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Adult Reference Ranges for Serum Cystatin C, Creatinine and Predicted Creatinine Clearance

Open access
Finney, Hazel, Newman, David J, Price, Christopher P·2000·Annals of Clinical Biochemistry: International Journal of Laboratory Medicine

Abstract

Serum cystatin C measurement has been previously shown by ourselves and others to be a better indicator of changes in glomerular filtration rate (GFR) than serum creatinine. However, the available literature on reference values for cystatin C concentration remains surprisingly sparse; we thus set out to determine an adult reference range. Blood was taken from 309 healthy blood donors and creatinine and cystatin C concentrations were measured using commercially available automated methodologies. In addition, predicted creatinine clearances were calculated using the Cockcroft and Gault formula. The 95% reference intervals for creatinine, predicted creatinine clearance and cystatin C for all blood donors, regardless of gender, were 68–118 μmol/L, 58–120 ml/min/1·73 m 2 and 0·51–0·98 mg/L, respectively. For women, the intervals were 68–98 μmol/L, 60–119 ml/min/1·73 m 2 and 0·49–0·94 mg/L; for men, they were 78–123 μmol/L, 57–122 ml/min/1·73 m 2 and 0·56–0·98 mg/L. The mean 95% reference interval for cystatin C in all donors under 50 years of age was 0·53–0·92 mg/L; for those over 50 years of age it was 0·58–1·02 mg/L. The small difference between male and female ranges meant that a single reference range for cystatin C could be established for all adults under 50 years of age without adjustment for body surface area. Serum cystatin C measurement offers a simpler and more sensitive screening test than serum creatinine for early changes in GFR.

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Metadata

Authors
Finney, H., Newman, D. J., & Price, C. P.
Venue
Annals of Clinical Biochemistry: International Journal of Laboratory Medicine
Published
2000-01
Volume
37
Issue
1
Pages
49-59
ISSN
  • 0004-5632 (ISSN-L)
  • 1758-1001
OpenAlex
W2071643528
Cited by
287
References
26
FWCI
5.86
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Adult Reference Ranges for Serum Cystatin C, Creatinine and Predicted Creatinine Clearance. https://app.cochat.ai/papers/10.1177/000456320003700101
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Finney, H., Newman, D. J., & Price, C. P. (2000). Adult Reference Ranges for Serum Cystatin C, Creatinine and Predicted Creatinine Clearance. Annals of Clinical Biochemistry: International Journal of Laboratory Medicine. https://doi.org/10.1177/000456320003700101

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.