Recommendations to evaluate the glomerular filtration rate below 60 ml/min/1.73 m2 in patients with kidney disease and diabetes

Autor: Florencia Aranguren, Yanina Castaño, Guillermo De’Marziani, Alicia Elbert
Jazyk: Spanish; Castilian
Rok vydání: 2022
Předmět:
Zdroj: Revista de la Sociedad Argentina de Diabetes, Vol 56, Iss 2Sup, Pp 60-62 (2022)
Druh dokumentu: article
ISSN: 0325-5247
2346-9420
DOI: 10.47196/diab.v56i2Sup.540
Popis: To diagnose,classify and stage diabetic kidney disease in patients with diabetes mellitus is a challenge in clinical practice for both primary care physicians and specialists because there is no method in clinical practice that evaluates accurately the glomerular filtration rate (GFR). This challenge is due to difficulties in evaluating kidney function in stages of chronic kidney disease (CKD) below 60 ml/min/1.73m2 corresponding to stages 3, 4 and 5 of the classification, because the available tools in clinical laboratories are of limited accuracy. This work explores the conditions that an ideal marker should meet, the difficulties offered by the evaluation of serum creatinine, the measurement of the glomerular filtration rate (GFR) as well as the advantages and limitations of the recommendations of the use of formulas for its determination and the current algorithm to estimate renal function.
Databáze: Directory of Open Access Journals