The final, formatted version of the article will be published soon.
REVIEW article
Front. Physiol.
Sec. Renal Physiology and Pathophysiology
Volume 15 - 2024 |
doi: 10.3389/fphys.2024.1501161
An investigation into the applicability of creatinine-based glomerular filtration rate assessment equations in patients with neurogenic bladder
Provisionally accepted- Capital Medical University, Beijing, China
Purpose: This study aims to use the Glomerular Filtration Rate (GFR) measured by dynamic renal scintigraphy (Gates method) as a standard to investigate the applicability of two creatinine (Cr)-based GFR estimation equations in Chinese neurogenic bladder (NB) patients of different genders, age groups, and GFR stages.Methods: GFR measured by 99mTc-DTPA renal dynamic imaging was sGFR, GFR measured by the new serum creatinine (Cr)-based Chronic Kidney Disease Epidemiology Collaborative Group (CKD-EPl) equation was EPI-GFR, and GFR measured by the equation for the Estimated Glomerular Filtration Rate of Chronic Kidney Disease Patients in China was cGFR. Statistical Analysis: Pearson's correlation and linear regression were used to compare the differences, absolute differences, precision, and accuracy of the 2 equations for GFR and sGFR to determine which formula performs better in the assessment of patients with NB.Results: A total of 99 NB patients participated in the final analysis, Both cGFR and EPI-GFR were moderately correlated with sGFF in both males and females.The overall staging accuracy of EPI-GFR and sGFR was also significantly higher than the accuracy of cGFR and sGFR. Among patients staged by GFR, only patients with GFR in the range of 60-89 mL/min/1.73 m 2 had moderate correlation between cGFR and EPI-GFR and sGFR, and the rest of the staged patients had low correlation between cGFR and EPI-GFR and sGFR. Conclusion: Researchers found that the Chinese CKD patient equation performed well in NB patients aged 20-25, while the race-neutral CKD-EPI equation performed better in NB patients aged 26-35..
Keywords: neurogenic bladder, serum creatinine, Renal function, Glomerular Filtration Rate, 99m Tc-DTPA renal dynamic imaging
Received: 24 Sep 2024; Accepted: 18 Nov 2024.
Copyright: © 2024 He and Liao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Limin Liao, Capital Medical University, Beijing, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.