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Cystatin C is Indispensable for Evaluation of Kidney Disease

Grubb, Anders LU orcid (2017) In EJIFCC 28(4). p.268-276
Abstract

The present minireview of the place of cystatin C in clinical medicine emphasizes, and discuss the evidence, that cystatin C-based GFR-estimating equations do not require the use of vague terms like race and sex, that cystatin C-based GFR-esti mating equations are useful for both children and adults, including the elderly, that the best GFR-estimation requires simultaneous use of both cystatin C- and creatinine-based equations, that cystatin C-based GFR-estimating equations are superior to creatinine-based equations in predicting end-stage renal disease, cardiovascular manifestations, hospitalisation and death, and, finally that cystatin C is required to diagnose the new syndrome "Shrunken Pore Syndrome" with its high mortality and... (More)

The present minireview of the place of cystatin C in clinical medicine emphasizes, and discuss the evidence, that cystatin C-based GFR-estimating equations do not require the use of vague terms like race and sex, that cystatin C-based GFR-esti mating equations are useful for both children and adults, including the elderly, that the best GFR-estimation requires simultaneous use of both cystatin C- and creatinine-based equations, that cystatin C-based GFR-estimating equations are superior to creatinine-based equations in predicting end-stage renal disease, cardiovascular manifestations, hospitalisation and death, and, finally that cystatin C is required to diagnose the new syndrome "Shrunken Pore Syndrome" with its high mortality and morbidity, even in the absence of reduced GFR. When automated laboratory equipment is available, the cost of cystatin C is comparable to that of enzymatically determined creatinine. The conclusion is that cystatin C should be used at least as often as creatinine in clinical medicine.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
EJIFCC
volume
28
issue
4
pages
268 - 276
publisher
International Federation of Clinical Chemistry and Laboratory Medicine
external identifiers
  • pmid:29333146
ISSN
1650-3414
language
English
LU publication?
yes
id
aa379fbe-48ec-4b8f-89f7-2b9ed441a150
alternative location
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5746836/
date added to LUP
2021-11-02 14:56:04
date last changed
2021-11-02 14:56:04
@article{aa379fbe-48ec-4b8f-89f7-2b9ed441a150,
  abstract     = {{<p>The present minireview of the place of cystatin C in clinical medicine emphasizes, and discuss the evidence, that cystatin C-based GFR-estimating equations do not require the use of vague terms like race and sex, that cystatin C-based GFR-esti mating equations are useful for both children and adults, including the elderly, that the best GFR-estimation requires simultaneous use of both cystatin C- and creatinine-based equations, that cystatin C-based GFR-estimating equations are superior to creatinine-based equations in predicting end-stage renal disease, cardiovascular manifestations, hospitalisation and death, and, finally that cystatin C is required to diagnose the new syndrome "Shrunken Pore Syndrome" with its high mortality and morbidity, even in the absence of reduced GFR. When automated laboratory equipment is available, the cost of cystatin C is comparable to that of enzymatically determined creatinine. The conclusion is that cystatin C should be used at least as often as creatinine in clinical medicine.</p>}},
  author       = {{Grubb, Anders}},
  issn         = {{1650-3414}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{268--276}},
  publisher    = {{International Federation of Clinical Chemistry and Laboratory Medicine}},
  series       = {{EJIFCC}},
  title        = {{Cystatin C is Indispensable for Evaluation of Kidney Disease}},
  url          = {{https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5746836/}},
  volume       = {{28}},
  year         = {{2017}},
}