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Revista médica de Chile

Print version ISSN 0034-9887

Abstract

GONZALEZ G., Camilo A. et al. Concordance between estimated glomerular filtration rate using equations and that measured using an imaging method. Rev. méd. Chile [online]. 2021, vol.149, n.1, pp.13-21. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872021000100013.

Background:

Guidelines recommend estimating glomerular filtration rate (GFR) using creatinine-based equations (CBE).

Aim:

To evaluate the agreement between GFR measured using radionuclide imaging and estimated using creatinine-based equations.

Material and Methods:

In 421 patients aged 54 ± 17 years (47% women) GFR was estimated using the MDRD-4, CKD-EPI and the body surface adjusted Cockroft Gault equation. GFR was also measured using a radionuclide imaging method with 99mTc-DTPA. The concordance between estimated and measured GFR was calculated using Lin's concordance coefficient and Bland and Altman plots.

Results:

Average GFR values obtained with CKD-EPI, MDRD-4, body surface adjusted Cockroft Gault equation and 99mTc-DTPA imaging were 75.9 ± 26.6, 76.3 ± 28.8, 77.1 ± 31.6 and 77.9 ± 28.4 ml/min/1.73 m2, respectively. There was no significant difference in means and 29% of participants had a GFR < 60 ml/min/1.73 m2 by CKD-EPI. The correlation was good between equations, but acceptable when compared with the 99mTc-DTPA imaging. The weighted kappa between CBEs was good, but low when comparing CBEs with measured GFR. The Lin's concordance coefficient between estimated and measured GFR was low.

Conclusions:

GFR measured by 99mTc-DTPA radionuclide imaging has a low correlation and poor concordance with estimations using CBE.

Keywords : Glomerular Filtration Rate; Kidney Function Tests; Radionuclide Imaging; Renal Insufficiency, Chronic.

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