-EPI (r=0,924, r2=0,853, p<0,001 compared to r=0,916, r2=0,839, p<0,001). Degree of correlation between eGFR of MDRD and CKD-EPI equation with ClCr12h gradual decrease in stages of chronic kidney disease from stage 1 to stage 5. Conclusions. Our results suggested that there is a very strong correlation between eGFR using MDRD and CKD-EPI equation with mGFR based on standard creatinine clearance.
Article Details
Keywords
MDRD, CKD-EPI, estimated glomerular filtration rate (eGFR), creatinine clearance 12 hours (ClCr12h)
References
2. Kidney Disease Improving Global Outcomes. Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. 2012.
3. Levey AS, Coresh J, Greene T, et al. Using Standardized Serum Creatinine Values in the Modification of Diet in Renal Disease Study Equation for Estimating Glomerular Filtration Rate. Ann Intern Med. 2006;145(4):247-254.
4. Levey AS, Stevens LA. Estimating GFR using the CKD Epidemiology Collaboration (CKD-EPI) creatinine equation: more accurate GFR estimates, lower CKD prevalence estimates, and better risk predictions. Am J Kidney Dis Off J Natl Kidney Found. 2010;55(4):622-627.
5. Japanese Society of Nephrology. Evaluation method for kidney function and urinary findings. Clin Exp Nephrol. 2009;13(3):209-211.
6. Kumar BV, Mohan T. Retrospective Comparison of Estimated GFR using 2006 MDRD, 2009 CKD-EPI and Cockcroft-Gault with 24 Hour Urine Creatinine Clearance. J Clin Diagn Res JCDR. 2017;11(5): BC09-BC12.
7. Das SK, Roy DK, Chowdhury AA, et al. Correlation of eGFR By MDRD and CKD-EPI Formula with Creatinine Clearance Estimation in CKD Patients and Healthy Subjects. Mymensingh Med J MMJ. 2021;30(1):35-42.
8. Kilbride HS, Stevens PE, Eaglestone G, et al. Accuracy of the MDRD (Modification of Diet in Renal Disease) Study and CKD-EPI (CKD Epidemiology Collaboration) Equations for Estimation of GFR in the Elderly. Am J Kidney Dis. 2013;61(1):57-66.