Yıl: 2021 Cilt: 46 Sayı: 1 Sayfa Aralığı: 1 - 10 Metin Dili: İngilizce DOI: 10.17826/cumj.783433 İndeks Tarihi: 29-06-2021

Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study

Öz:
Purpose: Serum cystatin C level is a specific marker toestimate the glomerular filtration rate (GFR). Due to thisspecificity, we assume that GFR estimations based oncystatin C have higher diagnostic performances than GFRestimations using other biomarkers. In this study, weaimed to compared the diagnostic performances of CKDEPI cystatin C equation, CKD-EPI creatinine equationand 24-hour creatinine clearance to estimate GFR.Materials and Methods: A total of 130 participants whoconsisting of 101 acute and chronic renal disease patientsand 29 healthy volunteers, who applied to the NephrologyClinic, have been included in our study. Their urinecreatinine levels and serum creatinine levels were measuredby the colorimetric-Jaffe method, and cystatin C was bythe nephelometric method.Results: There was a statistically significant relationshipbetween CKD-EPI cystatin C, between CKD-EPIcreatinine and standard creatinine clearance. The AreaUnder the Receiver Operating Characteristics curve(AUROC) was found to be 1, 0.995, and 0.954respectively.Conclusion: According to the results, we think that serumcystatin C levels will present earlier findings in GFRdecrease and may be a more effective marker than serumcreatinine and standard creatinine clearance in the earlyperiod.
Anahtar Kelime:

GFR tahmininde CKD-EPI sistatin-C, CKD-EPI kreatinin ve 24 saatlik kreatinin klirensinin tanısal doğruluğunun karşılaştırılması: bir ön çalışma

Öz:
Amaç: Serum sistatin C düzeyi, glomerüler filtrasyon hızını (GFH) tahmin etmek için spesifik bir belirteçtir. Bu özgüllük nedeniyle, sistatin C'ye dayalı GFH tahminlerinin, diğer biyobelirteçleri kullanan GFH tahminlerinden daha yüksek tanısal performanslara sahip olduğunu varsayıyoruz. Bu çalışmada, GFH'yi tahmin etmek için CKD-EPI sistatin C denklemi, CKD-EPI kreatinin denklemi ve 24 saatlik kreatinin klirensinin tanısal performanslarını karşılaştırmayı amaçladık. Gereç ve Yöntem: Çalışmamıza Nefroloji Kliniğine başvuran akut ve kronik böbrek hastalarından oluşan 101 hasta ve 29 sağlıklı gönüllüden oluşan toplam 130 katılımcıdâhil edildi. İdrar kreatinin düzeyleri ve serum kreatinin düzeyleri kolorimetrik-Jaffe yöntemi ile ölçülürken, sistatin C nefelometrik yöntemle ölçüldü. Bulgular: CKD-EPI sistatin C, CKD-EPI kreatinin ve standart kreatinin klirensi arasında istatistiksel olarak anlamlı bir ilişki vardı. Alıcı Çalışma Karakteristikleri eğrisinin (AUROC) Altındaki Alan sırasıyla 1, 0.995 ve 0.954 olarak bulundu. Sonuç: Elde edilen sonuçlara göre, serum sistatin C düzeylerinin GFH azalmasında daha erken bulgular sunacağı ve erken dönemde serum kreatinin ve standart kreatinin klirensinden daha etkili bir belirteç olabileceği kanısındayız.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Li, P K, Garcia-Garcia, G, Lui, S F, Andreoli, S, Fung, W W, Hradsky A et al. Kidney health for everyone everywhere: from prevention to detection and equitable access to care. Clin Nephrol. 2020;3:111-2.
  • 2. Irmak H, Sucaklı M B, Yardım N, Keklik K. Türkiye böbrek hastalıkları önleme ve kontrol programı 2014- 2017. Türkiye Cumhuriyeti Sağlık Bakanlığı Eylem Planı. Ankara, T.C. Sağlık Bakanlığı, 2014.
  • 3. Sezer S, Çelik H T, Şahingöz Ş, Güngör Torun O, Yıldırımkaya M M, Turhan S. The effect of serum creatinine measured with different assays on formula based estimated glomerular filtration rate. Turk J Biochem. 2012;37:471-7.
  • 4. Eknoyan G, Lameria N, Eckardt KU, Kasiske BL, Eheeler DC, Levin A, et al. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int Suppl. 2013;3:1- 150.
  • 5. National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis. 2002;39:1-226.
  • 6. Akoğlu H, Altun B.Screening Tests in Kidney Diseases. Turkiye Klinikleri J Int Med Sci. 2007;3:8- 18.
  • 7. Levey AS, Stevens AL, Schmid HC, Zhang LY, Castro FA, Feldman IH. A new equation to estimate glomerular filtration rate. Ann Intern Med. 2009;150:604-12.
  • 8. Levey AS, Becker C, Inker LA. Glomerular filtration rate and albuminuria for detection and staging of acute and chronic kidney disease in adults: a systematic review. JAMA. 2015;313:837-46.
  • 9. Odutayo A, Cherney, D. Cystatin C and acute changes in glomerular filtration rate. Clin Nephrol. 2012;78(1): 64-75.
  • 10. Sjöström P, Tidman M, Jones I. The shorter T1/2 of cystatin C explains the earlier change of its serum level compared to serum creatinine. Clin Nephrol. 2004;62:241-2.
  • 11. Coll E, Botey A, Alvarez L, Poch E, Quinto L, Suarina A et al. Serum cystatin C as a new marker for noninvasive estimation of glomerular filtration rate and as a marker for early renal impairment. Am J Kidney Dis. 2000;36:29-34.
  • 12. Yong Z, Pei X, Zhu B, Yuan H, Zhao W. Predictive value of serum cystatin C for acute kidney injury in adults: a meta-analysis of prospective cohort trials. Sci Rep. 2017;7:1-11.
  • 13. Jacobs A, Benraad C, Wetzels J, Rikket OM, Kramers C. Clinical relevance of differences in glomerular filtration rate estimations in frail older people by creatinine-vs. cystatin C-based formulae. Drugs Aging. 2017;34:445-52.
  • 14. Kwon YE, Lee JM, Park SK, Han HS, Yoo HT, Oh HK et al. Cystatin C is better than serum creatinine for estimating glomerular filtration rate to detect osteopenia in chronic kidney disease patients. Yonsei Med J. 2017;58:380-7.
  • 15. Yang SK, Liu J, Zhang MX, Hu C, Zhang W, Sun L et al. Diagnostic Accuracy of serum cystatin c for the evaluation of renal dysfunction in diabetic patients: a meta‐analysis. Ther Apher Dial. 2016;20:579-87.
  • 16. Bevc S, Hojs R, Ekart R, Gorenjak M, Puklavec L et al. Simple cystatin C formula compared to sophisticated CKD‐EPI formulas for estimation of glomerular filtration rate in the elderly.Ther Apher Dial. 2011;15:261-68.
  • 17. Royakkers AA, Korevaar J, van Suijlen EDJ, Hofstra SL, Kuiper MA, Spronk PE et al.Serum and urine cystatin C are poor biomarkers for acute kidney injury and renal replacement therapy. Intensive Care Med. 2011;37:493-501.
  • 18. Laterza OF, Price CP, Scott MG. Cystatin C: an improved estimator of glomerular filtration rate? Clin Chem. 2002;48:699-707.
  • 19. Ok SE, Altun B. Böbrek fonksiyonlarının değerlendirilmesi. Böbrek Fizyopatolojisi (Eds T Arınsoy, Ö Güngör, İ Koçyiğit). Ankara, Reaktif, 2017.
  • 20. Eriksen BO, Mathisen DU, Melsom T, Ingebretsen CO, Jenssen GT, Njølstad I et al. Cystatin C is not a better estimator of GFR than plasma creatinine in the general population. Kidney Int. 2010;78:1305-11.
  • 21. Knight EL, Verhave JC, Spiegelman D, Hillege HL, de Zeeuw D, Curhan CG et al. Factors influencing serum cystatin C levels other than renal function and the impact on renal function measurement. Kidney Int. 2004;65:1416-21.
  • 22. Rule AD, Bergstralh EJ, Slezak JM, Bergert J, Larson ST. Glomerular filtration rate estimated by cystatin C among different clinical presentations. Kidney Int. 2006;69:399-405.
  • 23. Grubb AO. Cystatin C-properties and use as diagnostic marker. Adv Clin Chem. 2000;35:63-99. 24. Manetti L, Pardini E, Genovesi M, Campomori A, Grasso L, Morselli LL et al. Thyroid function differently affects serum cystatin Cand creatinine concentrations. J Endocrinol Invest. 2005;28:346-9.
  • 25. Shlipak MG, Sarnak MJ, Katz R, Fried LF, Seliger SL, Newman AB et al. Cystatin C and the risk of death and cardiovascular events among elderly persons. N Eng J Med. 2005;352:2049-60.
APA UÇUCU S, AYAN D, SERİN E (2021). Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study. , 1 - 10. 10.17826/cumj.783433
Chicago UÇUCU SÜHEYL,AYAN Durmuş,SERİN Erdinç Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study. (2021): 1 - 10. 10.17826/cumj.783433
MLA UÇUCU SÜHEYL,AYAN Durmuş,SERİN Erdinç Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study. , 2021, ss.1 - 10. 10.17826/cumj.783433
AMA UÇUCU S,AYAN D,SERİN E Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study. . 2021; 1 - 10. 10.17826/cumj.783433
Vancouver UÇUCU S,AYAN D,SERİN E Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study. . 2021; 1 - 10. 10.17826/cumj.783433
IEEE UÇUCU S,AYAN D,SERİN E "Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study." , ss.1 - 10, 2021. 10.17826/cumj.783433
ISNAD UÇUCU, SÜHEYL vd. "Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study". (2021), 1-10. https://doi.org/10.17826/cumj.783433
APA UÇUCU S, AYAN D, SERİN E (2021). Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study. Cukurova Medical Journal, 46(1), 1 - 10. 10.17826/cumj.783433
Chicago UÇUCU SÜHEYL,AYAN Durmuş,SERİN Erdinç Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study. Cukurova Medical Journal 46, no.1 (2021): 1 - 10. 10.17826/cumj.783433
MLA UÇUCU SÜHEYL,AYAN Durmuş,SERİN Erdinç Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study. Cukurova Medical Journal, vol.46, no.1, 2021, ss.1 - 10. 10.17826/cumj.783433
AMA UÇUCU S,AYAN D,SERİN E Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study. Cukurova Medical Journal. 2021; 46(1): 1 - 10. 10.17826/cumj.783433
Vancouver UÇUCU S,AYAN D,SERİN E Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study. Cukurova Medical Journal. 2021; 46(1): 1 - 10. 10.17826/cumj.783433
IEEE UÇUCU S,AYAN D,SERİN E "Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study." Cukurova Medical Journal, 46, ss.1 - 10, 2021. 10.17826/cumj.783433
ISNAD UÇUCU, SÜHEYL vd. "Comparison of the diagnostic accuracy of CKD-EPI cystatin-C, CKDEPI creatinine and 24-hour creatinine clearance for estimating GFR: a preliminary study". Cukurova Medical Journal 46/1 (2021), 1-10. https://doi.org/10.17826/cumj.783433