Creatinine-based equations to estimate glomerular filtration rate in Japanese children aged between 2 and 11 years old with chronic kidney disease.

Abstract:

BACKGROUND:Renal inulin clearance is the gold standard for glomerular filtration rate (GFR), but is compromised by problems of collecting urine samples in children, especially those <6 years of age or with a bladder dysfunction. Therefore, we should utilize the serum creatinine (Cr)-based estimated GFR (eGFR), measuring serum Cr by enzymatic method. The updated Schwartz formulae were reported by enzymatic Cr instead of by the Jaffe method in American children aged 1-16 years old. We believe it would be better to determine serum Cr-based eGFR by the enzymatic method in Japanese children for evaluation of renal function. METHODS:Serum Cr-based eGFR was determined by measuring inulin clearance and serum Cr level in 76 pediatric chronic kidney disease (CKD) patients (49 males and 27 females) aged 2-11 years with no underlying disease that would affect renal function. RESULTS:We showed the inulin clearance by expression of the body length/serum Cr ratio in pediatric CKD patients, which resulted in the equation: [Formula: see text]. Additionally, we suggest the following serum Cr-based eGFR formula passing through the origin: [Formula: see text], because it is simple and easy to remember, thus making it clinically useful. CONCLUSION:The new eGFR formula derived from body length and serum Cr level is applicable for clinical screening of renal function in Asian as well as Japanese children aged between 2 and 11 years old.

journal_name

Clin Exp Nephrol

authors

Nagai T,Uemura O,Ishikura K,Ito S,Hataya H,Gotoh Y,Fujita N,Akioka Y,Kaneko T,Honda M

doi

10.1007/s10157-013-0799-3

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

877-81

issue

6

eissn

1342-1751

issn

1437-7799

journal_volume

17

pub_type

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