Impact of race-independent equations on estimating glomerular filtration rate for the assessment of kidney dysfunction in liver disease

Autor: Frank Stämmler, Laurence Derain-Dubourg, Sandrine Lemoine, Jeffrey W. Meeusen, Surendra Dasari, John C. Lieske, Andrew Robertson, Eric Schiffer
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Nephrology, Vol 24, Iss 1, Pp 1-15 (2023)
Druh dokumentu: article
ISSN: 1471-2369
DOI: 10.1186/s12882-023-03136-y
Popis: Abstract Background Altered hemodynamics in liver disease often results in overestimation of glomerular filtration rate (GFR) by creatinine-based GFR estimating (eGFR) equations. Recently, we have validated a novel eGFR equation based on serum myo-inositol, valine, and creatinine quantified by nuclear magnetic resonance spectroscopy in combination with cystatin C, age and sex (GFRNMR). We hypothesized that GFRNMR could improve chronic kidney disease (CKD) classification in the setting of liver disease. Results We conducted a retrospective multicenter study in 205 patients with chronic liver disease (CLD), comparing the performance of GFRNMR to that of validated CKD-EPI eGFR equations, including eGFRcr (based on creatinine) and eGFRcr-cys (based on both creatinine and cystatin C), using measured GFR as reference standard. GFRNMR outperformed all other equations with a low overall median bias (-1 vs. -6 to 4 ml/min/1.73 m2 for the other equations; p
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