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Improved equations estimating GFR in children with chronic kidney disease using an immunonephelometric determination of cystatin C

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Schwartz, George J., Schneider, Michael F., Maier, Paula S., Moxey-Mims, Marva, Dharnidharka, Vikas R., Warady, Bradley A., Furth, Susan L., Muñoz, Alvaro·2012·Kidney International

Abstract

The Chronic Kidney Disease in Children study is a cohort of about 600 children with chronic kidney disease (CKD) in the United States and Canada. The independent variable for our observations was a measurement of glomerular filtration rate (GFR) by iohexol disappearance (iGFR) at the first two visits one year apart and during alternate years thereafter. In a previous report, we had developed GFR estimating equations utilizing serum creatinine, blood urea nitrogen, height, gender and cystatin C measured by an immunoturbidimetric method; however the correlation coefficient of cystatin C and GFR (-0.69) was less robust than expected. Therefore, 495 samples were re-assayed using immunonephelometry. The reciprocal of immunonephelometric cystatin C was as well correlated with iGFR as was height/serum creatinine (both 0.88). We developed a new GFR estimating equation using a random 2/3 of 965 person-visits and applied it to the remaining 1/3 as a validation data set. In the validation data set, the correlation of the estimated GFR with iGFR was 0.92 with high precision and no bias; 91% and 45% of eGFR values were within 30% and 10% of iGFR, respectively. This equation works well in children with CKD in a range of GFR from 15 to 75 ml/min per 1.73 m2. Further studies are needed to establish the applicability to children of normal stature and muscle mass, and higher GFR.

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Metadata

Authors
Schwartz, G. J., Schneider, M. F., Maier, P. S., Moxey-Mims, M., Dharnidharka, V. R., Warady, B. A., Furth, S. L., & Muñoz, A.
Venue
Kidney International
Publisher
Elsevier BV
Published
2012-08
Volume
82
Issue
4
Pages
445-453
ISSN
0085-2538 (ISSN-L)
OpenAlex
W1982428643
Cited by
566
References
42
FWCI
17.38
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Improved equations estimating GFR in children with chronic kidney disease using an immunonephelometric determination of cystatin C. https://app.cochat.ai/papers/10.1038/ki.2012.169
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Schwartz, G. J., Schneider, M. F., Maier, P. S., Moxey-Mims, M., Dharnidharka, V. R., Warady, B. A., Furth, S. L., & Muñoz, A. (2012). Improved equations estimating GFR in children with chronic kidney disease using an immunonephelometric determination of cystatin C. Kidney International. https://doi.org/10.1038/ki.2012.169

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