Comparative Performance of Creatinine-Based Estimated Glomerular Filtration Rate Equations in the Malays: A Pilot Study in Tertiary Hospital in Malaysia

Aim. To validate the accuracy of estimated glomerular filtration rate (eGFR) equations in Malay population attending our hospital in comparison with radiolabeled measured GFR. Methods. A cross-sectional study recruiting volunteered patients in the outpatient setting. Chromium EDTA (51Cr-EDTA) was us...

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Main Authors: Maisarah Jalalonmuhali, Ng Kok Peng, Lim Soo Kun
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.1155/2017/2901581
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author Maisarah Jalalonmuhali
Ng Kok Peng
Lim Soo Kun
author_facet Maisarah Jalalonmuhali
Ng Kok Peng
Lim Soo Kun
author_sort Maisarah Jalalonmuhali
collection DOAJ
description Aim. To validate the accuracy of estimated glomerular filtration rate (eGFR) equations in Malay population attending our hospital in comparison with radiolabeled measured GFR. Methods. A cross-sectional study recruiting volunteered patients in the outpatient setting. Chromium EDTA (51Cr-EDTA) was used as measured GFR. The predictive capabilities of Cockcroft-Gault equation corrected for body surface area (CGBSA), four-variable Modification of Diet in Renal Disease (4-MDRD), and Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations were calculated. Results. A total of 51 subjects were recruited with mean measured GFR 42.04 (17.70–111.10) ml/min/1.73 m2. Estimated GFR based on CGBSA, 4-MDRD, and CKD-EPI were 40.47 (16.52–115.52), 35.90 (14.00–98.00), and 37.24 (14.00–121.00), respectively. Higher accuracy was noted in 4-MDRD equations throughout all GFR groups except for subgroup of GFR ≥ 60 ml/min/1.73 m2 where CGBSA was better. Conclusions. The 4-MDRD equation seems to perform better in estimating GFR in Malay CKD patients generally and specifically in the subgroup of GFR < 60 ml/min/1.73 m2 and both BMI subgroups.
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spelling doaj-art-8a787e2a49724005966d751b5ee1debf2025-08-20T02:09:18ZengWileyInternational Journal of Nephrology2090-214X2090-21582017-01-01201710.1155/2017/29015812901581Comparative Performance of Creatinine-Based Estimated Glomerular Filtration Rate Equations in the Malays: A Pilot Study in Tertiary Hospital in MalaysiaMaisarah Jalalonmuhali0Ng Kok Peng1Lim Soo Kun2University Malaya Medical Centre, 59100 Kuala Lumpur, MalaysiaUniversity Malaya Medical Centre, 59100 Kuala Lumpur, MalaysiaUniversity Malaya Medical Centre, 59100 Kuala Lumpur, MalaysiaAim. To validate the accuracy of estimated glomerular filtration rate (eGFR) equations in Malay population attending our hospital in comparison with radiolabeled measured GFR. Methods. A cross-sectional study recruiting volunteered patients in the outpatient setting. Chromium EDTA (51Cr-EDTA) was used as measured GFR. The predictive capabilities of Cockcroft-Gault equation corrected for body surface area (CGBSA), four-variable Modification of Diet in Renal Disease (4-MDRD), and Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations were calculated. Results. A total of 51 subjects were recruited with mean measured GFR 42.04 (17.70–111.10) ml/min/1.73 m2. Estimated GFR based on CGBSA, 4-MDRD, and CKD-EPI were 40.47 (16.52–115.52), 35.90 (14.00–98.00), and 37.24 (14.00–121.00), respectively. Higher accuracy was noted in 4-MDRD equations throughout all GFR groups except for subgroup of GFR ≥ 60 ml/min/1.73 m2 where CGBSA was better. Conclusions. The 4-MDRD equation seems to perform better in estimating GFR in Malay CKD patients generally and specifically in the subgroup of GFR < 60 ml/min/1.73 m2 and both BMI subgroups.http://dx.doi.org/10.1155/2017/2901581
spellingShingle Maisarah Jalalonmuhali
Ng Kok Peng
Lim Soo Kun
Comparative Performance of Creatinine-Based Estimated Glomerular Filtration Rate Equations in the Malays: A Pilot Study in Tertiary Hospital in Malaysia
International Journal of Nephrology
title Comparative Performance of Creatinine-Based Estimated Glomerular Filtration Rate Equations in the Malays: A Pilot Study in Tertiary Hospital in Malaysia
title_full Comparative Performance of Creatinine-Based Estimated Glomerular Filtration Rate Equations in the Malays: A Pilot Study in Tertiary Hospital in Malaysia
title_fullStr Comparative Performance of Creatinine-Based Estimated Glomerular Filtration Rate Equations in the Malays: A Pilot Study in Tertiary Hospital in Malaysia
title_full_unstemmed Comparative Performance of Creatinine-Based Estimated Glomerular Filtration Rate Equations in the Malays: A Pilot Study in Tertiary Hospital in Malaysia
title_short Comparative Performance of Creatinine-Based Estimated Glomerular Filtration Rate Equations in the Malays: A Pilot Study in Tertiary Hospital in Malaysia
title_sort comparative performance of creatinine based estimated glomerular filtration rate equations in the malays a pilot study in tertiary hospital in malaysia
url http://dx.doi.org/10.1155/2017/2901581
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AT ngkokpeng comparativeperformanceofcreatininebasedestimatedglomerularfiltrationrateequationsinthemalaysapilotstudyintertiaryhospitalinmalaysia
AT limsookun comparativeperformanceofcreatininebasedestimatedglomerularfiltrationrateequationsinthemalaysapilotstudyintertiaryhospitalinmalaysia