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January 1, 1976Scandinavian Journal of Clinical and Laboratory Investigation

Selection of Routine Method for Determination of Glomerular Filtration Rate in Adult Patients

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Key result

Total [51Cr]EDTA plasma clearance showed better precision (CV 5.5% for GFR ≥30 ml/min) than 24-hr endogenous (26.9%) and estimated creatinine clearance (23.2%) for routine GFR assessment.

Why the study?

Does total [51Cr]EDTA plasma clearance provide better precision and reproducibility than 24-hr endogenous creatinine clearance or estimated creatinine clearance for assessing GFR in adult patients?

Population

51 adult patients undergoing clinical routine assessment of glomerular filtration rate (GFR)

Comparison

Total [51Cr]EDTA plasma clearance vs 24-hr endogenous creatinine clearance and…

Design

Cross-sectional

Authors

JBJens Brøchner‐MortensenUniversity of CopenhagenPRP. RødbroUniversity of Copenhagen

Discussion

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Implication

Supports [51Cr]EDTA plasma clearance for precise GFR assessment; hypothesis-generating and should not yet change practice versus creatinine methods.

Study Design

Type

Observational (n=51)

Structured PICO

Does total [51Cr]EDTA plasma clearance provide better precision and reproducibility than 24-hr endogenous creatinine clearance or estimated creatinine clearance for assessing GFR in adult patients?

P
Population
51 adult patients undergoing clinical routine assessment of glomerular filtration rate (GFR)
I
Intervention
Total [51Cr]EDTA plasma clearance
C
Comparator
24-hr endogenous creatinine clearance and estimated creatinine clearance
O
Outcome
Precision and reproducibility (coefficient of variation) of GFR assessment methodssurrogate

Total [51Cr]EDTA plasma clearance is the most precise and reproducible method for routine clinical assessment of GFR compared to 24-hour or estimated creatinine clearance.

Cite This Study

Brøchner‐Mortensen et al. (1976) conducted an observational in Patients requiring glomerular filtration rate (GFR) assessment (n=51). Total [51Cr]EDTA plasma clearance vs. 24-hr endogenous creatinine clearance and estimated creatinine clearance was evaluated on Precision and reproducibility (coefficient of variation) of clearance methods. Total [51Cr]EDTA plasma clearance showed better precision (CV 5.5% for GFR ≥30 ml/min) than 24-hr endogenous (26.9%) and estimated creatinine clearance (23.2%) for routine GFR assessment.

synapsesocial.com/papers/6a1545e779ff98d0de4e5c30https://doi.org/10.1080/00365517609068016
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Estimation of Glomerular Filtration Rate from Plasma Clearance of 51-Chromium Edetic Acid1972 · 255 citations
  2. 2Comparison of Different Methods for Determination of Glomerular Filtration Rate in Renal Disease1974 · 58 citations