Serum Creatinine in Patients with Advanced Liver Disease Is of Limited Value for Identification of Moderate Renal Dysfunction: Are the Equations for Estimating Renal Function Better?

BACKGROUND: The Cockcroft-Gault formula (CGF) is used to estimate the glomerular filtration rate (GFR) based on serum creatinine (Cr) levels, age and sex. A new formula developed by the Modification of Diet in Renal Disease (MDRD) Study Group, based on the patient’s Cr levels, age, sex, race and ser...

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Main Authors: Jillian MacAulay, Kara Thompson, Bryce A Kiberd, David C Barnes, Kevork M Peltekian
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2006/858053
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author Jillian MacAulay
Kara Thompson
Bryce A Kiberd
David C Barnes
Kevork M Peltekian
author_facet Jillian MacAulay
Kara Thompson
Bryce A Kiberd
David C Barnes
Kevork M Peltekian
author_sort Jillian MacAulay
collection DOAJ
description BACKGROUND: The Cockcroft-Gault formula (CGF) is used to estimate the glomerular filtration rate (GFR) based on serum creatinine (Cr) levels, age and sex. A new formula developed by the Modification of Diet in Renal Disease (MDRD) Study Group, based on the patient’s Cr levels, age, sex, race and serum urea nitrogen and serum albumin levels, has shown to be more accurate. However, the best formula to identify patients with advanced liver disease (ALD) and moderate renal dysfunction (GFR 60 mL/min/1.73 m2 or less) is not known. The aim of the present study was to compare calculations of GFR, using published formulas (excluding those requiring urine collections) with standard radionuclide measurement of GFR in patients with ALD.
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issn 0835-7900
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publishDate 2006-01-01
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series Canadian Journal of Gastroenterology
spelling doaj-art-b25a077907224cf9898f6ec843c121d32025-02-03T01:28:13ZengWileyCanadian Journal of Gastroenterology0835-79002006-01-0120852152610.1155/2006/858053Serum Creatinine in Patients with Advanced Liver Disease Is of Limited Value for Identification of Moderate Renal Dysfunction: Are the Equations for Estimating Renal Function Better?Jillian MacAulay0Kara Thompson1Bryce A Kiberd2David C Barnes3Kevork M Peltekian4Department of Medicine, Division of Gastroenterology (Hepatology Services), Dalhousie University, Halifax, Nova Scotia, CanadaOffice of Medical Outcomes Research and Biostatistics, Dalhousie University, Halifax, Nova Scotia, CanadaDivision of Nephrology, Dalhousie University, Halifax, Nova Scotia, CanadaDepartment of Diagnostic Imaging, Division of Nuclear Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaDepartment of Medicine, Division of Gastroenterology (Hepatology Services), Dalhousie University, Halifax, Nova Scotia, CanadaBACKGROUND: The Cockcroft-Gault formula (CGF) is used to estimate the glomerular filtration rate (GFR) based on serum creatinine (Cr) levels, age and sex. A new formula developed by the Modification of Diet in Renal Disease (MDRD) Study Group, based on the patient’s Cr levels, age, sex, race and serum urea nitrogen and serum albumin levels, has shown to be more accurate. However, the best formula to identify patients with advanced liver disease (ALD) and moderate renal dysfunction (GFR 60 mL/min/1.73 m2 or less) is not known. The aim of the present study was to compare calculations of GFR, using published formulas (excluding those requiring urine collections) with standard radionuclide measurement of GFR in patients with ALD.http://dx.doi.org/10.1155/2006/858053
spellingShingle Jillian MacAulay
Kara Thompson
Bryce A Kiberd
David C Barnes
Kevork M Peltekian
Serum Creatinine in Patients with Advanced Liver Disease Is of Limited Value for Identification of Moderate Renal Dysfunction: Are the Equations for Estimating Renal Function Better?
Canadian Journal of Gastroenterology
title Serum Creatinine in Patients with Advanced Liver Disease Is of Limited Value for Identification of Moderate Renal Dysfunction: Are the Equations for Estimating Renal Function Better?
title_full Serum Creatinine in Patients with Advanced Liver Disease Is of Limited Value for Identification of Moderate Renal Dysfunction: Are the Equations for Estimating Renal Function Better?
title_fullStr Serum Creatinine in Patients with Advanced Liver Disease Is of Limited Value for Identification of Moderate Renal Dysfunction: Are the Equations for Estimating Renal Function Better?
title_full_unstemmed Serum Creatinine in Patients with Advanced Liver Disease Is of Limited Value for Identification of Moderate Renal Dysfunction: Are the Equations for Estimating Renal Function Better?
title_short Serum Creatinine in Patients with Advanced Liver Disease Is of Limited Value for Identification of Moderate Renal Dysfunction: Are the Equations for Estimating Renal Function Better?
title_sort serum creatinine in patients with advanced liver disease is of limited value for identification of moderate renal dysfunction are the equations for estimating renal function better
url http://dx.doi.org/10.1155/2006/858053
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