[Inadequacy of the African-American ethnic factor to estimate glomerular filtration rate in an African general population: Results from Côte d'Ivoire]

Autor: Éric, Sagou Yayo, Mireille, Aye, Jean-Louis, Konan, Arlette, Emième, Marie-Laure, Attoungbre, Appolinaire, Gnionsahé, Étienne, Cavalier, Dagui, Monnet, Pierre, Delanaye
Jazyk: francouzština
Rok vydání: 2016
Předmět:
Zdroj: Nephrologietherapeutique. 12(6)
ISSN: 1872-9177
Popis: Glomerular filtration rate (GFR) estimation is fundamental in clinical nephrology. It is usually estimated from equations based on serum creatinine. An ethnic factor is currently recommended for the black population for the two most used equations, i.e. the Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) and Modification of Diet in Renal Disease (MDRD) study equations. However, these factors were determined from African-American subjects. Therefore, their use in the African subject (non-American) remained questionable. To date, no data are available in West Africa for the adequacy of these ethnic coefficients, as compared with a measurement of GFR by a reference method. One hundred and twenty subjects of the general population, with no nephrologic history, were included in the study (60 women and 60 men). GFR was determined by a reference method, i.e. the plasma clearance of iohexol. The performance (bias, standard deviation, accuracy within 30%) of both CKD-EPI and MDRD study equations were assessed with and without the ethnic factors. GFR measurements (mGFR) according iohexol reference method were 100±19mL/min/1.73m
Databáze: OpenAIRE