Estimated glomerular filtration rate in clinical practice: Consensus positioning of the Brazilian Society of Nephrology (SBN) and Brazilian Society of Clinical Pathology and Laboratory Medicine (SBPC/ML)-Reference-Cited by-同舟云学术

Estimated glomerular filtration rate in clinical practice: Consensus positioning of the Brazilian Society of Nephrology (SBN) and Brazilian Society of Clinical Pathology and Laboratory Medicine (SBPC/ML)

Published:2024-09 Issue:3 Volume:46 Page:
ISSN:2175-8239
Container-title:Brazilian Journal of Nephrology
language:
Short-container-title:Braz. J. Nephrol.

Author:

Kirsztajn Gianna Mastroianni¹^ORCID,Silva Junior Geraldo Bezerra da²^ORCID,Silva Artur Quintiliano Bezerra da³^ORCID,Abensur Hugo⁴^ORCID,Romão Junior João Egídio⁴^ORCID,Bastos Marcus Gomes⁵^ORCID,Calice-Silva Viviane⁶^ORCID,Carmo Lilian Pires de Freitas do⁷,Sandes-Freitas Tainá Veras de⁸^ORCID,Abreu Patrícia Ferreira¹,Andreguetto Bruna Dolci⁹,Cortes Luiz Gustavo Ferreira¹⁰^ORCID,Oliveira Maria Gabriela de Lucca⁹,Vieira Luisane Maria Falci¹¹,Moura-Neto José A.¹²^ORCID,Andriolo Adagmar¹³^ORCID

Affiliation:

1. Sociedade Brasileira de Nefrologia, Brazil; Universidade Federal de São Paulo, Brazil

2. Sociedade Brasileira de Nefrologia, Brazil; Centro de Ciências da Saúde, Brazil

3. Sociedade Brasileira de Nefrologia, Brazil; Universidade Federal do Rio Grande do Norte, Brazil

4. Sociedade Brasileira de Nefrologia, Brazil; Universidade de São Paulo, Brazil

5. Sociedade Brasileira de Nefrologia, Brazil; Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Brazil; Faculdade Ubaense Ozanam Coelho, Brazil

6. Sociedade Brasileira de Nefrologia, Brazil; Universidade da Região de Joinville, Brazil; Fundação Pró-Rim, Brazil

7. Sociedade Brasileira de Nefrologia, Brazil; Universidade Federal de Minas Gerais, Brazil

8. Sociedade Brasileira de Nefrologia, Brazil; Universidade Federal do Ceará, Brazil

9. Universidade Federal de São Paulo, Brazil

10. Sociedade Brasileira de Patologia Clínica e Medicina Laboratorial, Brazil; Hospital Israelita Albert Einstein, Brazil

11. Sociedade Brasileira de Patologia Clínica e Medicina Laboratorial, Brazil; Dasa – Diagnósticos da América S.A., Brazil

12. Sociedade Brasileira de Nefrologia, Brazil; Escola Bahiana de Medicina e Saúde Pública, Brazil

13. Universidade Federal de São Paulo, Brazil; Sociedade Brasileira de Patologia Clínica e Medicina Laboratorial, Brazil

Abstract

ABSTRACT Chronic kidney disease (CKD) represents one of today’s main public health problems. Serum creatinine measurement and estimation of the glomerular filtration rate (GFR) are the main tools for evaluating renal function. There are several equations to estimate GFR, and CKD-EPI equation (Chronic Kidney Disease – Epidemiology) is the most recommended one. There are still some controversies regarding serum creatinine measurement and GFR estimation, since several factors can interfere in this process. An important recent change was the removal of the correction for race from the equations for estimating GFR, which overestimated kidney function, and consequently delayed the implementation of treatments such as dialysis and kidney transplantation. In this consensus document from the Brazilian Societies of Nephrology and Clinical Pathology and Laboratory Medicine, the main concepts related to the assessment of renal function are reviewed, as well as possible existing controversies and recommendations for estimating GFR in clinical practice.

Publisher

FapUNIFESP (SciELO)

Link

http://www.scielo.br/scielo.php?script=sci_pdf&pid=S0101-28002024000300801&tlng=en

Reference59 articles.

1. Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017.;Bikbov B;Lancet.,2020

2. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification.;Am J Kidney Dis.,2002

3. Test volume data for 51 most commonly ordered laboratory tests in Calgary, Alberta, Canada.;Ma I;Data Brief.,2019

4. Estimated glomerular filtration rate.;O’Riordan P;BMJ.,2014

5. Creatinine: from physiology to clinical application.;Kashani K;Eur J Intern Med.,2020