Prediction of creatinine clearance from serum creatinine in patients with rheumatoid arthritis: Comparison of six formulae and one nomogram

Prediction of creatinine clearance from serum creatinine in patients with rheumatoid arthritis: Comparison of six formulae and one nomogram
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DOI:
10.1007/s100670050006
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发表时间:
2000-01-01
影响因子:
3.4
通讯作者:
Schattenkirchner, M
Schattenkirchner, M
中科院分区:
医学3区
文献类型:
--
作者:
Anders, HJ;Rihl, M;Schattenkirchner, M

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肾小球滤过率的测定对类风湿关节炎(RA)患者的治疗具有重要意义。然而,测定内生肌酐清除率(Clcr)从24小时尿液收集是一个不可靠的和耗时的程序。因此,我们在38例RA患者和20例对照组中测试了6个方程和1个列线图预测血清肌酐(Scr)的准确性。对照组(r = 0.83-0.94)和RA组(r = 0.51-0.69)的各项指标均呈正相关。该方法没有高估类风湿关节炎的Clcr。在RA组中,Cockcroft发表的简单公式[Clcr =((140 -年龄)x体重)/(72 x Scr),x 0.85(女性)]显示出与测量的Clcr的最佳相关性。在RA中,Cockroft公式可以可靠地用于从Scr预测Clcr。
The estimation of glomerular filtration rate is important for the medical treatment of patients with rheumatoid arthritis (RA). However, the determination of endogenous creatinine clearance (Clcr) from a 24-h urine collection is an unreliable and time-consuming procedure. We therefore tested the accuracy of six equations and one nomogram for the prediction of (Clcr from serum creatinine (Scr) in 38 patients with RA and 20 controls. A positive correlation was found for all methods in the controls (r = 0.83-0.94) and RA patients (r = 0.51-0.69). The methods did not overestimate Clcr in RA. In the RA group the simple formula published by Cockcroft [Clcr = ((140 - age) x body weight)/(72 x Scr), x 0.85 for females] showed the best correlation with the measured Clcr. In RA the Cockroft formula can reliably be used to predict Clcr from Scr.