Measurements of serum cystatin C concentrations underestimate renal dysfunction in pediatric patients with chronic kidney disease View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-08

AUTHORS

Osamu Uemura, Katsumi Ushijima, Takuhito Nagai, Takuji Yamada, Satoshi Yamakawa, Yoshiko Hibi, Hideki Hayakawa, Yayoi Nabeta, Yoshiko Shinkai, Kouichi Koike, Masaki Kuwabara

ABSTRACT

BACKGROUND: In our clinical experience, cystatin C (CysC) concentrations are not as high as expected in patients with chronic kidney disease (CKD) and high-stage renal dysfunction. We therefore investigated whether measurements of serum CysC result in an underestimation of renal dysfunction in pediatric patients with CKD. METHODS: Glomerular filtration rate (GFR) was estimated from serum creatinine (Cr) concentration, using the equation Cr-GFR (%) = [0.30 × body length (m)/serum Cr] × 100; and from serum CysC concentration, using the equation Cys-GFR (%) = (0.70/serum CysC) × 100. We investigated the relationship between GFR estimated by these 2 equations. Patients aged 2-12 years were assorted into 5 groups, based on GFR-Cr categories of <12.5, ≥12.5 to <25, ≥25 to <50, ≥50 to <75, and ≥75%, and GFR-CysC/GFR-Cr ratios were compared in these 5 groups. RESULTS: The median GFR-CysC/GFR-Cr ratio in groups of patients with GFR-Cr of <12.5, ≥12.5 to <25, ≥25 to <50, ≥50 to <75, and ≥75% were 2.28, 1.48, 1.22, 1.18 and 0.98, respectively, with statistically significant differences between any two groups (p < 0.001). CONCLUSION: Measurements of serum CysC concentrations lead to underestimation of renal dysfunction in pediatric patients with CKD. More... »

PAGES

535-538

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10157-011-0446-9

DOI

http://dx.doi.org/10.1007/s10157-011-0446-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1025598053

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21509465


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