Cent Eur J Public Health 2014, 22(1):34-41 | DOI: 10.21101/cejph.a3858

Use of Selected Prediction Equations (CG, MDRD4, CKD-EPI) in Improving Glomerular Filtration Rate Assessment in Clinical Practice in Slovakia

Tomáš Žatko1, Branislav Kolena1, Ida Petrovičová1, Tomáš Pilka1, Anton Kolačan2
1 Department of Zoology and Anthropology, Constantine the Philosopher University in Nitra, Nitra, Slovakia
2 Department of Clinical Biochemistry, Hospital in Partizánske, Partizánske, Slovakia

Our study aimed to establish the best prediction equation for different age ranges in estimating Glomerular Filtration Rate (GFR) in clinical practice in Slovakia. The GFR by 24-hour creatinine clearance (Ccr) and the estimated GFR (eGFR) using the Cockcroft-Gault (CG), the four-variable Modification of Diet in Renal Disease (MDRD4) and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations were obtained in adults aged 30-80 (n=433, 10-years intervals). The correlation between these prediction equations and Ccr was evaluated. Errors in prediction equations were detected by moving average and by comparisons of the formulas for GFR <1.5 ml/s and >1.5 ml/s. The best correlations were established between Ccr and MDRD4 for women (r=0.7790) and men (r=0.8009), and between Ccr and CKD-EPI for women (r=0.7780) and men (r=0.8002) in the 60-69 age range. High correlation was also established between Ccr and CG (r=0.8655) and MDRD4 (r=0.8713) for men in the 40-49 age range. With the exception of the 30-40 age range, a low prediction error was observed for each age range in both genders when GFR was <1.5 ml/s. We recommend utilization of the MDRD4 and CG equations for men (40-49 years) and MDRD4 and CKD-EPI for women and men (60-69 years), as preferred substitutes for Ccr.

Klíčová slova: glomerular filtration rate, Cockroft-Gault equation, MDRD 4 equation, CKD-EPI equation, creatinine clearance

Vloženo: 19. prosinec 2012; Revidováno: 16. leden 2014; Přijato: 16. leden 2014; Zveřejněno: 1. březen 2014  Zobrazit citaci

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Žatko T, Kolena B, Petrovičová I, Pilka T, Kolačan A. Use of Selected Prediction Equations (CG, MDRD4, CKD-EPI) in Improving Glomerular Filtration Rate Assessment in Clinical Practice in Slovakia. Cent Eur J Public Health. 2014;22(1):34-41. doi: 10.21101/cejph.a3858. PubMed PMID: 24844104.
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